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;ூO}%\}$_jč5Gi$ff$ 9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 3 0 obj<> endobj 4 0 obj<> endobj 5 0 obj<> endobj 6 0 obj<>/XObject<>/ProcSet[/PDF/Text/ImageC]>>>> endobj 8 0 obj<> endobj 9 0 obj<> endobj 11 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 12 0 obj<>/C[0 0 1]>> endobj 14 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 16 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 17 0 obj<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Subtype/Form/FormType 1/Matrix[1 0 0 1 0 0]>>stream xMo09> endobj 20 0 obj<>/XObject<>/ProcSet[/PDF/Text]>>>> endobj 22 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 24 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 26 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 27 0 obj<> endobj 29 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 31 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 33 0 obj<> endobj 34 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 36 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 38 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 40 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 42 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 44 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 46 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 48 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 50 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 52 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 54 0 obj<> endobj 55 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 57 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 59 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 61 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 62 0 obj<> endobj 64 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 66 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 68 0 obj<>/ProcSet[/PDF/Text]>>>> endobj 69 0 obj[6 0 R/XYZ 0 318.869995 0] endobj 70 0 obj<>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 71 0 obj<> endobj 72 0 obj<>/FontDescriptor 71 0 R/DW 1000>> endobj 73 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 74 0 obj<>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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LF}M ߞ %E'W?n}$lg1HBs }ٕ,),rqB-AHCrf!]vx.H x"n,6\O)FG=oNXLϤ$oǤ5xiP6 cXr,xW6A1I/?@ѵ}|6DMk7\8 Li$hu/,ZPpEo_I4 0B#\Gnnqk+5SHĺfo$؉qb;~l+0vi^v(< ;nҖx hHC~3xJa昐 X[[,D|14^^NH@Z{Ӌ2QiPT0%mujB1c!>73V zeKo7VWBlL<|d`{ܮē0jQyܒصȍOptNp@eSb= nvO 3Dv`Ogfi?FujH2#F@9P  N:.J4[4#(%$mXgY@~d`ñ}V$pбSa&vѠ\U@-$L:&,GZr!aʝʹg3PVT0?+m:~تo\xkx Жj\\3>Zl ӥz :S`F G(O{ աˡ3HJBrEu70pCzOd#H6+#T<֋T4Ks^C٨CAeB"C=)?0Sge!X(><+Eg4pr\ƌz_H^zR5IcF$уUhfzo}YBӎEM^ :"% E~$6$|B^t\:T&Y]7(ou&rzOU$`.@ŪÌ#1dEi!8 uXؗvA{o o쭺8*IϿcʒ,F[bdW3PI!:$-p31/_7v2dsoF2f6-HCaj>_lU4HqFa="QT, ?|Vbd j;[&̢ %[rU_Qpܥ^&@8k%^+#IzsFK~7GϽBAnxO4D]$y;0?[")X NFʼn(5FׁK%!k6BD"c&z#aoAb( +qt.B!#`>cD>LZZP%8,b"N7PȲ:ƚo0J zvAj[ԉ8dog7XxtփmMw*έLފӲV`E*V-Ữ  /&.SQ`q2ɸxAM gV>5~"ceLMDCRBϯ/k*cqX;vD=oD4]IU%qJ> ¥7s#1Ur*)ӆaØ׻$ CocfYzalS~]E3k+vQ]2B`DoB":6V?N  l ڊӌoIcWn'tj?*:NCCI}:DrL2w!8uqI 6jw)I VrjSuX d 3h\m0 r_cσAg彜.5?A Uz4VbɎݪj@r$'bC0plDS-ȱRyvJ2v,oHAaYin~]FZvae2c'T?9 ڧ}jk5ݕ (NJ7>B\&PupȺ=΁~ Cfv By1^lbN^yϚ|nNi7C<,ɓ0P%,q94BrByÄ` 0KzG;Tz𲀶) ߧ#jShfHn tS͋!\ #[<<$9A-)kGho$D?,E]b aEiI9 ;Al^ofrׯ'`\D o FQӟ>M3`ouKhHk]bn N:7f!&Tm$cGmr_v$McnvS;$۩4Ŀov엂 VƟq>#P}#[fCE~ȕ h?Y=cZcgiGz(S'h 1B2p#{ 42h,{WUaeao¤i<͑( | K>aHc?/} MZʚ|*yNaql!oIcp87`HZyb~>@l$ʁsb1B38b P%2Pov|2ؔqeflkǨ>Am=n/rЧYע>k}+v(b .|(bz؉Z3+:@ D 3TOA %L-TiȱmpvZjfarüY8#?/}!23Gp>kwOu]Rܻ56k$9Vv𧌰y"J^#MAОXېɅq o &d҂JșZw7x6.'S7JGTBʶjj_`휱<_;жBƏ0)[ό۲ZuW2^/woC㛟'ޙ]EusN(?yn)#X],'Tִ3#" }~#k]u`WKfT7~a8o#h ׈>M9ݐ1ӌ *~q(pӎQLٔLhD H@5Aٺ4{SdZ-jhZWM7MLr#fVML8*9Dx}ȃYpK=/Vj.l:(Tt#vW3#lЁ8wǫihm&Z(pB<# pۯ߂I˝ؾQ*HJͽiPG\#r+Z/L5h/*#a<8 G(<Ң0_(K׳8f*N3p<0+s-]1"}^ZuP; 6rgbPqwb 釞 W.]J~ ;=/![_j J26U\I4m6BG`Tnhr3[[-2ffy9Ew$ Y} "KaEB `m/ 1;>H՝u NV=apnYxFoܼħdž̀u_5*\ů_cމGCg3Vk@ncEtK4TS=ZdSL<ߗx2A`l6`eRhGFߦjVCov?ѵKRNQfF>DxH!#s%trY\i)Zpd|y!' ^?C4@(=r hCarS#ɹ 20&\VaBo6 )6S Q iIE LhI:+"HzI Yq={6 kCD))jBdfjPcwW!ret2?Z;Y@J8H8r(H?RRfTG1E6+J!^HqG_Oa߅} }5W1~L\_dԭ]CHƲ b|uae6> 7D(BD{v-d'kA}shzĆh9.S^ֳ.LX92sBÔUO?)Cڰ}'UݾqsK^N􀘊#1 C,&h[X|K[19v`oYI]Ηbf?Bm=d]#wBI6=Ϭx(yJNH'-PMMHXZ%RNV|v){z!6Gp.`a{t.0*a9+wS+)ϐV63Ew` eliV}qԥvWIu@ʔ h%kNːv-cLz{z68vΝ^u<}EZBݨV$GK93Fj˅G¦~#F#?J|6hU3m6@O CVw߼H$$2s6k=G ߈rAg`Xb=Om<̭(6~"H4w30VJ\IǫkK~D$Y8?N*@ "E4tgejDۚ<~i*EX{+w8RL%hV]o)@5Hgt\Aw"cJb0rXa28zb++j `#9Kr.S)cfU)iF,^'+Am1Sjt$}^N_a󒠀s5H㘠!chwI!c26Z_#13uHW'sbS M./9inɥd|mŊ? s6x+p]^@i%_OE ۞ ȔVTu.bH ͕fF+}kOOb5ʹk}|f,1Yݔ,GuaoL%Ob4 n` {_dhA!rgmﱨJxu`%faLwqr"95[M`^#߄8u PY:&''9{5k9eP>SSUZoXtMÛpGF PpGn|˓_`?G[~\s.\A4f)$@x9Fp}#H&יYBbwx4,`њy' +Dj&!uTfzsSlĢbbba/kTjb WI;{$7{ǝ70/:`U5Zp *M%5(:)Mh|J~^ߣ5dqoۜ>KRi9mfM=uC,TftDΩTswh.xϾxW1ې'y#|/T(}M/&xR`R`1Qd1T/ \){V(WɝEh]3XRgp7RKa@Ev06S 0d{)xb*tׯ•:\`h#lCjsUqۺ5vX\!C{o u7: }" w$>{y+f>5a*Rthq #p?Ùܜ/q&Nє{p$9 *1*;rhr>kF 1l呑m!Y]%Gr $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 75 0 obj<> endobj 76 0 obj<>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 77 0 obj<> endobj 78 0 obj<>/FontDescriptor 77 0 R/DW 1000>> endobj 79 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 80 0 obj<>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute 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C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 83 0 obj<> endobj 84 0 obj<>/FontDescriptor 83 0 R/DW 1000>> endobj 85 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 86 0 obj<>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny n,ptbn孞g$}`%0V`Rx#0`kK_h0*s;cE8ʴTInRO"վK5e0X08AۦcdgN&פpM]푴g&7LDuUΧa~CM2&IBC\5}~n3y,6-|Gv![rj-1Z| eоӽsH]?_Vμ۫ JSqTg.zBpTz:+Ub8=cHeklԘE]_PK[IuX+6 }tյ5zKL}@G @p|us|@ 맷˂;*ͷf lG^F4.2&qb ^f +˫]JmS+Jah:j/1֜oc+99HR~ˤr' ͗|T֮gnbWS*xı' PyPs=zRUjL+BXU+%._Qc2$'j#uڢSg[= {z$r-cI d+L"}f"&;h[l~=hGc9ƅ3efEO:M H^^c&_G_PW]d+[lU:;7bgggGՐvNK/_3@ZPC%3g2móQ}X;9Z(֎0ƶ(N~<"A}H=--Ё5)xu<{ls`wfP|̩˂1$[:szϊZNVT2.3Q(TƲ]/ϴ pRp? 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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fR8s6lρdGzSZPI9{ЉKL=L8" ᓔ6,Xbkg{)rǸ&(}KR*+B.v$8n6w&_IcyAMWȄ0jm8;'wbڹex81Xߋ˪ H܀]rָƢ#3GMo9*_qM>I!pMTIUJR3Q?yFs57S 4 ,dE SN?o(}X Ũ%xD]3nH b\u~ e#Jf=6-G7ZZx ~K::9f";w6xk%JeᮡCD5YySA63aF3JpStS=QNHJ'J$N4^7 J݁DxSLMD)1 :S@Bz,/SPmaC=ՓI3D/bpC% s8IFEwJP9j:!æJ*8/=&b-Pc|,&~9h]`*ӵlDwiQ˅ - Dz(=t2s92 3O/D $oX@vڊC*쩜:4<ƁLu Z[(Ikzb-$.5o1TX3quSr{/ňiEIVj!G(訚?\ ;=V KLvfΌԬ +X(b(1bG`ݹ9Ue76N+Vz&_l?V&'v=aApfXd7gqz[_d])B뿐ڣ5@(M`єZh 7(% nJtzT.̅5›pkcpv*83\/3ҜeNrc0W|/TZ+"πE%xxKyİ`0op( r ^VK_dGyұ]]z&a];iiN`>I)Abo)L8K15OzlmV 5]EoF ,tGٓ 1( (B75 q2PV\ KRy i&;IUOHNUw"u*J=xҨ ?b݄,Wܜ@t~ `$mst*,Dcrn TJ 1 M4t7pv$2wS3ˎTp@}qY^!T}?հƿ-/ގ ]΅O;>lCH7b(~o a_|W9zÓ(֎ ~a(kƟ<w5+$Nn1$W6_;4۴%~6xH-tM`v _6!&-H ;at1 V 뵾Nw[unF.(^ T1h!E[i5$.b]/x]}p{![,eR/W*vQРT)|:7 QJ ?(,y$_ -A"q~`BX@-&: `lj_k~-MT,G ́ ?"-UϠWR?Ycx Z$lYAm^#tVp\OY F<~%ROU*<(xN .x+XcзģKKYŕFߚRv+z1qEMZxk"Gd,(MG2˛DyD2ua,s@\S૮uH &~ X* ݵ1mϘ~'Fs&$^"UW:̈KFIҜBfTe@S%Rt`ch`[lߧë 2J5LJMcmS@GJdo%2Mt#LZ xjltb:׉ɭ1dC?Xal'C8Q/gm qGtA}IVCcFclĥ mCj`o- iXw8ZK4-p8'\)U͕6(I䅝q[>FD4+hSCP=/=nk䨕T]͢ޒT- z+Td^opA$].lQK/}8(c[$Z^-샥3^ 8F'KtMIG92 can0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 89 0 obj<> endobj 90 0 obj<> endobj 91 0 obj<> endobj 92 0 obj<> endobj 93 0 obj<> endobj 94 0 obj<> endobj 95 0 obj null endobj 96 0 obj<> endobj 97 0 obj<> endobj 192 0 obj 3182 endobj 193 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28999 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31999 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14999 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 194 0 obj 5531 endobj 195 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.89999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45999 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 196 0 obj 2215 endobj 197 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 198 0 obj 1959 endobj 199 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 200 0 obj 5115 endobj 201 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 202 0 obj 6110 endobj 203 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42999 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78999 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28999 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 204 0 obj 3391 endobj 205 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 206 0 obj 6003 endobj 207 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16998 l S 564.77997 716.82996 m 564.77997 489.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03999 m 32.35001 78.70001 l S 564.78998 234.03999 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 208 0 obj 5240 endobj 209 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 210 0 obj 2270 endobj 211 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 212 0 obj 6015 endobj 213 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87997 m 32.35001 382.12 l S 564.78998 470.87997 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92999 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78999 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28999 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78999 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 214 0 obj 4905 endobj 215 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 216 0 obj 5787 endobj 217 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17999 m 562.53998 236.17999 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 218 0 obj 2075 endobj 219 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 220 0 obj 5928 endobj 221 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87997 m 32.35001 416.12 l S 564.78998 504.87997 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28999 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78999 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 222 0 obj 2406 endobj 223 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 224 0 obj 5963 endobj 225 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87997 m 32.35001 398.62 l S 564.78998 504.87997 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92999 m 562.53998 227.92999 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28999 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78999 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 226 0 obj 1442 endobj 227 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 228 0 obj 5959 endobj 229 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50999 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42999 m 562.53998 202.42999 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42999 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78999 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28999 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78999 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 230 0 obj 3131 endobj 231 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 232 0 obj 3700 endobj 233 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 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1 202.5 315.57999 Tm (The people who use the service or their advocates should )Tj 1 0 0 1 202.5 301 Tm (sign daily diary sheets on a regular basis to confirm that )Tj 1 0 0 1 202.5 286.41998 Tm (they are involved with the support they are provided with.)Tj 1 0 0 1 34.05 263.59 Tm (3)Tj 1 0 0 1 96.15001 263.59 Tm (9)Tj 1 0 0 1 202.5 263.59 Tm (Risk assessments should be produced in a format which )Tj 1 0 0 1 202.5 249.00999 Tm (meet the communication needs of the people who use the )Tj 1 0 0 1 202.5 234.42999 Tm (service so that they are aware of how their health and )Tj 1 0 0 1 202.5 219.84999 Tm (welfare will be protected and promoted by the service.)Tj 1 0 0 1 34.05 197.01999 Tm (4)Tj 1 0 0 1 96.15001 197.01999 Tm (18)Tj 1 0 0 1 202.5 197.01999 Tm (The personal preference records should be extended to )Tj 1 0 0 1 202.5 182.44 Tm (ensure that the support required by individuals is in line )Tj 1 0 0 1 202.5 167.86 Tm (with their wishes.)Tj ET endstream endobj 236 0 obj 1759 endobj 237 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 238 0 obj 4560 endobj 239 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.32999 m 315.25 272.32999 l S 317.5 272.32999 m 565.90002 272.32999 l S 1 1 1 RG 317.5 249.5 m 346.54999 249.5 l S 348.80002 249.5 m 377.89999 249.5 l S 380.14999 249.5 m 409.20001 249.5 l S 411.44998 249.5 m 440.54999 249.5 l S 442.80002 249.5 m 471.89996 249.5 l S 474.14996 249.5 m 503.20001 249.5 l S 505.44998 249.5 m 534.54999 249.5 l S 536.79999 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Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 240 0 obj 5633 endobj 241 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 244 0 obj 8485 endobj 245 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. 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567.01996 237.00998 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 267.56 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 267.56 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 244.73 Tm (Paul Kenyon)Tj 1 0 0 1 329.63 244.73 Tm (0)Tj 1 0 0 1 360.94998 244.73 Tm (4)Tj 1 0 0 1 392.28 244.73 Tm (0)Tj 1 0 0 1 423.60999 244.73 Tm (5)Tj 1 0 0 1 454.94998 244.73 Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 258 0 obj 5633 endobj 259 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 260 0 obj 5296 endobj 261 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 262 0 obj 8564 endobj 263 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62994 m 353.25 495.62994 l S 1 1 1 RG 355.5 495.62994 m 565.90002 495.62994 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38995 m 568.10004 461.38995 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf (Lorraine Edwards \(Acting Manager\))Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT1 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /T1_0 12 Tf 28.35001 407.82993 Td (Conditions of registration:)Tj 0 -22.82999 TD (Category\(ies\) :)Tj 268.25 0 Td (Number of places \(if applicable\):)Tj 0 -20.58002 TD (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /T1_0 12 Tf 28.35001 338.20993 Td (learning disability)Tj 268.34998 0 Td (12)Tj 134.14999 0 Td (0)Tj -402.49997 -22.82999 Td (Additional conditions: )Tj 0 -22.83002 TD (The registered person may provide the following categories of service on\ ly: Care home )Tj 0 -14.57999 TD (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj 0 -14.58002 TD (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj 0 -14.57999 TD (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89996 227.37999 l S 474.14996 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /T1_0 12 Tf 28.35001 222.60994 Td (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 264 0 obj 3182 endobj 265 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 266 0 obj 5531 endobj 267 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.89996 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 268 0 obj 2215 endobj 269 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 270 0 obj 1959 endobj 271 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 272 0 obj 5115 endobj 273 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 274 0 obj 6110 endobj 275 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 276 0 obj 3391 endobj 277 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 278 0 obj 6003 endobj 279 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 280 0 obj 5240 endobj 281 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 282 0 obj 2270 endobj 283 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 284 0 obj 6015 endobj 285 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87994 m 32.35001 382.12 l S 564.78998 470.87994 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 286 0 obj 4905 endobj 287 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 288 0 obj 5787 endobj 289 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 290 0 obj 2075 endobj 291 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 292 0 obj 5928 endobj 293 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87994 m 32.35001 416.12 l S 564.78998 504.87994 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 294 0 obj 2406 endobj 295 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 296 0 obj 5963 endobj 297 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87994 m 32.35001 398.62 l S 564.78998 504.87994 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 298 0 obj 1442 endobj 299 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 300 0 obj 5959 endobj 301 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 302 0 obj 3131 endobj 303 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 304 0 obj 3700 endobj 305 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 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1 202.5 315.57999 Tm (The people who use the service or their advocates should )Tj 1 0 0 1 202.5 301 Tm (sign daily diary sheets on a regular basis to confirm that )Tj 1 0 0 1 202.5 286.41998 Tm (they are involved with the support they are provided with.)Tj 1 0 0 1 34.05 263.59 Tm (3)Tj 1 0 0 1 96.15001 263.59 Tm (9)Tj 1 0 0 1 202.5 263.59 Tm (Risk assessments should be produced in a format which )Tj 1 0 0 1 202.5 249.00998 Tm (meet the communication needs of the people who use the )Tj 1 0 0 1 202.5 234.42998 Tm (service so that they are aware of how their health and )Tj 1 0 0 1 202.5 219.84999 Tm (welfare will be protected and promoted by the service.)Tj 1 0 0 1 34.05 197.01999 Tm (4)Tj 1 0 0 1 96.15001 197.01999 Tm (18)Tj 1 0 0 1 202.5 197.01999 Tm (The personal preference records should be extended to )Tj 1 0 0 1 202.5 182.44 Tm (ensure that the support required by individuals is in line )Tj 1 0 0 1 202.5 167.86 Tm (with their wishes.)Tj ET endstream endobj 308 0 obj 1759 endobj 309 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 310 0 obj 4560 endobj 311 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Hooton Chase )Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Hooton Road)Tj 1 0 0 1 165.48 474.12991 Tm (Ellesmere Port)Tj 1 0 0 1 165.48 456.54999 Tm (Cheshire)Tj 1 0 0 1 165.48 438.97 Tm (CH66 1RU)Tj /C2_1 10 Tf 1 0 0 1 28.35001 420.06998 Tm <0003>Tj 1 0 0 1 28.35001 403.06998 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 383.53998 m 358.94998 383.53998 l S 1 1 1 RG 361.20001 383.53998 m 565.90002 383.53998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 394.94998 m 568.10004 394.94998 l S 28.99001 372.12 m 568.10004 372.12 l S 30.07001 396.03 m 30.07001 371.04999 l S 360.06998 396.03 m 360.06998 371.04999 l S 567.01996 396.03 m 567.01996 371.04999 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 378.76999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 378.76999 Tm (care home)Tj 1 0 0 1 255.59 378.76999 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 378.76999 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.32999 m 315.25 272.32999 l S 317.5 272.32999 m 565.90002 272.32999 l S 1 1 1 RG 317.5 249.5 m 346.54999 249.5 l S 348.80002 249.5 m 377.89999 249.5 l S 380.14999 249.5 m 409.20001 249.5 l S 411.44998 249.5 m 440.54999 249.5 l S 442.80002 249.5 m 471.89993 249.5 l S 474.14993 249.5 m 503.20001 249.5 l S 505.44998 249.5 m 534.54999 249.5 l S 536.79999 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Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 312 0 obj 5633 endobj 313 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 316 0 obj 8564 endobj 317 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /T1_0 12 Tf 28.35001 338.20993 Td (learning disability)Tj 268.34998 0 Td (12)Tj 134.14999 0 Td (0)Tj -402.49997 -22.82999 Td (Additional conditions: )Tj 0 -22.83002 TD (The registered person may provide the following categories of service on\ ly: Care home )Tj 0 -14.57999 TD (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj 0 -14.58002 TD (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj 0 -14.57999 TD (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /T1_0 12 Tf 28.35001 222.60994 Td (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 318 0 obj 3182 endobj 319 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 320 0 obj 5531 endobj 321 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.89993 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 322 0 obj 2215 endobj 323 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 324 0 obj 1959 endobj 325 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 326 0 obj 5115 endobj 327 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 328 0 obj 6110 endobj 329 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 330 0 obj 3391 endobj 331 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 332 0 obj 6003 endobj 333 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 334 0 obj 5240 endobj 335 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 336 0 obj 2270 endobj 337 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 338 0 obj 6015 endobj 339 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 340 0 obj 4905 endobj 341 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 342 0 obj 5787 endobj 343 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 344 0 obj 2075 endobj 345 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 346 0 obj 5928 endobj 347 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87991 m 32.35001 416.12 l S 564.78998 504.87991 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 348 0 obj 2406 endobj 349 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 350 0 obj 5963 endobj 351 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87991 m 32.35001 398.62 l S 564.78998 504.87991 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 352 0 obj 1442 endobj 353 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 354 0 obj 5959 endobj 355 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 356 0 obj 3131 endobj 357 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 358 0 obj 3700 endobj 359 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 364 0 obj 4556 endobj 365 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 370 0 obj 8564 endobj 371 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 372 0 obj 3182 endobj 373 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 374 0 obj 5530 endobj 375 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 376 0 obj 2215 endobj 377 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 378 0 obj 1959 endobj 379 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 380 0 obj 5115 endobj 381 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 382 0 obj 6110 endobj 383 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 384 0 obj 3391 endobj 385 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 386 0 obj 6003 endobj 387 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 388 0 obj 5240 endobj 389 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 390 0 obj 2270 endobj 391 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 392 0 obj 6015 endobj 393 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 394 0 obj 4905 endobj 395 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 396 0 obj 5787 endobj 397 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 398 0 obj 2075 endobj 399 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 400 0 obj 5928 endobj 401 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87988 m 32.35001 416.12 l S 564.78998 504.87988 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 402 0 obj 2406 endobj 403 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 404 0 obj 5963 endobj 405 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87988 m 32.35001 398.62 l S 564.78998 504.87988 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 406 0 obj 1442 endobj 407 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 408 0 obj 5959 endobj 409 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 410 0 obj 3131 endobj 411 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 412 0 obj 3700 endobj 413 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 414 0 obj 7884 endobj 415 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 418 0 obj 4556 endobj 419 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 422 0 obj 5296 endobj 423 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 424 0 obj 8564 endobj 425 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf (Lorraine Edwards \(Acting Manager\))Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT1 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 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S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /T1_0 12 Tf 28.35001 338.20993 Td (learning disability)Tj 268.34998 0 Td (12)Tj 134.14999 0 Td (0)Tj -402.49997 -22.82999 Td (Additional conditions: )Tj 0 -22.83002 TD (The registered person may provide the following categories of service on\ ly: Care home )Tj 0 -14.57999 TD (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj 0 -14.58002 TD (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj 0 -14.57999 TD (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 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568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 426 0 obj 3182 endobj 427 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 428 0 obj 5530 endobj 429 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 430 0 obj 2215 endobj 431 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 432 0 obj 1959 endobj 433 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 434 0 obj 5115 endobj 435 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 436 0 obj 6110 endobj 437 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 438 0 obj 3391 endobj 439 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 440 0 obj 6003 endobj 441 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 442 0 obj 5240 endobj 443 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 444 0 obj 2270 endobj 445 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 446 0 obj 6015 endobj 447 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 448 0 obj 4905 endobj 449 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 450 0 obj 5787 endobj 451 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 452 0 obj 2075 endobj 453 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 454 0 obj 5928 endobj 455 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 456 0 obj 2406 endobj 457 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 458 0 obj 5963 endobj 459 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 460 0 obj 1442 endobj 461 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 462 0 obj 5959 endobj 463 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 464 0 obj 3131 endobj 465 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 466 0 obj 3700 endobj 467 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 468 0 obj 7884 endobj 469 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 472 0 obj 4556 endobj 473 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 476 0 obj 5296 endobj 477 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 478 0 obj 8564 endobj 479 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( )Tj /TT1 12 Tf ( )Tj /TT0 12 Tf (Lorraine Edwards \(Acting Manager\))Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT1 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /T1_0 12 Tf 28.35001 407.82993 Td (Conditions of registration:)Tj 0 -22.82999 TD (Category\(ies\) :)Tj 268.25 0 Td (Number of places \(if applicable\):)Tj 0 -20.58002 TD (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /T1_0 12 Tf 28.35001 338.20993 Td (learning disability)Tj 268.34998 0 Td (12)Tj 134.14999 0 Td (0)Tj -402.49997 -22.82999 Td (Additional conditions: )Tj 0 -22.83002 TD (The registered person may provide the following categories of service on\ ly: Care home )Tj 0 -14.57999 TD (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj 0 -14.58002 TD (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj 0 -14.57999 TD (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 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568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 480 0 obj 3182 endobj 481 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 482 0 obj 5530 endobj 483 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 484 0 obj 2215 endobj 485 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 486 0 obj 1959 endobj 487 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 488 0 obj 5115 endobj 489 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 490 0 obj 6110 endobj 491 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 492 0 obj 3391 endobj 493 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 494 0 obj 6003 endobj 495 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 496 0 obj 5240 endobj 497 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 498 0 obj 2270 endobj 499 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 500 0 obj 6015 endobj 501 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 502 0 obj 4905 endobj 503 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 504 0 obj 5787 endobj 505 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 506 0 obj 2075 endobj 507 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 508 0 obj 5928 endobj 509 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 510 0 obj 2406 endobj 511 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 512 0 obj 5963 endobj 513 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 514 0 obj 1442 endobj 515 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 516 0 obj 5959 endobj 517 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 518 0 obj 3131 endobj 519 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 520 0 obj 3700 endobj 521 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 522 0 obj 7884 endobj 523 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 526 0 obj 4556 endobj 527 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 530 0 obj 5296 endobj 531 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 532 0 obj 8521 endobj 533 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /T1_0 12 Tf 28.35001 407.82993 Td (Conditions of registration:)Tj 0 -22.82999 TD (Category\(ies\) :)Tj 268.25 0 Td (Number of places \(if applicable\):)Tj 0 -20.58002 TD (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /T1_0 12 Tf 28.35001 338.20993 Td (learning disability)Tj 268.34998 0 Td (12)Tj 134.14999 0 Td (0)Tj -402.49997 -22.82999 Td (Additional conditions: )Tj 0 -22.83002 TD (The registered person may provide the following categories of service on\ ly: Care home )Tj 0 -14.57999 TD (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj 0 -14.58002 TD (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj 0 -14.57999 TD (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /T1_0 12 Tf 28.35001 222.60994 Td (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 534 0 obj 3182 endobj 535 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 536 0 obj 5530 endobj 537 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 538 0 obj 2215 endobj 539 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 540 0 obj 1959 endobj 541 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 542 0 obj 5115 endobj 543 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 544 0 obj 6110 endobj 545 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 546 0 obj 3391 endobj 547 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 548 0 obj 6003 endobj 549 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 550 0 obj 5240 endobj 551 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 552 0 obj 2270 endobj 553 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 554 0 obj 6015 endobj 555 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 556 0 obj 4905 endobj 557 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 558 0 obj 5787 endobj 559 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 560 0 obj 2075 endobj 561 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 562 0 obj 5928 endobj 563 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 564 0 obj 2406 endobj 565 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 566 0 obj 5963 endobj 567 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 568 0 obj 1442 endobj 569 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 570 0 obj 5959 endobj 571 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 572 0 obj 3131 endobj 573 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 574 0 obj 3700 endobj 575 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 576 0 obj 7884 endobj 577 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 580 0 obj 38265 endobj 581 0 obj<>stream HlVXTW{`=1v fubWtAQ`KD챏{q65X`rct;s;Pp+ϞN)K~1 8 MN}t@ [n`^NɠÀ/_6Y-VvpUmUrΐU'qMU~/bS ɯc|=68&2/GIy1v3Q;xj՘F1(eRN4hYxut\8|ygnU/,ԭ7UE7M%fp*WBEJTuVխFZԭN}dnM6kޢeyyom۵бS.]?ֽ߽}zw߾8h~8*аH11q c%OI01m)SM1s9̹8k/d+>]*go٦[mwwڽg:|ǎ8ygΞ;W"7oݾs/?fHT' &s p5t3x ) rɹrUk# m{SFzkQwս):}h0kMFƖQ&ar2U5U705z,p[<{\x\p8J9EwU,Hb1C'jԪhQZ{{RzW,*[`1%jEW,/Yp,s؀*E*)Ewn*)(X\X`FB}ABèւK+oP*Kt@TҜǺ}Ua*!&9kUud4,7yJl:(NB<ƿ>lRu<lYbB,nW2hSZ5\͸[ٜ۸]iΝý<P*[GaqJqXq\JsK~*\~%#jK.WyݦbS7Tip o*E)nW?lXTũs|JmY%vJ$TuC]4F*-NV}aWa]6@J zP~TڎUyP\5U!J2KPڞ4 |,zSQUGZ<\uprCEKJnU ,[8 UsZ[x"ֈ!ۭ!6hZr%&vm6[mU,^-Uh h\WnE$[kۼK&ث7 w˴hT?3羖 uɖ%nvM%KAIjQO"V >fc}l[GzYw1vcv S2}],Vu7q\N:N߶d²l,Lc qackjjH LҖФ1 Цa:0L̤3U ;2LOzｽ{{oۛ+3X\,",]ˢ]=p}7+Maꙩ(䲞Y p{3XlZSi aSX}4J%yDtc6:c=K:pܓVS,~q#N&Wn^)5Ap׃]fJ.BC ̧>B0V0$ *OWqg,~2s? 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30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 588 0 obj 5296 endobj 589 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 590 0 obj 8521 endobj 591 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /T1_0 12 Tf 28.35001 407.82993 Td (Conditions of registration:)Tj 0 -22.82999 TD (Category\(ies\) :)Tj 268.25 0 Td (Number of places \(if applicable\):)Tj 0 -20.58002 TD (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /T1_0 12 Tf 28.35001 338.20993 Td (learning disability)Tj 268.34998 0 Td (12)Tj 134.14999 0 Td (0)Tj -402.49997 -22.82999 Td (Additional conditions: )Tj 0 -22.83002 TD (The registered person may provide the following categories of service on\ ly: Care home )Tj 0 -14.57999 TD (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj 0 -14.58002 TD (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj 0 -14.57999 TD (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l 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72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /T1_0 12 Tf 29.8 199.39995 Td [(Brief description of the )1(care home)]TJ 0 -19.25002 TD (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj 0 -17 TD (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj T* (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj T* (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj T* (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj 0 -16.99998 TD (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj 0 -17 TD (Manager. The service charges 550 pounds per week.)Tj ET endstream endobj 592 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0000435554 00000 n 11 1 0000435750 00000 n 14 1 0000435907 00000 n 16 1 0000436079 00000 n 20 1 0000436237 00000 n 22 1 0000436406 00000 n 24 1 0000436541 00000 n 26 1 0000436676 00000 n 29 1 0000436822 00000 n 31 1 0000436991 00000 n 34 1 0000437160 00000 n 36 1 0000437307 00000 n 38 1 0000437477 00000 n 40 1 0000437624 00000 n 42 1 0000437771 00000 n 44 1 0000437941 00000 n 46 1 0000438088 00000 n 48 1 0000438258 00000 n 50 1 0000438405 00000 n 52 1 0000438575 00000 n 55 1 0000438722 00000 n 57 1 0000438892 00000 n 59 1 0000439039 00000 n 61 1 0000439209 00000 n 64 1 0000439356 00000 n 66 1 0000439504 00000 n 68 1 0000439640 00000 n 93 2 0000439776 00000 n 0000439852 00000 n 247 346 0000440082 00000 n 0000440104 00000 n 0000441334 00000 n 0000441522 00000 n 0000441544 00000 n 0000450101 00000 n 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It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. 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It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. 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It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. 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It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. 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It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. 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It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. 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564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72395 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 773 0 obj 4556 endobj 774 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT /C2_0 28 Tf 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_1 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for adults \(18-65 years\))Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 470.10999 m 160.37999 470.10999 l S 1 1 1 RG 162.62999 470.10999 m 563.64996 470.10999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 432.32999 m 565.84998 432.32999 l S 30.07001 531.79999 m 30.07001 431.25 l S 161.5 531.79999 m 161.5 431.25 l S 564.77997 531.79999 m 564.77997 431.25 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Hooton Chase )Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Hooton Road)Tj 1 0 0 1 165.48 474.12988 Tm (Ellesmere Port)Tj 1 0 0 1 165.48 456.54999 Tm (Cheshire)Tj 1 0 0 1 165.48 438.97 Tm (CH66 1RU)Tj /C2_1 10 Tf 1 0 0 1 28.35001 420.06998 Tm <0003>Tj 1 0 0 1 28.35001 403.06998 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 383.53998 m 358.94998 383.53998 l S 1 1 1 RG 361.20001 383.53998 m 565.90002 383.53998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 394.94998 m 568.10004 394.94998 l S 28.99001 372.12 m 568.10004 372.12 l S 30.07001 396.03 m 30.07001 371.04999 l S 360.06998 396.03 m 360.06998 371.04999 l S 567.01996 396.03 m 567.01996 371.04999 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 378.76999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 378.76999 Tm (care home)Tj 1 0 0 1 255.59 378.76999 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 378.76999 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.32999 m 315.25 272.32999 l S 317.5 272.32999 m 565.90002 272.32999 l S 1 1 1 RG 317.5 249.5 m 346.54999 249.5 l S 348.80002 249.5 m 377.89999 249.5 l S 380.14999 249.5 m 409.20001 249.5 l S 411.44998 249.5 m 440.54999 249.5 l S 442.80002 249.5 m 471.89993 249.5 l S 474.14993 249.5 m 503.20001 249.5 l S 505.44998 249.5 m 534.54999 249.5 l S 536.79999 249.5 m 565.90002 249.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 260.91998 m 568.10004 260.91998 l S 28.99001 283.75 m 568.10004 283.75 l S 28.99001 260.91998 m 568.10004 260.91998 l S 28.99001 238.09 m 568.10004 238.09 l S 30.07001 284.82001 m 30.07001 237.00998 l S 316.37 284.82001 m 316.37 237.00998 l S 347.66998 261.98999 m 347.66998 237.00998 l S 379.01999 261.98999 m 379.01999 237.00998 l S 410.31998 261.98999 m 410.31998 237.00998 l S 441.66998 261.98999 m 441.66998 237.00998 l S 473.01999 261.98999 m 473.01999 237.00998 l S 504.31998 261.98999 m 504.31998 237.00998 l S 535.66998 261.98999 m 535.66998 237.00998 l S 567.01996 284.82001 m 567.01996 237.00998 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 267.56 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 267.56 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 244.73 Tm (Paul Kenyon)Tj 1 0 0 1 329.63 244.73 Tm (0)Tj 1 0 0 1 360.94998 244.73 Tm (4)Tj 1 0 0 1 392.28 244.73 Tm (0)Tj 1 0 0 1 423.60999 244.73 Tm (5)Tj 1 0 0 1 454.94998 244.73 Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 775 0 obj 5633 endobj 776 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 777 0 obj 5296 endobj 778 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 779 0 obj 9028 endobj 780 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 781 0 obj 3182 endobj 782 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 783 0 obj 5530 endobj 784 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 785 0 obj 2215 endobj 786 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 787 0 obj 1959 endobj 788 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 789 0 obj 5115 endobj 790 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 791 0 obj 6110 endobj 792 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 793 0 obj 3391 endobj 794 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 795 0 obj 6003 endobj 796 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 797 0 obj 5240 endobj 798 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 799 0 obj 2270 endobj 800 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 801 0 obj 6015 endobj 802 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 803 0 obj 4905 endobj 804 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 805 0 obj 5787 endobj 806 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 807 0 obj 2075 endobj 808 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 809 0 obj 5928 endobj 810 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 811 0 obj 2406 endobj 812 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 813 0 obj 5963 endobj 814 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 815 0 obj 1442 endobj 816 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 817 0 obj 5959 endobj 818 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 819 0 obj 3131 endobj 820 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 821 0 obj 3700 endobj 822 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 823 0 obj 7884 endobj 824 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 827 0 obj 4556 endobj 828 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 831 0 obj 5296 endobj 832 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 833 0 obj 9028 endobj 834 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 835 0 obj 3182 endobj 836 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 837 0 obj 5530 endobj 838 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 839 0 obj 2215 endobj 840 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 841 0 obj 1959 endobj 842 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 843 0 obj 5115 endobj 844 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 845 0 obj 6110 endobj 846 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 847 0 obj 3391 endobj 848 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 849 0 obj 6003 endobj 850 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 851 0 obj 5240 endobj 852 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 853 0 obj 2270 endobj 854 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 855 0 obj 6015 endobj 856 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 857 0 obj 4905 endobj 858 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 859 0 obj 5787 endobj 860 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 861 0 obj 2075 endobj 862 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 863 0 obj 5928 endobj 864 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 865 0 obj 2406 endobj 866 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 867 0 obj 5963 endobj 868 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 869 0 obj 1442 endobj 870 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 871 0 obj 5959 endobj 872 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 873 0 obj 3131 endobj 874 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 875 0 obj 3700 endobj 876 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 877 0 obj 7884 endobj 878 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 881 0 obj 4556 endobj 882 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 885 0 obj 5296 endobj 886 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 887 0 obj 9028 endobj 888 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 889 0 obj 3182 endobj 890 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 891 0 obj 5530 endobj 892 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 893 0 obj 2215 endobj 894 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 895 0 obj 1959 endobj 896 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 897 0 obj 5115 endobj 898 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 899 0 obj 6110 endobj 900 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 901 0 obj 3391 endobj 902 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 903 0 obj 6003 endobj 904 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 905 0 obj 5240 endobj 906 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 907 0 obj 2270 endobj 908 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 909 0 obj 6015 endobj 910 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 911 0 obj 4905 endobj 912 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 913 0 obj 5787 endobj 914 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 915 0 obj 2075 endobj 916 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 917 0 obj 5928 endobj 918 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 919 0 obj 2406 endobj 920 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 921 0 obj 5963 endobj 922 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 923 0 obj 1442 endobj 924 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 925 0 obj 5959 endobj 926 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 927 0 obj 3131 endobj 928 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 929 0 obj 3700 endobj 930 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 931 0 obj 7884 endobj 932 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 935 0 obj 4556 endobj 936 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 939 0 obj 5296 endobj 940 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 941 0 obj 9028 endobj 942 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 943 0 obj 3182 endobj 944 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 945 0 obj 5530 endobj 946 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 947 0 obj 2215 endobj 948 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 949 0 obj 1959 endobj 950 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 951 0 obj 5115 endobj 952 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 953 0 obj 6110 endobj 954 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 955 0 obj 3391 endobj 956 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 957 0 obj 6003 endobj 958 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 959 0 obj 5240 endobj 960 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 961 0 obj 2270 endobj 962 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 963 0 obj 6015 endobj 964 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 965 0 obj 4905 endobj 966 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 967 0 obj 5787 endobj 968 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 969 0 obj 2075 endobj 970 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 971 0 obj 5928 endobj 972 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 973 0 obj 2406 endobj 974 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 975 0 obj 5963 endobj 976 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 977 0 obj 1442 endobj 978 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 979 0 obj 5959 endobj 980 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 981 0 obj 3131 endobj 982 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 983 0 obj 3700 endobj 984 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 985 0 obj 7884 endobj 986 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 989 0 obj 4556 endobj 990 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 993 0 obj 5296 endobj 994 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 995 0 obj 9028 endobj 996 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 997 0 obj 3182 endobj 998 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 999 0 obj 5530 endobj 1000 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1001 0 obj 2215 endobj 1002 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1003 0 obj 1959 endobj 1004 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1005 0 obj 5115 endobj 1006 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1007 0 obj 6110 endobj 1008 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1009 0 obj 3391 endobj 1010 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1011 0 obj 6003 endobj 1012 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1013 0 obj 5240 endobj 1014 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1015 0 obj 2270 endobj 1016 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1017 0 obj 6015 endobj 1018 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1019 0 obj 4905 endobj 1020 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1021 0 obj 5787 endobj 1022 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1023 0 obj 2075 endobj 1024 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1025 0 obj 5928 endobj 1026 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1027 0 obj 2406 endobj 1028 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1029 0 obj 5963 endobj 1030 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1031 0 obj 1442 endobj 1032 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1033 0 obj 5959 endobj 1034 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1035 0 obj 3131 endobj 1036 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1037 0 obj 3700 endobj 1038 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1039 0 obj 7884 endobj 1040 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1043 0 obj 4556 endobj 1044 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1047 0 obj 5296 endobj 1048 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1049 0 obj 9028 endobj 1050 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1051 0 obj 3182 endobj 1052 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1053 0 obj 5530 endobj 1054 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1055 0 obj 2215 endobj 1056 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1057 0 obj 1959 endobj 1058 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1059 0 obj 5115 endobj 1060 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1061 0 obj 6110 endobj 1062 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1063 0 obj 3391 endobj 1064 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1065 0 obj 6003 endobj 1066 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1067 0 obj 5240 endobj 1068 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1069 0 obj 2270 endobj 1070 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1071 0 obj 6015 endobj 1072 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1073 0 obj 4905 endobj 1074 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1075 0 obj 5787 endobj 1076 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1077 0 obj 2075 endobj 1078 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1079 0 obj 5928 endobj 1080 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1081 0 obj 2406 endobj 1082 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1083 0 obj 5963 endobj 1084 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1085 0 obj 1442 endobj 1086 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1087 0 obj 5959 endobj 1088 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1089 0 obj 3131 endobj 1090 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1091 0 obj 3700 endobj 1092 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1093 0 obj 7884 endobj 1094 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1097 0 obj 38265 endobj 1098 0 obj<>stream HlVXTW{`=1v fubWtAQ`KD챏{q65X`rct;s;Pp+ϞN)K~1 8 MN}t@ [n`^NɠÀ/_6Y-VvpUmUrΐU'qMU~/bS ɯc|=68&2/GIy1v3Q;xj՘F1(eRN4hYxut\8|ygnU/,ԭ7UE7M%fp*WBEJTuVխFZԭN}dnM6kޢeyyom۵бS.]?ֽ߽}zw߾8h~8*аH11q c%OI01m)SM1s9̹8k/d+>]*go٦[mwwڽg:|ǎ8ygΞ;W"7oݾs/?fHT' &s p5t3x ) rɹrUk# m{SFzkQwս):}h0kMFƖQ&ar2U5U705z,p[<{\x\p8J9EwU,Hb1C'jԪhQZ{{RzW,*[`1%jEW,/Yp,s؀*E*)Ewn*)(X\X`FB}ABèւK+oP*Kt@TҜǺ}Ua*!&9kUud4,7yJl:(NB<ƿ>lRu<lYbB,nW2hSZ5\͸[ٜ۸]iΝý<P*[GaqJqXq\JsK~*\~%#jK.WyݦbS7Tip o*E)nW?lXTũs|JmY%vJ$TuC]4F*-NV}aWa]6@J zP~TڎUyP\5U!J2KPڞ4 |,zSQUGZ<\uprCEKJnU ,[8 UsZ[x"ֈ!ۭ!6hZr%&vm6[mU,^-Uh h\WnE$[kۼK&ث7 w˴hT?3羖 uɖ%nvM%KAIjQO"V >fc}l[GzYw1vcv S2}],Vu7q\N:N߶d²l,Lc qackjjH LҖФ1 Цa:0L̤3U ;2LOzｽ{{oۛ+3X\,",]ˢ]=p}7+Maꙩ(䲞Y p{3XlZSi aSX}4J%yDtc6:c=K:pܓVS,~q#N&Wn^)5Ap׃]fJ.BC ̧>B0V0$ *OWqg,~2s? 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30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1105 0 obj 5296 endobj 1106 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1107 0 obj 9028 endobj 1108 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1109 0 obj 3182 endobj 1110 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1111 0 obj 5530 endobj 1112 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1113 0 obj 2215 endobj 1114 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1115 0 obj 1959 endobj 1116 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1117 0 obj 5115 endobj 1118 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1119 0 obj 6110 endobj 1120 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1121 0 obj 3391 endobj 1122 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1123 0 obj 6003 endobj 1124 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1125 0 obj 5240 endobj 1126 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1127 0 obj 2270 endobj 1128 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1129 0 obj 6015 endobj 1130 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1131 0 obj 4905 endobj 1132 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1133 0 obj 5787 endobj 1134 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1135 0 obj 2075 endobj 1136 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1137 0 obj 5928 endobj 1138 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1139 0 obj 2406 endobj 1140 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1141 0 obj 5963 endobj 1142 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1143 0 obj 1442 endobj 1144 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1145 0 obj 5959 endobj 1146 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a general man\ ager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1147 0 obj 3131 endobj 1148 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1149 0 obj 3700 endobj 1150 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1151 0 obj 7884 endobj 1152 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a gen manager\ within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1164 0 obj 5954 endobj 1165 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a ge manager \ within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1166 0 obj 5953 endobj 1167 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a g manager w\ ithin )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1168 0 obj 5952 endobj 1169 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1174 0 obj 5985 endobj 1175 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (se)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1180 0 obj 5988 endobj 1181 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1182 0 obj 5989 endobj 1183 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1184 0 obj 4556 endobj 1185 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT /C2_0 28 Tf 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_1 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for adults \(18-65 years\))Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 470.10999 m 160.37999 470.10999 l S 1 1 1 RG 162.62999 470.10999 m 563.64996 470.10999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 432.32999 m 565.84998 432.32999 l S 30.07001 531.79999 m 30.07001 431.25 l S 161.5 531.79999 m 161.5 431.25 l S 564.77997 531.79999 m 564.77997 431.25 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Hooton Chase )Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Hooton Road)Tj 1 0 0 1 165.48 474.12988 Tm (Ellesmere Port)Tj 1 0 0 1 165.48 456.54999 Tm (Cheshire)Tj 1 0 0 1 165.48 438.97 Tm (CH66 1RU)Tj /C2_1 10 Tf 1 0 0 1 28.35001 420.06998 Tm <0003>Tj 1 0 0 1 28.35001 403.06998 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 383.53998 m 358.94998 383.53998 l S 1 1 1 RG 361.20001 383.53998 m 565.90002 383.53998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 394.94998 m 568.10004 394.94998 l S 28.99001 372.12 m 568.10004 372.12 l S 30.07001 396.03 m 30.07001 371.04999 l S 360.06998 396.03 m 360.06998 371.04999 l S 567.01996 396.03 m 567.01996 371.04999 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 378.76999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 378.76999 Tm (care home)Tj 1 0 0 1 255.59 378.76999 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 378.76999 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.32999 m 315.25 272.32999 l S 317.5 272.32999 m 565.90002 272.32999 l S 1 1 1 RG 317.5 249.5 m 346.54999 249.5 l S 348.80002 249.5 m 377.89999 249.5 l S 380.14999 249.5 m 409.20001 249.5 l S 411.44998 249.5 m 440.54999 249.5 l S 442.80002 249.5 m 471.89993 249.5 l S 474.14993 249.5 m 503.20001 249.5 l S 505.44998 249.5 m 534.54999 249.5 l S 536.79999 249.5 m 565.90002 249.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 260.91998 m 568.10004 260.91998 l S 28.99001 283.75 m 568.10004 283.75 l S 28.99001 260.91998 m 568.10004 260.91998 l S 28.99001 238.09 m 568.10004 238.09 l S 30.07001 284.82001 m 30.07001 237.00998 l S 316.37 284.82001 m 316.37 237.00998 l S 347.66998 261.98999 m 347.66998 237.00998 l S 379.01999 261.98999 m 379.01999 237.00998 l S 410.31998 261.98999 m 410.31998 237.00998 l S 441.66998 261.98999 m 441.66998 237.00998 l S 473.01999 261.98999 m 473.01999 237.00998 l S 504.31998 261.98999 m 504.31998 237.00998 l S 535.66998 261.98999 m 535.66998 237.00998 l S 567.01996 284.82001 m 567.01996 237.00998 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 267.56 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 267.56 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 244.73 Tm (Paul Kenyon)Tj 1 0 0 1 329.63 244.73 Tm (0)Tj 1 0 0 1 360.94998 244.73 Tm (4)Tj 1 0 0 1 392.28 244.73 Tm (0)Tj 1 0 0 1 423.60999 244.73 Tm (5)Tj 1 0 0 1 454.94998 244.73 Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 1186 0 obj 5633 endobj 1187 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1188 0 obj 5296 endobj 1189 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1190 0 obj 9028 endobj 1191 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1192 0 obj 3182 endobj 1193 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1194 0 obj 5530 endobj 1195 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1196 0 obj 2215 endobj 1197 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1198 0 obj 1959 endobj 1199 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1200 0 obj 5115 endobj 1201 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1202 0 obj 6110 endobj 1203 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1204 0 obj 3391 endobj 1205 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1206 0 obj 6003 endobj 1207 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1208 0 obj 5240 endobj 1209 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1210 0 obj 2270 endobj 1211 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1212 0 obj 6015 endobj 1213 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1214 0 obj 4905 endobj 1215 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1216 0 obj 5787 endobj 1217 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1218 0 obj 2075 endobj 1219 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1220 0 obj 5928 endobj 1221 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1222 0 obj 2406 endobj 1223 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1224 0 obj 5963 endobj 1225 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1226 0 obj 1442 endobj 1227 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1228 0 obj 5989 endobj 1229 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1230 0 obj 3131 endobj 1231 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1232 0 obj 3700 endobj 1233 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1234 0 obj 7884 endobj 1235 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1238 0 obj 4556 endobj 1239 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1242 0 obj 5296 endobj 1243 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1244 0 obj 9028 endobj 1245 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1246 0 obj 3182 endobj 1247 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1248 0 obj 5530 endobj 1249 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1250 0 obj 2215 endobj 1251 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1252 0 obj 1959 endobj 1253 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1254 0 obj 5115 endobj 1255 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1256 0 obj 6110 endobj 1257 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1258 0 obj 3391 endobj 1259 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1260 0 obj 6003 endobj 1261 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1262 0 obj 5240 endobj 1263 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1264 0 obj 2270 endobj 1265 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1266 0 obj 6015 endobj 1267 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1268 0 obj 4905 endobj 1269 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1270 0 obj 5787 endobj 1271 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1272 0 obj 2075 endobj 1273 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1274 0 obj 5928 endobj 1275 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1276 0 obj 2406 endobj 1277 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1278 0 obj 5963 endobj 1279 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1280 0 obj 1442 endobj 1281 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1282 0 obj 5989 endobj 1283 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1284 0 obj 3131 endobj 1285 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1286 0 obj 3700 endobj 1287 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1288 0 obj 7884 endobj 1289 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1292 0 obj 4556 endobj 1293 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1296 0 obj 5296 endobj 1297 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1298 0 obj 9028 endobj 1299 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1300 0 obj 3182 endobj 1301 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1302 0 obj 5530 endobj 1303 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1304 0 obj 2215 endobj 1305 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1306 0 obj 1959 endobj 1307 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1308 0 obj 5115 endobj 1309 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1310 0 obj 6110 endobj 1311 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1312 0 obj 3391 endobj 1313 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1314 0 obj 6003 endobj 1315 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1316 0 obj 5240 endobj 1317 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1318 0 obj 2270 endobj 1319 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1320 0 obj 6015 endobj 1321 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1322 0 obj 4905 endobj 1323 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1324 0 obj 5787 endobj 1325 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1326 0 obj 2075 endobj 1327 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1328 0 obj 5928 endobj 1329 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1330 0 obj 2406 endobj 1331 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1332 0 obj 5963 endobj 1333 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1334 0 obj 1442 endobj 1335 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1336 0 obj 5989 endobj 1337 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1338 0 obj 3131 endobj 1339 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1340 0 obj 3700 endobj 1341 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1342 0 obj 7884 endobj 1343 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1346 0 obj 4556 endobj 1347 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1350 0 obj 5296 endobj 1351 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1352 0 obj 9028 endobj 1353 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1354 0 obj 3182 endobj 1355 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1356 0 obj 5530 endobj 1357 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1358 0 obj 2215 endobj 1359 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1360 0 obj 1959 endobj 1361 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1362 0 obj 5115 endobj 1363 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1364 0 obj 6110 endobj 1365 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1366 0 obj 3391 endobj 1367 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1368 0 obj 6003 endobj 1369 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1370 0 obj 5240 endobj 1371 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1372 0 obj 2270 endobj 1373 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1374 0 obj 6015 endobj 1375 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1376 0 obj 4905 endobj 1377 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1378 0 obj 5787 endobj 1379 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1380 0 obj 2075 endobj 1381 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1382 0 obj 5928 endobj 1383 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1384 0 obj 2406 endobj 1385 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1386 0 obj 5963 endobj 1387 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1388 0 obj 1442 endobj 1389 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1390 0 obj 5989 endobj 1391 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1392 0 obj 3131 endobj 1393 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1394 0 obj 3700 endobj 1395 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1396 0 obj 7884 endobj 1397 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1400 0 obj 4556 endobj 1401 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1404 0 obj 5296 endobj 1405 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1406 0 obj 9028 endobj 1407 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1408 0 obj 3182 endobj 1409 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1410 0 obj 5530 endobj 1411 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1412 0 obj 2215 endobj 1413 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1414 0 obj 1959 endobj 1415 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1416 0 obj 5115 endobj 1417 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1418 0 obj 6110 endobj 1419 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1420 0 obj 3391 endobj 1421 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1422 0 obj 6003 endobj 1423 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1424 0 obj 5240 endobj 1425 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1426 0 obj 2270 endobj 1427 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1428 0 obj 6015 endobj 1429 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1430 0 obj 4905 endobj 1431 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1432 0 obj 5787 endobj 1433 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1434 0 obj 2075 endobj 1435 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1436 0 obj 5928 endobj 1437 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1438 0 obj 2406 endobj 1439 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1440 0 obj 5963 endobj 1441 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1442 0 obj 1442 endobj 1443 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1444 0 obj 5989 endobj 1445 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1446 0 obj 3131 endobj 1447 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1448 0 obj 3700 endobj 1449 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1450 0 obj 7884 endobj 1451 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1454 0 obj 4556 endobj 1455 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1458 0 obj 5296 endobj 1459 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1460 0 obj 9028 endobj 1461 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1462 0 obj 3182 endobj 1463 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1464 0 obj 5530 endobj 1465 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1466 0 obj 2215 endobj 1467 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1468 0 obj 1959 endobj 1469 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1470 0 obj 5115 endobj 1471 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1472 0 obj 6110 endobj 1473 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1474 0 obj 3391 endobj 1475 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1476 0 obj 6003 endobj 1477 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1478 0 obj 5240 endobj 1479 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1480 0 obj 2270 endobj 1481 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1482 0 obj 6015 endobj 1483 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1484 0 obj 4905 endobj 1485 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1486 0 obj 5787 endobj 1487 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1488 0 obj 2075 endobj 1489 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1490 0 obj 5928 endobj 1491 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1492 0 obj 2406 endobj 1493 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1494 0 obj 5963 endobj 1495 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1496 0 obj 1442 endobj 1497 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1498 0 obj 5989 endobj 1499 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1500 0 obj 3131 endobj 1501 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1502 0 obj 3700 endobj 1503 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1504 0 obj 7884 endobj 1505 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1508 0 obj 38265 endobj 1509 0 obj<>stream HlVXTW{`=1v fubWtAQ`KD챏{q65X`rct;s;Pp+ϞN)K~1 8 MN}t@ [n`^NɠÀ/_6Y-VvpUmUrΐU'qMU~/bS ɯc|=68&2/GIy1v3Q;xj՘F1(eRN4hYxut\8|ygnU/,ԭ7UE7M%fp*WBEJTuVխFZԭN}dnM6kޢeyyom۵бS.]?ֽ߽}zw߾8h~8*аH11q c%OI01m)SM1s9̹8k/d+>]*go٦[mwwڽg:|ǎ8ygΞ;W"7oݾs/?fHT' &s p5t3x ) rɹrUk# m{SFzkQwս):}h0kMFƖQ&ar2U5U705z,p[<{\x\p8J9EwU,Hb1C'jԪhQZ{{RzW,*[`1%jEW,/Yp,s؀*E*)Ewn*)(X\X`FB}ABèւK+oP*Kt@TҜǺ}Ua*!&9kUud4,7yJl:(NB<ƿ>lRu<lYbB,nW2hSZ5\͸[ٜ۸]iΝý<P*[GaqJqXq\JsK~*\~%#jK.WyݦbS7Tip o*E)nW?lXTũs|JmY%vJ$TuC]4F*-NV}aWa]6@J zP~TڎUyP\5U!J2KPڞ4 |,zSQUGZ<\uprCEKJnU ,[8 UsZ[x"ֈ!ۭ!6hZr%&vm6[mU,^-Uh h\WnE$[kۼK&ث7 w˴hT?3羖 uɖ%nvM%KAIjQO"V >fc}l[GzYw1vcv S2}],Vu7q\N:N߶d²l,Lc qackjjH LҖФ1 Цa:0L̤3U ;2LOzｽ{{oۛ+3X\,",]ˢ]=p}7+Maꙩ(䲞Y p{3XlZSi aSX}4J%yDtc6:c=K:pܓVS,~q#N&Wn^)5Ap׃]fJ.BC ̧>B0V0$ *OWqg,~2s? 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30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1516 0 obj 5296 endobj 1517 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1518 0 obj 9028 endobj 1519 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1520 0 obj 3182 endobj 1521 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1522 0 obj 5530 endobj 1523 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1524 0 obj 2215 endobj 1525 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1526 0 obj 1959 endobj 1527 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1528 0 obj 5115 endobj 1529 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1530 0 obj 6110 endobj 1531 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1532 0 obj 3391 endobj 1533 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj 1 0 0 1 34.32001 569.14996 Tm (One person relies on an external and independent agency to manage their \ finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1534 0 obj 6003 endobj 1535 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1536 0 obj 5240 endobj 1537 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1538 0 obj 2270 endobj 1539 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1540 0 obj 6015 endobj 1541 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1542 0 obj 4905 endobj 1543 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1544 0 obj 5787 endobj 1545 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1546 0 obj 2075 endobj 1547 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1548 0 obj 5928 endobj 1549 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1550 0 obj 2406 endobj 1551 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1552 0 obj 5963 endobj 1553 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1554 0 obj 1442 endobj 1555 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1556 0 obj 5989 endobj 1557 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1558 0 obj 3131 endobj 1559 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1560 0 obj 3700 endobj 1561 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1562 0 obj 7884 endobj 1563 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1641 0 obj 5296 endobj 1642 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1643 0 obj 9028 endobj 1644 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 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2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1645 0 obj 3182 endobj 1646 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1647 0 obj 5530 endobj 1648 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1649 0 obj 2215 endobj 1650 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1651 0 obj 1959 endobj 1652 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1653 0 obj 5115 endobj 1654 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1655 0 obj 6110 endobj 1656 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1657 0 obj 3402 endobj 1658 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1659 0 obj 6003 endobj 1660 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1661 0 obj 5240 endobj 1662 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1663 0 obj 2270 endobj 1664 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1665 0 obj 6015 endobj 1666 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1667 0 obj 4905 endobj 1668 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1669 0 obj 5787 endobj 1670 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1671 0 obj 2075 endobj 1672 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1673 0 obj 5928 endobj 1674 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1675 0 obj 2406 endobj 1676 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1677 0 obj 5963 endobj 1678 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1679 0 obj 1442 endobj 1680 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1681 0 obj 5989 endobj 1682 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1683 0 obj 3131 endobj 1684 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1685 0 obj 3700 endobj 1686 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1687 0 obj 7884 endobj 1688 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1691 0 obj 4556 endobj 1692 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.32999 m 315.25 272.32999 l S 317.5 272.32999 m 565.90002 272.32999 l S 1 1 1 RG 317.5 249.5 m 346.54999 249.5 l S 348.80002 249.5 m 377.89999 249.5 l S 380.14999 249.5 m 409.20001 249.5 l S 411.44998 249.5 m 440.54999 249.5 l S 442.80002 249.5 m 471.89993 249.5 l S 474.14993 249.5 m 503.20001 249.5 l S 505.44998 249.5 m 534.54999 249.5 l S 536.79999 249.5 m 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1695 0 obj 5296 endobj 1696 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1697 0 obj 9028 endobj 1698 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1699 0 obj 3182 endobj 1700 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1701 0 obj 5530 endobj 1702 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1703 0 obj 2215 endobj 1704 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1705 0 obj 1959 endobj 1706 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1707 0 obj 5115 endobj 1708 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1709 0 obj 6110 endobj 1710 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1711 0 obj 3402 endobj 1712 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1713 0 obj 6003 endobj 1714 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1715 0 obj 5240 endobj 1716 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1717 0 obj 2270 endobj 1718 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1719 0 obj 6015 endobj 1720 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1721 0 obj 4905 endobj 1722 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1723 0 obj 5787 endobj 1724 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1725 0 obj 2075 endobj 1726 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1727 0 obj 5928 endobj 1728 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1729 0 obj 2406 endobj 1730 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1731 0 obj 5963 endobj 1732 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1733 0 obj 1442 endobj 1734 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1735 0 obj 5989 endobj 1736 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1737 0 obj 3131 endobj 1738 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1739 0 obj 3700 endobj 1740 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1741 0 obj 7884 endobj 1742 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1745 0 obj 4556 endobj 1746 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1749 0 obj 5296 endobj 1750 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1751 0 obj 9028 endobj 1752 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1753 0 obj 3182 endobj 1754 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1755 0 obj 5530 endobj 1756 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1757 0 obj 2215 endobj 1758 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1759 0 obj 1959 endobj 1760 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1761 0 obj 5115 endobj 1762 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1763 0 obj 6110 endobj 1764 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1765 0 obj 3402 endobj 1766 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1767 0 obj 6003 endobj 1768 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1769 0 obj 5240 endobj 1770 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1771 0 obj 2270 endobj 1772 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1773 0 obj 6015 endobj 1774 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1775 0 obj 4905 endobj 1776 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1777 0 obj 5787 endobj 1778 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1779 0 obj 2075 endobj 1780 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1781 0 obj 5928 endobj 1782 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1783 0 obj 2406 endobj 1784 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1785 0 obj 5963 endobj 1786 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1787 0 obj 1442 endobj 1788 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1789 0 obj 5989 endobj 1790 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1791 0 obj 3131 endobj 1792 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1793 0 obj 3700 endobj 1794 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1795 0 obj 7884 endobj 1796 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1799 0 obj 4556 endobj 1800 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.32999 m 315.25 272.32999 l S 317.5 272.32999 m 565.90002 272.32999 l S 1 1 1 RG 317.5 249.5 m 346.54999 249.5 l S 348.80002 249.5 m 377.89999 249.5 l S 380.14999 249.5 m 409.20001 249.5 l S 411.44998 249.5 m 440.54999 249.5 l S 442.80002 249.5 m 471.89993 249.5 l S 474.14993 249.5 m 503.20001 249.5 l S 505.44998 249.5 m 534.54999 249.5 l S 536.79999 249.5 m 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1803 0 obj 5296 endobj 1804 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1805 0 obj 9028 endobj 1806 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1807 0 obj 3182 endobj 1808 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1809 0 obj 5530 endobj 1810 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1811 0 obj 2215 endobj 1812 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1813 0 obj 1959 endobj 1814 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1815 0 obj 5115 endobj 1816 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1817 0 obj 6110 endobj 1818 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1819 0 obj 3402 endobj 1820 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1821 0 obj 6003 endobj 1822 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1823 0 obj 5240 endobj 1824 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1825 0 obj 2270 endobj 1826 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1827 0 obj 6015 endobj 1828 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1829 0 obj 4905 endobj 1830 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1831 0 obj 5787 endobj 1832 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1833 0 obj 2075 endobj 1834 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1835 0 obj 5928 endobj 1836 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1837 0 obj 2406 endobj 1838 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1839 0 obj 5963 endobj 1840 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1841 0 obj 1442 endobj 1842 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1843 0 obj 5989 endobj 1844 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1845 0 obj 3131 endobj 1846 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1847 0 obj 3700 endobj 1848 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1849 0 obj 7884 endobj 1850 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1853 0 obj 4556 endobj 1854 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1857 0 obj 5296 endobj 1858 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1859 0 obj 9028 endobj 1860 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1861 0 obj 3182 endobj 1862 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1863 0 obj 5530 endobj 1864 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1865 0 obj 2215 endobj 1866 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1867 0 obj 1959 endobj 1868 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1869 0 obj 5115 endobj 1870 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1871 0 obj 6110 endobj 1872 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1873 0 obj 3402 endobj 1874 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1875 0 obj 6003 endobj 1876 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1877 0 obj 5240 endobj 1878 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1879 0 obj 2270 endobj 1880 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1881 0 obj 6015 endobj 1882 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1883 0 obj 4905 endobj 1884 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1885 0 obj 5787 endobj 1886 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1887 0 obj 2075 endobj 1888 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1889 0 obj 5928 endobj 1890 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1891 0 obj 2406 endobj 1892 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1893 0 obj 5963 endobj 1894 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1895 0 obj 1442 endobj 1896 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1897 0 obj 5989 endobj 1898 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1899 0 obj 3131 endobj 1900 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1901 0 obj 3700 endobj 1902 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1903 0 obj 7884 endobj 1904 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1907 0 obj 4556 endobj 1908 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 59.55 w 10 M 0 j 0 J []0 d 22.95 46.39 m 561.52997 46.39 l S 0 0 0 rg BT /T1_0 10 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 28.35001 67.25 Tm (\240)Tj ET q 170.25 0 0 54 28.35001 751.64996 cm /Im0 Do Q BT 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787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1911 0 obj 5296 endobj 1912 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1913 0 obj 9028 endobj 1914 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1915 0 obj 3182 endobj 1916 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1917 0 obj 5530 endobj 1918 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1919 0 obj 2215 endobj 1920 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1921 0 obj 1959 endobj 1922 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1923 0 obj 5115 endobj 1924 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1925 0 obj 6110 endobj 1926 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1927 0 obj 3402 endobj 1928 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1929 0 obj 6003 endobj 1930 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1931 0 obj 5240 endobj 1932 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1933 0 obj 2270 endobj 1934 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1935 0 obj 6015 endobj 1936 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1937 0 obj 4905 endobj 1938 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1939 0 obj 5787 endobj 1940 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1941 0 obj 2075 endobj 1942 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 1943 0 obj 5928 endobj 1944 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 1945 0 obj 2406 endobj 1946 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 1947 0 obj 5963 endobj 1948 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 1949 0 obj 1442 endobj 1950 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 1951 0 obj 5989 endobj 1952 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 1953 0 obj 3131 endobj 1954 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 1955 0 obj 3700 endobj 1956 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 1957 0 obj 7884 endobj 1958 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 527.88 m 290.57001 506.47998 l S 474.91998 527.88 m 474.91998 506.47998 l S 28.99001 628.33997 m 568.40002 628.33997 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.40002 526.79999 l S 28.99001 507.54999 m 568.29999 507.54999 l S 30.07001 629.41998 m 30.07001 525.72998 l S 92.12 560.42999 m 92.12 525.72998 l S 198.51999 560.42999 m 198.51999 525.72998 l S 290.62 560.42999 m 290.62 525.72998 l S 475.01999 560.42999 m 475.01999 525.72998 l S 567.32001 629.41998 m 567.32001 525.72998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 615.15997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 595.15997 Tm (These requirements set out what the registered person must do to meet th\ e Care )Tj 1 0 0 1 34.05 580.58002 Tm (Standards Act 2000, Care Homes)Tj 1 0 0 1 239.76999 580.58002 Tm (Regulations 2001 and the National Minimum )Tj 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.17999 Tm (No.)Tj 1 0 0 1 96.10001 545.17999 Tm (Standard)Tj 1 0 0 1 202.5 545.17999 Tm (Regulation)Tj 1 0 0 1 294.60001 545.17999 Tm (Requirement)Tj 1 0 0 1 479 545.17999 Tm (Timescale for )Tj 1 0 0 1 479 533.02997 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (\240)Tj 1 0 0 1 99.3 513.62 Tm (\240)Tj 1 0 0 1 201.55 513.62 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 298.04999 515.63 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 482.10001 513.62 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 325.95999 w 32.32001 321.94998 m 564.96997 321.94998 l S 1 1 1 RG 64.32001 w 31.2 365.04999 m 91.05 365.04999 l S 93.3 365.04999 m 197.40001 365.04999 l S 199.64998 365.04999 m 566.10004 365.04999 l S 49.74001 w 31.2 305.76999 m 91.05 305.76999 l S 93.3 305.76999 m 197.40001 305.76999 l S 199.64998 305.76999 m 566.10004 305.76999 l S 64.32001 w 31.2 246.48999 m 91.05 246.48999 l S 93.3 246.48999 m 197.40001 246.48999 l S 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679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 1961 0 obj 38265 endobj 1962 0 obj<>stream HlVXTW{`=1v fubWtAQ`KD챏{q65X`rct;s;Pp+ϞN)K~1 8 MN}t@ [n`^NɠÀ/_6Y-VvpUmUrΐU'qMU~/bS ɯc|=68&2/GIy1v3Q;xj՘F1(eRN4hYxut\8|ygnU/,ԭ7UE7M%fp*WBEJTuVխFZԭN}dnM6kޢeyyom۵бS.]?ֽ߽}zw߾8h~8*аH11q c%OI01m)SM1s9̹8k/d+>]*go٦[mwwڽg:|ǎ8ygΞ;W"7oݾs/?fHT' &s p5t3x ) rɹrUk# m{SFzkQwս):}h0kMFƖQ&ar2U5U705z,p[<{\x\p8J9EwU,Hb1C'jԪhQZ{{RzW,*[`1%jEW,/Yp,s؀*E*)Ewn*)(X\X`FB}ABèւK+oP*Kt@TҜǺ}Ua*!&9kUud4,7yJl:(NB<ƿ>lRu<lYbB,nW2hSZ5\͸[ٜ۸]iΝý<P*[GaqJqXq\JsK~*\~%#jK.WyݦbS7Tip o*E)nW?lXTũs|JmY%vJ$TuC]4F*-NV}aWa]6@J zP~TڎUyP\5U!J2KPڞ4 |,zSQUGZ<\uprCEKJnU ,[8 UsZ[x"ֈ!ۭ!6hZr%&vm6[mU,^-Uh h\WnE$[kۼK&ث7 w˴hT?3羖 uɖ%nvM%KAIjQO"V >fc}l[GzYw1vcv S2}],Vu7q\N:N߶d²l,Lc qackjjH LҖФ1 Цa:0L̤3U ;2LOzｽ{{oۛ+3X\,",]ˢ]=p}7+Maꙩ(䲞Y p{3XlZSi aSX}4J%yDtc6:c=K:pܓVS,~q#N&Wn^)5Ap׃]fJ.BC ̧>B0V0$ *OWqg,~2s? 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372.12 m 568.10004 372.12 l S 30.07001 396.03 m 30.07001 371.04999 l S 360.06998 396.03 m 360.06998 371.04999 l S 567.01996 396.03 m 567.01996 371.04999 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 378.76999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 378.76999 Tm (care home)Tj 1 0 0 1 255.59 378.76999 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 378.76999 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 323.81 Tm (\240 )Tj 1 0 0 1 526.12 323.81 Tm (We )Tj 1 0 0 1 28.35001 306.81 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 289.81 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 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l S 567.01996 284.82001 m 567.01996 237.00998 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 267.56 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 267.56 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 244.73 Tm (Paul Kenyon)Tj 1 0 0 1 329.63 244.73 Tm (0)Tj 1 0 0 1 360.94998 244.73 Tm (4)Tj 1 0 0 1 392.28 244.73 Tm (0)Tj 1 0 0 1 423.60999 244.73 Tm (5)Tj 1 0 0 1 454.94998 244.73 Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 1967 0 obj 5633 endobj 1968 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1969 0 obj 5296 endobj 1970 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 1971 0 obj 9028 endobj 1972 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 725.01996 m 267.94998 725.01996 l S 1 1 1 RG 270.20001 725.01996 m 565.64996 725.01996 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82001 m 267.94998 675.82001 l S 1 1 1 RG 270.20001 675.82001 m 565.64996 675.82001 l S 0.95294 0.95294 0.95294 RG 31.2 652.98999 m 267.94998 652.98999 l S 1 1 1 RG 270.20001 652.98999 m 565.64996 652.98999 l S 0.95294 0.95294 0.95294 RG 31.2 630.15997 m 267.94998 630.15997 l S 1 1 1 RG 270.20001 630.15997 m 565.64996 630.15997 l S 0.95294 0.95294 0.95294 RG 31.2 607.32996 m 267.94998 607.32996 l S 1 1 1 RG 270.20001 607.32996 m 565.64996 607.32996 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Hooton Chase )Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (1 Hooton Road)Tj 1 0 0 1 273.04999 729.03998 Tm (Ellesmere Port)Tj 1 0 0 1 273.04999 711.45996 Tm (Cheshire)Tj 1 0 0 1 273.04999 693.88 Tm (CH66 1)Tj /TT0 12 Tf (Q)Tj /T1_0 12 Tf (U)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01513274781)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 1973 0 obj 3182 endobj 1974 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 1975 0 obj 5530 endobj 1976 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 1977 0 obj 2215 endobj 1978 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1979 0 obj 1959 endobj 1980 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1981 0 obj 5115 endobj 1982 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 1983 0 obj 6110 endobj 1984 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 1985 0 obj 3402 endobj 1986 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 1987 0 obj 6003 endobj 1988 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 1989 0 obj 5240 endobj 1990 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 1991 0 obj 2270 endobj 1992 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent no -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 1993 0 obj 6015 endobj 1994 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 1995 0 obj 4905 endobj 1996 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduced for each person and that preferred\ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 1997 0 obj 5787 endobj 1998 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 1999 0 obj 2075 endobj 2000 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 2001 0 obj 5928 endobj 2002 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 2003 0 obj 2406 endobj 2004 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 2005 0 obj 5963 endobj 2006 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 2007 0 obj 1442 endobj 2008 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 2009 0 obj 5989 endobj 2010 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the general manager of the orga\ nisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2011 0 obj 3131 endobj 2012 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and health professional involved in the support of the people. These are\ in place yet )Tj 1 0 0 1 34.32001 761.60004 Tm (have yet to be sent out to individuals. The service provided evidence th\ at the )Tj 1 0 0 1 34.32001 744.10999 Tm (Registered Provider visits the service on a monthly basis to comment on \ the quality of )Tj 1 0 0 1 34.32001 726.60999 Tm (support provided and produces a report. The service has responded to all\ the )Tj 1 0 0 1 34.32001 709.10999 Tm (requirements we raised from our last visit and we were able to examine r\ ecords and )Tj 1 0 0 1 34.32001 691.62 Tm (interview people in private. The service provided an Annual Quality Assu\ rance )Tj 1 0 0 1 34.32001 674.12 Tm (Assessment to us prior to our visit. This contained an account of the th\ ings the service )Tj 1 0 0 1 34.32001 656.63 Tm (does well and what could be better.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (We looked at how the service promotes the health and safety of individua\ ls. There was )Tj 1 0 0 1 34.32001 604.14001 Tm (evidence that staff had receive health and safety training and this was \ confirmed )Tj 1 0 0 1 34.32001 586.64001 Tm (through staff interviews, certificates and a training plan. There was ev\ idence that the )Tj 1 0 0 1 34.32001 569.14996 Tm (service has checked safety within the building in respect of fire detect\ ion and )Tj 1 0 0 1 34.32001 551.64996 Tm (prevention tests, water temperature checks, portable appliance tests and\ checks to )Tj 1 0 0 1 34.32001 534.14996 Tm (the gas and electrical systems in the building. A fire risk assessment i\ s in place for )Tj 1 0 0 1 34.32001 516.65997 Tm (each person living at the service having been assessed in relation to fi\ re safety. )Tj 1 0 0 1 34.32001 499.16 Tm (Accidents if they occur are recorded and the service informs us of any e\ vents that )Tj 1 0 0 1 34.32001 481.66998 Tm (adversely affect the well being of people. The service maintains certifi\ cate in relation )Tj 1 0 0 1 34.32001 464.16998 Tm (to insurance and its certificate of registration.)Tj ET endstream endobj 2013 0 obj 3700 endobj 2014 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 2015 0 obj 7884 endobj 2016 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (27)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 118.54001 w 32.32001 566.82001 m 564.96997 566.82001 l S 1 1 1 RG 17 w 31.2 517.17999 m 91.05 517.17999 l S 93.3 517.17999 m 197.40001 517.17999 l S 199.64998 517.17999 m 289.44998 517.17999 l S 291.70001 517.17999 m 473.80002 517.17999 l S 476.04999 517.17999 m 566.10004 517.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 527.88 m 30.07001 506.47998 l S 567.21997 527.88 m 567.21997 506.47998 l S 28.99001 559.34998 m 568.40002 559.34998 l S 28.99001 526.79999 m 568.29999 526.79999 l S 92.17 527.88 m 92.17 506.47998 l S 198.51999 527.88 m 198.51999 506.47998 l S 290.57001 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.13 Tm (\251 Care Quality Commission 2010 )Tj 1 0 0 1 28.35001 602.13 Tm (This publication may be reproduced in whole or in part in any format or \ medium for )Tj 1 0 0 1 28.35001 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and n\ ot used in a )Tj 1 0 0 1 28.35001 567.14001 Tm (derogatory manner or in a misleading context.)Tj 1 0 0 1 318.88 567.14001 Tm (The source should be acknowledged, by )Tj 1 0 0 1 28.35001 549.64001 Tm (showing the publication title and \251 Care Quality Commission 2010.)Tj ET endstream endobj 2019 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0004038420 00000 n 11 1 0004038617 00000 n 14 1 0004038775 00000 n 16 1 0004038948 00000 n 20 1 0004039120 00000 n 22 1 0004039290 00000 n 24 1 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At pr\ esent o -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. 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We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2024 0 obj 2267 endobj 2025 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent -one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2026 0 obj 2266 endobj 2027 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2028 0 obj<> endobj 2029 0 obj<> endobj 2030 0 obj 2300 endobj 2031 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2032 0 obj 2301 endobj 2033 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( p)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2034 0 obj 2302 endobj 2035 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( pe)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2036 0 obj 2303 endobj 2037 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( per)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2038 0 obj 2304 endobj 2039 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( pers)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2040 0 obj 2305 endobj 2041 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( perso)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2042 0 obj 2306 endobj 2043 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( person)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2044 0 obj 4904 endobj 2045 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduce for each person and that preferred \ routines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. 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The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 2046 0 obj 4903 endobj 2047 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introduc for each person and that preferred r\ outines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. 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Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introdu for each person and that preferred ro\ utines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 1 0 0 1 34.32001 569.14996 Tm (been devised for each person indicating the health needs of people and h\ ow these can )Tj 1 0 0 1 34.32001 551.64996 Tm (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj 1 0 0 1 34.32001 534.14996 Tm (through training records. Each person has been registered with a general\ practitioner )Tj 1 0 0 1 34.32001 516.65997 Tm (and there were records indicating that people had continued access to he\ alth )Tj 1 0 0 1 34.32001 499.16 Tm (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 1 0 0 1 34.32001 481.66998 Tm (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 1 0 0 1 34.32001 464.16998 Tm (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj 1 0 0 1 34.32001 446.66998 Tm (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 1 0 0 1 34.32001 429.17999 Tm (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 1 0 0 1 34.32001 411.67999 Tm (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 1 0 0 1 34.32001 394.19 Tm (to health professionals with an indication of progress made with each ap\ pointment. )Tj 1 0 0 1 34.32001 376.69 Tm (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj 1 0 0 1 34.32001 359.19 Tm (relation to the physical and mental health of individuals.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (We looked at how medication is managed. No one self administers medicati\ on at )Tj 1 0 0 1 34.32001 306.70999 Tm (present and this is included within individual's risk assessments. All m\ edication is )Tj 1 0 0 1 34.32001 289.20999 Tm (securely locked away in a purpose built cabinet with any medication that\ requires )Tj 1 0 0 1 34.32001 271.70999 Tm (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 1 0 0 1 34.32001 254.22 Tm (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 1 0 0 1 34.32001 236.72 Tm (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 1 0 0 1 34.32001 219.23 Tm (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 1 0 0 1 34.32001 201.73 Tm (training records and interviews with staff confirmed that all staff had \ received )Tj 1 0 0 1 34.32001 184.23 Tm (medication training.)Tj ET endstream endobj 2050 0 obj 4901 endobj 2051 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been introd for each person and that preferred rou\ tines )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. 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Evidence was available to sugge\ st that a )Tj 1 0 0 1 34.32001 726.60999 Tm (key worker system had been intr for each person and that preferred routi\ nes )Tj 1 0 0 1 34.32001 709.10999 Tm (and other preferences had been included within each care plan. An advoca\ te has been )Tj 1 0 0 1 34.32001 691.62 Tm (introduced into the service. Information on this advocacy service is ava\ ilable to people )Tj 1 0 0 1 34.32001 674.12 Tm (and it was reported that three individuals who responded to our surveys \ had been )Tj 1 0 0 1 34.32001 656.63 Tm (supported by advocates to complete this. We asked people about the suppo\ rt they )Tj 1 0 0 1 34.32001 639.13 Tm (were provided with. In all cases, people were happy with the staff team \ and felt that )Tj 1 0 0 1 34.32001 621.63 Tm (they responded to the wishes of each person.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (We looked at how the service maintains the health of people. 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The )Tj 0 -17.5 TD (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 0 -17.49001 TD (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 0 -17.5 TD (training records and interviews with staff confirmed that all staff had \ received )Tj T* (medication training.)Tj ET endstream endobj 2386 0 obj 4446 endobj 2387 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. )Tj /TT0 12 Tf (There is no keyworker system in place.)Tj /T1_0 12 Tf ( )Tj 0 -17.5 TD (An advocate has been)Tj 1 0 0 1 34.32001 726.60999 Tm 133.332 0 Td ( introduced into the service. 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Training for staff has been devised for health action plans\ as evidenced )Tj T* (through training records. Each person has been registered with a general\ practitioner )Tj 0 -17.48999 TD (and there were records indicating that people had continued access to he\ alth )Tj 0 -17.49997 TD (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 0 -17.49002 TD (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 0 -17.5 TD (their health in all cases and that staff made appointments on their beha\ lf. 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<0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 73.32001 w 31.2 470.10999 m 160.37999 470.10999 l S 1 1 1 RG 162.62999 470.10999 m 563.64996 470.10999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 432.32999 m 565.84998 432.32999 l S 30.07001 531.79999 m 30.07001 431.25 l S 161.5 531.79999 m 161.5 431.25 l S 564.77997 531.79999 m 564.77997 431.25 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Hooton Chase )Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (1 Hooton Road)Tj 1 0 0 1 165.48 474.12988 Tm (Ellesmere Port)Tj 1 0 0 1 165.48 456.54999 Tm (Cheshire)Tj 1 0 0 1 165.48 438.97 Tm (CH66 1RU)Tj /C2_1 10 Tf 1 0 0 1 28.35001 420.06998 Tm <0003>Tj 1 0 0 1 28.35001 403.06998 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 383.53998 m 358.94998 383.53998 l S 1 1 1 RG 361.20001 383.53998 m 565.90002 383.53998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 394.94998 m 568.10004 394.94998 l S 28.99001 372.12 m 568.10004 372.12 l S 30.07001 396.03 m 30.07001 371.04999 l S 360.06998 396.03 m 360.06998 371.04999 l S 567.01996 396.03 m 567.01996 371.04999 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 378.76999 Tm (The quality rating for this )Tj 1 0 0 1 191.92 378.76999 Tm (care home)Tj 1 0 0 1 255.59 378.76999 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 378.76999 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 359.87 Tm <0003>Tj /T1_1 12 Tf 1 0 0 1 28.35001 340.81 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 323.81 Tm (people who use it.)Tj 1 0 0 1 138.92999 323.81 Tm (\240 )Tj 1 0 0 1 147.37 323.81 Tm (We give a quality rating 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 2396 0 obj 9028 endobj 2397 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 2398 0 obj 3182 endobj 2399 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 2400 0 obj 5530 endobj 2401 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 2402 0 obj 2215 endobj 2403 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 2404 0 obj 1959 endobj 2405 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 2406 0 obj 5115 endobj 2407 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 2408 0 obj 6110 endobj 2409 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 2410 0 obj 3402 endobj 2411 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 2412 0 obj 6003 endobj 2413 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 2414 0 obj 5240 endobj 2415 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 2416 0 obj 2306 endobj 2417 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( person)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. 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m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (s)Tj /T1_0 12 Tf (general manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2423 0 obj 6022 endobj 2424 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (se)Tj /T1_0 12 Tf (general manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2425 0 obj 6023 endobj 2426 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (sen)Tj /T1_0 12 Tf (general manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2427 0 obj 6024 endobj 2428 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (seni)Tj /T1_0 12 Tf (general manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2429 0 obj 6025 endobj 2430 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senio)Tj /T1_0 12 Tf (general manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2431 0 obj 6026 endobj 2432 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (general manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2433 0 obj 6025 endobj 2434 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (eneral manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2435 0 obj 6024 endobj 2436 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (neral manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2437 0 obj 6023 endobj 2438 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (eral manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2439 0 obj 6022 endobj 2440 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (ral manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2441 0 obj 6021 endobj 2442 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. 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The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (al manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2443 0 obj 6020 endobj 2444 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf (l manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2445 0 obj 6019 endobj 2446 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. 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We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf ( manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. 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567.01996 237.00998 l S 0 0 0 RG 0.5 w BT /T1_1 12 Tf 2 Tr 1 0 0 1 34.05 267.56 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 267.56 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 244.73 Tm (Paul Kenyon)Tj 1 0 0 1 329.63 244.73 Tm (0)Tj 1 0 0 1 360.94998 244.73 Tm (4)Tj 1 0 0 1 392.28 244.73 Tm (0)Tj 1 0 0 1 423.60999 244.73 Tm (5)Tj 1 0 0 1 454.94998 244.73 Tm (2)Tj 1 0 0 1 486.28 244.73 Tm (0)Tj 1 0 0 1 517.60004 244.73 Tm (1)Tj 1 0 0 1 548.95996 244.73 Tm (0)Tj /C2_1 10 Tf 1 0 0 1 28.35001 225.83 Tm <0003>Tj 1 0 0 1 28.35001 208.83 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 191.83 Tm <0003>Tj 1 0 0 1 297.63998 179.75998 Tm <0003>Tj 1 0 0 1 297.63998 167.7 Tm <0003>Tj ET endstream endobj 2449 0 obj 5633 endobj 2450 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. 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Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 128.64 w 28.35001 223.5 m 224.04999 223.5 l S 1 1 1 RG 226.3 223.5 m 567 223.5 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 137.84999 m 224.04999 137.84999 l S 1 1 1 RG 226.3 137.84999 m 567 137.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 158.05 m 569.20001 158.05 l S 26.14 117.64 m 569.20001 117.64 l S 27.22 381.34 m 27.22 116.57001 l S 225.17 381.34 m 225.17 116.57001 l S 568.12 381.34 m 568.12 116.57001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (\251 Care Quality Commission 2010)Tj 1 0 0 1 229.14998 255.17998 Tm (This publication may be reproduced in whole or in part )Tj 1 0 0 1 229.14998 240.60001 Tm (in any format or medium for non-commercial purposes, )Tj 1 0 0 1 229.14998 226.01999 Tm (provided that it is reproduced accurately and not used )Tj 1 0 0 1 229.14998 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj 1 0 0 1 229.14998 196.86 Tm (source should be acknowledged, by showing the )Tj 1 0 0 1 229.14998 182.28 Tm (publication title and \251 Care Quality Commission 2010.)Tj 1 0 0 1 31.2 141.87 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 2453 0 obj 9028 endobj 2454 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 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web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj /TT0 12 Tf 321.44998 0 Td ( )Tj /T1_0 12 Tf (Mr Mohamad Jeelany Meeajun)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj /TT0 12 Tf -5.7 -22.83002 Td ( Lorraine Edwards \(Acting Manager\))Tj 0 -22.83002 TD ( )Tj /T1_0 12 Tf (Type of registration:)Tj /TT0 12 Tf 328.52402 0 Td ( )Tj /T1_0 12 Tf (care home)Tj /TT0 12 Tf -328.52402 -22.82999 Td ( )Tj /T1_0 12 Tf (Number of places registered:)Tj /TT0 12 Tf ( )Tj /T1_0 12 Tf 332.74802 0 Td (12)Tj /T1_0 10 Tf -338.44803 -18.94 Td (\240)Tj 0 -17 TD (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /TT1 10 Tf 28.35001 407.82993 Td ( )Tj /T1_0 12 Tf (Conditions of registration:)Tj /TT1 12 Tf 0 -22.82999 TD ( )Tj /T1_0 12 Tf (Category\(ies\) :)Tj 272.474 0 Td (Number of places \(if applicable\):)Tj -4.224 -20.58002 Td (Under 65)Tj 133.06998 0 Td (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 0.95294 0.95294 0.95294 RG 31.2 320.14999 m 565.60004 320.14999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 567.79999 308.73999 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 308.73999 m 568.10004 308.73999 l S 28.99001 242.17 m 568.10004 242.17 l S 30.07001 355.47 m 30.07001 241.09 l S 298.41998 355.47 m 298.41998 330.48999 l S 432.56998 355.47 m 432.56998 330.48999 l S 566.71997 355.47 m 566.71997 241.09 l S BT /TT1 12 Tf 28.35001 338.20993 Td ( )Tj /T1_0 12 Tf (learning disability)Tj 272.57397 0 Td (12)Tj 134.14999 0 Td (0)Tj /TT1 12 Tf -406.72394 -22.82999 Td ( )Tj /T1_0 12 Tf (Additional conditions: )Tj /TT1 12 Tf 0 -22.83002 TD ( )Tj /T1_0 12 Tf (The registered person may provide the following categories of service on\ ly: Care home )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (only- Code PC To people of the following gender: Either Whose primary ca\ re needs on )Tj /TT1 12 Tf 0 -14.58002 TD ( )Tj /T1_0 12 Tf (admission to the home are within the following categories: Learning disa\ bility- Code LD )Tj /TT1 12 Tf 0 -14.57999 TD ( )Tj /T1_0 12 Tf (The maximum number of people who can be accommodated is: 12)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 227.37999 m 315.25 227.37999 l S 1 1 1 RG 317.5 227.37999 m 346.54999 227.37999 l S 348.80002 227.37999 m 377.89999 227.37999 l S 380.14999 227.37999 m 409.20001 227.37999 l S 411.44998 227.37999 m 440.54999 227.37999 l S 442.80002 227.37999 m 471.89993 227.37999 l S 474.14993 227.37999 m 503.20001 227.37999 l S 505.44998 227.37999 m 534.54999 227.37999 l S 536.79999 227.37999 m 565.90002 227.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 238.78998 m 568.10004 238.78998 l S 28.99001 215.95999 m 568.10004 215.95999 l S 30.07001 239.87 m 30.07001 214.87999 l S 316.37 239.87 m 316.37 214.87999 l S 347.66998 239.87 m 347.66998 214.87999 l S 379.01999 239.87 m 379.01999 214.87999 l S 410.31998 239.87 m 410.31998 214.87999 l S 441.66998 239.87 m 441.66998 214.87999 l S 473.01999 239.87 m 473.01999 214.87999 l S 504.31998 239.87 m 504.31998 214.87999 l S 535.66998 239.87 m 535.66998 214.87999 l S 567.01996 239.87 m 567.01996 214.87999 l S BT /TT1 12 Tf 28.35001 222.60994 Td ( )Tj /T1_0 12 Tf (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 202.95999 m 565.90002 202.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 193.34 m 568.10004 193.34 l S 30.07001 194.40999 m 30.07001 71.01001 l S 567.01996 194.40999 m 567.01996 71.01001 l S 28.99001 212.59 m 568.10004 212.59 l S 28.99001 193.34 m 568.10004 193.34 l S 28.99001 72.09 m 568.10004 72.09 l S 30.07001 213.65999 m 30.07001 192.25998 l S 567.01996 213.65999 m 567.01996 192.25998 l S BT /TT1 12 Tf 29.8 199.39995 Td ( )Tj /T1_0 12 Tf [(Brief description of the )1(care home)]TJ /TT1 12 Tf 0 -19.25002 TD ( )Tj /T1_0 12 Tf (Hooton Chase is situated in semi rural area on the border between Cheshi\ re and Wirral )Tj /TT1 12 Tf ( )Tj 0 -17 TD ( )Tj /T1_0 12 Tf (near to Ellesmere Port. It comprises of a detached two storey property w\ hich is located )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (within its own grounds. The service is registered for 12 adults who have\ a learning )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (disability. The service was registered in December 2008 and is owned by \ Mr Mohamad )Tj /TT1 12 Tf T* ( )Tj /T1_0 12 Tf (Jeelany Meeajun. The Manager Lorraine Edwards is currently in an Acting \ position yet )Tj /TT1 12 Tf 0 -16.99998 TD ( )Tj /T1_0 12 Tf (has applied to the Care Quality Commission for registration to become Re\ gistered )Tj /TT1 12 Tf 0 -17 TD ( )Tj /T1_0 12 Tf (Manager. The )Tj /TT1 12 Tf (fees are varied and according to the identified needs of the resident.)Tj ET endstream endobj 2455 0 obj 3182 endobj 2456 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (5)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 122.64 w 32.32001 209.20999 m 566.71997 209.20999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 146.77 m 568.91998 146.77 l S 31.2 272.73999 m 31.2 145.69 l S 567.84998 272.73999 m 567.84998 145.69 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection of Hooton Chase. The visit took p\ lace during )Tj 1 0 0 1 35.17 240.90001 Tm (the morning and afternoon period and included an examination of records,\ interviews )Tj 1 0 0 1 35.17 226.31998 Tm (with the people who use the service, interviews with staff and a tour of\ the building. In )Tj 1 0 0 1 35.17 211.73999 Tm (addition to this we looked at information that was sent to us by the ser\ vice in their )Tj 1 0 0 1 35.17 197.14998 Tm (Annual Quality Assurance Assessment \(AQAA\) prior to our visit. We also\ looked at )Tj 1 0 0 1 35.17 182.56999 Tm (three surveys that were completed by three people who use the service wh\ ich was )Tj 1 0 0 1 35.17 167.98999 Tm (again sent to us prior to our visit. Comments made by individuals and st\ aff are )Tj 1 0 0 1 35.17 153.41 Tm (included within this report.)Tj ET endstream endobj 2457 0 obj 5530 endobj 2458 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 574.62 w 32.32001 486.50998 m 566.71997 486.50998 l S 20.58 w 32.7 186.65999 m 569.34998 186.65999 l S 110.10001 w 33.82001 119.07001 m 568.21997 119.07001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 198.08 m 568.91998 198.08 l S 31.2 776.02997 m 31.2 197 l S 31.2 198.08 m 569.34998 198.08 l S 32.7 175.25 m 569.34998 175.25 l S 31.62 175.25 m 570.41998 175.25 l S 31.62 62.90001 m 570.41998 62.90001 l S 32.7 176.33 m 32.7 61.82001 l S 567.84998 776.02997 m 567.84998 197 l S 569.34998 176.33 m 569.34998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 35.17 744.17999 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 35.17 729.60004 Tm (\240)Tj 1 0 0 1 35.17 715.01996 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 35.17 700.44 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 35.17 685.85999 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 35.17 671.27997 Tm (\240)Tj 1 0 0 1 35.17 656.70001 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 35.17 642.12 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 35.17 627.53998 Tm (rights respected. The service meets the nutritional needs of individuals\ and encourages )Tj 1 0 0 1 35.17 612.95996 Tm (them to be involved with the planning and preparation of food.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 35.17 569.21997 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 35.17 554.64001 Tm (\240)Tj 1 0 0 1 35.17 540.06 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 35.17 525.47998 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 35.17 510.8999 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 35.17 496.31998 Tm (abuse.)Tj 1 0 0 1 35.17 481.73999 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The people who use the service are provided with a well maintained envir\ onment which )Tj 1 0 0 1 35.17 452.57999 Tm (is clean and hygienic.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.41998 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 35.17 408.84 Tm (needs and have received a thorough induction into how to best support th\ e people who )Tj 1 0 0 1 35.17 394.25998 Tm (live at Hooton Chase. The recruitment of new staff protects people from \ abuse.)Tj 1 0 0 1 35.17 379.67999 Tm (\240)Tj 1 0 0 1 35.17 365.10001 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 35.17 350.51999 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 35.17 335.94 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 35.17 321.35999 Tm (\240)Tj 1 0 0 1 35.17 306.78 Tm (Comments received during the visit included:)Tj 1 0 0 1 35.17 292.20001 Tm (\240)Tj 1 0 0 1 35.17 277.62 Tm ('It is always clean and tidy-they could take me abroad on holiday' 'I ge\ t supported to )Tj 1 0 0 1 35.17 263.04001 Tm (live independently eg do my own room and dust' 'It supports me to live i\ ndependently )Tj 1 0 0 1 35.17 248.45998 Tm (and do things for myself' 'Staff do a wonderful job' 'Staff are lovely a\ nd caring' 'I get )Tj 1 0 0 1 35.17 233.87999 Tm (fantastic support working here')Tj 1 0 0 1 35.17 219.3 Tm (\240)Tj 1 0 0 1 35.17 204.72 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 568.96997 484.95999 Tm (\240)Tj 1 0 0 1 31.2 184.55 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 181.89 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 185.11 Tm (\240)Tj 1 0 0 1 31.2 117.53 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 159.06 Tm (The service has now improved the storage of those medications which have\ to be )Tj 1 0 0 1 36.67 144.48 Tm (stored in a refrigerator so that the health and welfare of people is pro\ moted.)Tj 1 0 0 1 36.67 129.90001 Tm (\240)Tj 1 0 0 1 36.67 115.32001 Tm (Aspects of the environment including the introduction of pictures and or\ naments have )Tj 1 0 0 1 36.67 100.74001 Tm (made the building more home like in appearance.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (Activities in the local community have improved to ensure that individua\ ls are more )Tj /T1_0 10 Tf 1 0 0 1 570.46997 117.53 Tm (\240)Tj ET endstream endobj 2459 0 obj 2215 endobj 2460 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj ET 1 1 1 RG 17.58 w 33.82001 803.73999 m 568.21997 803.73999 l S 20.58 w 33.45 782.40997 m 570.10004 782.40997 l S 35.16 w 34.57001 752.28998 m 568.96997 752.28998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.62 813.64996 m 570.41998 813.64996 l S 31.62 793.82001 m 570.41998 793.82001 l S 569.34998 814.72998 m 569.34998 792.75 l S 33.45 770.98999 m 570.10004 770.98999 l S 33.45 793.82001 m 570.10004 793.82001 l S 32.37 770.98999 m 571.16998 770.98999 l S 32.37 733.57996 m 571.16998 733.57996 l S 32.7 814.72998 m 32.7 792.75 l S 33.45 772.07001 m 33.45 732.51001 l S 570.10004 772.07001 m 570.10004 732.51001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.71997 Tm (included in opportunities in the wider community.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.85999 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.63995 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 750.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (No requirements are raised as a result of this visit. Some good practice\ )Tj 1 0 0 1 37.42 740.22998 Tm (recommendations have been raised.)Tj 1 0 0 1 28.35001 719.01996 Tm (\240)Tj 1 0 0 1 28.35001 699.02997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 699.02997 Tm (care home)Tj 1 0 0 1 480.03998 699.02997 Tm ( is taking )Tj 1 0 0 1 28.35001 681.52997 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 661.53998 Tm (\240)Tj 1 0 0 1 28.35001 641.53998 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 641.53998 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 621.53998 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 621.53998 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 601.54999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 2461 0 obj 1959 endobj 2462 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (27)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 2463 0 obj 5115 endobj 2464 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 420.73999 m 562.53998 420.73999 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 84.36 w 33.47 409.5 m 563.65997 409.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 365.12 l S 564.78998 453.88 m 564.78998 365.12 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 366.19 m 565.87 366.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The needs of people are met by the way the service obtains assessments r\ elating to )Tj 1 0 0 1 36.62 375.25 Tm (the needs they have in their daily lives.)Tj 1 0 0 1 28.35001 350.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 112.48 w 34.60001 284.07999 m 562.53998 284.07999 l S 1 1 1 RG 22.5 w 32.35001 331.32001 m 564.78998 331.32001 l S 89.98 w 33.47 272.84 m 563.65997 272.84 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 318.94998 m 565.87 318.94998 l S 32.35001 320.03 m 32.35001 225.64 l S 564.78998 320.03 m 564.78998 225.64 l S 32.35001 318.94998 m 564.78998 318.94998 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 328.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 303.26999 Tm (We looked at how the service assesses the needs of people before they co\ me to live or )Tj 1 0 0 1 36.57001 285.76999 Tm (use the respite services at Hooton Chase. One had come to use the servic\ e for respite )Tj 1 0 0 1 36.57001 268.26999 Tm (since our last visit. The service had obtained an assessment of the pers\ on's needs )Tj 1 0 0 1 36.57001 250.78 Tm (before they had come to use the service and will contained a summary of \ all )Tj 1 0 0 1 36.57001 233.28 Tm (considerations that needed to be made to be supported in their daily liv\ es.)Tj ET endstream endobj 2465 0 obj 6110 endobj 2466 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 395 m 562.53998 395 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 101.85001 w 33.47 383.75 m 563.65997 383.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 330.62 l S 564.78998 436.88 m 564.78998 330.62 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 331.70001 m 565.87 331.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The people who use the service have their needs met by the way the servi\ ce has )Tj 1 0 0 1 36.62 358.25 Tm (devised care plans. They are enabled to make decisions about their lives\ and have any )Tj 1 0 0 1 36.62 340.75998 Tm (risks they face through this acknowledged by the service.)Tj 1 0 0 1 28.35001 316.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.8 w 34.60001 193.92999 m 562.53998 193.92999 l S 1 1 1 RG 22.5 w 32.35001 296.82999 m 564.78998 296.82999 l S 202.42998 w 33.47 182.12 m 563.65997 182.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 284.44998 m 565.87 284.44998 l S 32.35001 285.53 m 32.35001 78.70001 l S 564.78998 285.53 m 564.78998 78.70001 l S 32.35001 284.44998 m 564.78998 284.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 293.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 268.76999 Tm (We looked at five care plans relating to the people who use the service.\ All care plans )Tj 1 0 0 1 36.57001 251.26999 Tm (had been reviewed in January 2010 and there was evidence that the indivi\ dual, )Tj 1 0 0 1 36.57001 233.78 Tm (families and health professionals involved in their support had been pre\ sent while the )Tj 1 0 0 1 36.57001 216.28 Tm (care plan had been reviewed. There was no ongoing evidence that individu\ als or their )Tj 1 0 0 1 36.57001 198.78998 Tm (families had been involved after this review. We asked individuals about\ care plans )Tj 1 0 0 1 36.57001 181.28998 Tm (and they were not aware of this document. In order to ensure that people\ are aware )Tj 1 0 0 1 36.57001 163.78999 Tm (and agree with their plan of care, it is recommended that those people w\ ho are able )Tj 1 0 0 1 36.57001 146.3 Tm (to, sign their daily diaries periodically to confirm this. Advocates or \ families should be )Tj 1 0 0 1 36.57001 128.8 Tm (involved for other people. Care plans also tended to be in a format for \ staff but not in )Tj 1 0 0 1 36.57001 111.31 Tm (a format to meet the communication needs of the people who use the servi\ ce such as )Tj 1 0 0 1 36.57001 93.81 Tm (pictorial form. It is recommended that pictorial forms of care plans are\ produced to )Tj ET endstream endobj 2467 0 obj 3402 endobj 2468 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (meet the communication needs of individuals.Care plans include an outlin\ e of all the )Tj 1 0 0 1 34.32001 761.60004 Tm (needs of individuals in relation to their communication, health, medicat\ ion and the )Tj 1 0 0 1 34.32001 744.10999 Tm (support required in their daily lives.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (We looked at how people make decisions about their lives. The service ha\ s provided )Tj 1 0 0 1 34.32001 691.62 Tm (some information to people in pictorial form in relation to complaints a\ nd satisfaction )Tj 1 0 0 1 34.32001 674.12 Tm (surveys as well as information on advocacy services. This should be exte\ nded to care )Tj 1 0 0 1 34.32001 656.63 Tm (plans. Information is available in relation to advocacy services and thi\ s relates to a )Tj 1 0 0 1 34.32001 639.13 Tm (local advocacy service. The advocate has been involved with individuals \ and supported )Tj 1 0 0 1 34.32001 621.63 Tm (individuals to complete three surveys received by ourselves prior to thi\ s visit. )Tj 1 0 0 1 34.32001 604.14001 Tm (Individuals have access to their monies and this is done by the use of a\ n accountable )Tj 1 0 0 1 34.32001 586.64001 Tm (finance system which ensures that finances are provided to individuals a\ s they wish. )Tj /TT0 12 Tf 0 -17.49005 TD (Three people rely)Tj /T1_0 12 Tf ( on an external and independent agency to manage their finances.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (We looked at how the service takes the risks faced by individuals i thei\ r daily lives into )Tj 1 0 0 1 34.32001 516.65997 Tm (account. Risk assessments have been incorporated into the care planning \ process and )Tj 1 0 0 1 34.32001 499.16 Tm (these were reviewed in January 2010 with the individuals, their family/a\ dvocate and )Tj 1 0 0 1 34.32001 481.66998 Tm (health professional involved in their support included in this. Each ris\ k assessment )Tj 1 0 0 1 34.32001 464.16998 Tm (outlines the areas of risk faced by each person and how these can be min\ imised. Risk )Tj 1 0 0 1 34.32001 446.66998 Tm (assessments are also extended to fire risk assessments for each person. \ It is )Tj 1 0 0 1 34.32001 429.17999 Tm (recommended that the format of risk assessments are made accessible to i\ ndividuals )Tj 1 0 0 1 34.32001 411.67999 Tm (in pictorial form.)Tj ET endstream endobj 2469 0 obj 6003 endobj 2470 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 352.25 m 562.53998 352.25 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 119.35001 w 33.47 341 m 563.65997 341 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 279.12 l S 564.78998 402.88 m 564.78998 279.12 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 280.20001 m 565.87 280.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (The people who use the service are able to pursue the leisure opportunit\ ies open to )Tj 1 0 0 1 36.62 324.25 Tm (them with staff support, are able to maintain links with their families \ and have their )Tj 1 0 0 1 36.62 306.75998 Tm (rights respected. The service meets the nutritional needs of individuals\ and )Tj 1 0 0 1 36.62 289.25998 Tm (encourages them to be involved with the planning and preparation of food\ .)Tj 1 0 0 1 28.35001 264.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.3 w 34.60001 168.17999 m 562.53998 168.17999 l S 1 1 1 RG 22.5 w 32.35001 245.33 m 564.78998 245.33 l S 150.92999 w 33.47 156.37 m 563.65997 156.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 232.95999 m 565.87 232.95999 l S 32.35001 234.03998 m 32.35001 78.70001 l S 564.78998 234.03998 m 564.78998 78.70001 l S 32.35001 232.95999 m 564.78998 232.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 242.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 217.26999 Tm (Only one individual pursues formal education although it is anticipated \ that this will be )Tj 1 0 0 1 36.57001 199.78 Tm (completed later this year. There was evidence that people have pursued o\ ccupation )Tj 1 0 0 1 36.57001 182.28 Tm (prior to them coming to live at Hooton Chase. Records indicated that the\ emphasis at )Tj 1 0 0 1 36.57001 164.78999 Tm (present in the home is to maintain community contact through leisure act\ ivities and )Tj 1 0 0 1 36.57001 147.28999 Tm (household routines rather than maintaining education or occupation.)Tj 1 0 0 1 36.57001 129.78999 Tm (\240)Tj 1 0 0 1 36.57001 112.3 Tm (Records indicated that people are supported to access the community. Thi\ s includes a )Tj 1 0 0 1 36.57001 94.8 Tm (mix of leisure activities as well as household related activities such a\ s shopping. Each )Tj ET endstream endobj 2471 0 obj 5240 endobj 2472 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (person has an activities programme which includes access to local leisur\ e facilities and )Tj 1 0 0 1 34.32001 761.60004 Tm (the level of staff support required. At present risk assessments suggest\ that people )Tj 1 0 0 1 34.32001 744.10999 Tm (need staff support at all times. Records provide an ongoing commentary o\ n the )Tj 1 0 0 1 34.32001 726.60999 Tm (community links that people have and we noted that the activities enjoye\ d by people )Tj 1 0 0 1 34.32001 709.10999 Tm (had been extended in line with our recommendations from previous visits.\ The )Tj 1 0 0 1 34.32001 691.62 Tm (situation of the service is such that there are transport links to all p\ arts of the local )Tj 1 0 0 1 34.32001 674.12 Tm (community.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (We looked at how individuals are able to maintain links with family and \ friends. )Tj 1 0 0 1 34.32001 621.63 Tm (Records suggested that people are able to continue to maintain links wit\ h others )Tj 1 0 0 1 34.32001 604.14001 Tm (either through visits from family and friends or through individuals spe\ nding some )Tj 1 0 0 1 34.32001 586.64001 Tm (time at their family's homes. This was confirmed through discussions we \ had with two )Tj 1 0 0 1 34.32001 569.14996 Tm (people. A lounge ares on the upper landing of the building has been crea\ ted to enable )Tj 1 0 0 1 34.32001 551.64996 Tm (any visits to take place in private. There was evidence that families ha\ d been involved )Tj 1 0 0 1 34.32001 534.14996 Tm (in the initial setting up of care plans. The service has now developed l\ inks to a local )Tj 1 0 0 1 34.32001 516.65997 Tm (advocacy service and this service has been involved with some people who\ do not )Tj 1 0 0 1 34.32001 499.16 Tm (have any immediate family.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (We looked at the rights of individuals. Our tour of the building involve\ d viewing )Tj 1 0 0 1 34.32001 446.66998 Tm (bedrooms of individuals who were present during our visit. These individ\ uals had been )Tj 1 0 0 1 34.32001 429.17999 Tm (asked if we could view these rooms with their permission and they were a\ greeable )Tj 1 0 0 1 34.32001 411.67999 Tm (with this. During the visit, we noted that staff talk to individuals and\ offer an informal )Tj 1 0 0 1 34.32001 394.19 Tm (and friendly approach during these interactions. Throughout our visit, w\ e noted that )Tj 1 0 0 1 34.32001 376.69 Tm (individuals were given the choice to go out on an activity and if indivi\ duals did not )Tj 1 0 0 1 34.32001 359.19 Tm (want to go, this was respected. All individuals were able to access any \ part of the )Tj 1 0 0 1 34.32001 341.70001 Tm (building they wished.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Each person has an activity plan. Included in this is reference to the e\ xtent to which )Tj 1 0 0 1 34.32001 289.20999 Tm (people are involved in household tasks, either in maintaining their own \ tasks or for the )Tj 1 0 0 1 34.32001 271.70999 Tm (good of the household as a whole. This was confirmed through records as \ well as )Tj 1 0 0 1 34.32001 254.22 Tm (interviews with individuals. Daily diaries provided evidence that routin\ es such as )Tj 1 0 0 1 34.32001 236.72 Tm (laying tables, washing dishes, assisting with laundry and assisting with\ meals were )Tj 1 0 0 1 34.32001 219.23 Tm (commonplace in the daily lives of individuals.)Tj 1 0 0 1 34.32001 201.73 Tm (\240)Tj 1 0 0 1 34.32001 184.23 Tm (We looked at how meals are provided within the service. Care plans noted\ that there )Tj 1 0 0 1 34.32001 166.73999 Tm (are no individuals with specialist dietary needs living at Hooton Chase \ at present )Tj 1 0 0 1 34.32001 149.23999 Tm (although records do indicate that there is an emphasis on healthy eating\ . Menus are )Tj 1 0 0 1 34.32001 131.75 Tm (available but tend to act as a general guide. An emphasis is placed on m\ eals being in )Tj 1 0 0 1 34.32001 114.25 Tm (line with the preferences for individuals on that day and a record of fo\ od provided )Tj 1 0 0 1 34.32001 96.75 Tm (suggested that there is an ad hoc approach to providing meals although t\ his is in line )Tj ET endstream endobj 2473 0 obj 2306 endobj 2474 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 213.83 w 34.60001 704.48999 m 562.53998 704.48999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 192.45999 w 33.47 692.67999 m 563.65997 692.67999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 594.25 l S 564.78998 791.10999 m 564.78998 594.25 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 595.33002 m 565.87 595.33002 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (with preferences and healthy eating. We witnessed staff asking people wh\ at they )Tj 1 0 0 1 34.32001 761.60004 Tm (wanted for lunch on the day of our visit. Daily diaries suggested that i\ ndividuals are )Tj 1 0 0 1 34.32001 744.10999 Tm (involved in shopping as well as some preparation of meals and other acti\ vities such as )Tj 1 0 0 1 34.32001 726.60999 Tm (baking. During our visit, all individuals had lunch in the dining room. \ This was noted to )Tj 1 0 0 1 34.32001 709.10999 Tm (be an informal event with staff siting eating with individuals. This pro\ vided an )Tj 1 0 0 1 34.32001 691.62 Tm (opportunity for individuals and staff to discuss activities and for staf\ f to gain the views )Tj 1 0 0 1 34.32001 674.12 Tm (of individuals on a variety of topics. The dining room has become more w\ elcoming )Tj 1 0 0 1 34.32001 656.63 Tm (since our last visit with the inclusion of ornaments and pictures. At pr\ esent one)Tj /TT0 12 Tf ( person)Tj /T1_0 12 Tf ( )Tj 1 0 0 1 34.32001 639.13 Tm (needs assistance with eating and people have their weights monitored on \ a regular )Tj 1 0 0 1 34.32001 621.63 Tm (basis. The kitchen is domestic in scale and presented as a well organise\ d and clean )Tj 1 0 0 1 34.32001 604.14001 Tm (facility.)Tj ET endstream endobj 2475 0 obj 6015 endobj 2476 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 437.73999 m 562.53998 437.73999 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 84.36 w 33.47 426.5 m 563.65997 426.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 382.12 l S 564.78998 470.87991 m 564.78998 382.12 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 383.19 m 565.87 383.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (The people who use the service are supported as they wish and have their\ health )Tj 1 0 0 1 36.62 392.25 Tm (needs met. Their health needs are promoted through the management of med\ ication.)Tj 1 0 0 1 28.35001 367.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 275.30002 w 34.60001 219.67 m 562.53998 219.67 l S 1 1 1 RG 22.5 w 32.35001 348.32001 m 564.78998 348.32001 l S 253.92998 w 33.47 207.86 m 563.65997 207.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 335.94998 m 565.87 335.94998 l S 32.35001 337.03 m 32.35001 78.70001 l S 564.78998 337.03 m 564.78998 78.70001 l S 32.35001 335.94998 m 564.78998 335.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 345.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 320.26999 Tm (We looked at how individuals at Hooton Chase are supported by the staff \ team. Details )Tj 1 0 0 1 36.57001 302.76999 Tm (of how people are to be supported are included within each care plan. Th\ e care plans )Tj 1 0 0 1 36.57001 285.26999 Tm (were initially devised in January 2010 and included the individual, memb\ ers of their )Tj 1 0 0 1 36.57001 267.78 Tm (families and other health professionals involved in their lives. Individ\ uals we spoke to )Tj 1 0 0 1 36.57001 250.28 Tm (were not always clear about the details of their care plan and it was cl\ ear that )Tj 1 0 0 1 36.57001 232.78998 Tm (agreement to support was done verbally with no recorded evidence that th\ is had been )Tj 1 0 0 1 36.57001 215.28998 Tm (agreed by the individual. It is recommended that each person has the opp\ ortunity to )Tj 1 0 0 1 36.57001 197.78998 Tm (sign their daily records periodically so that their agreement to the sup\ port they are )Tj 1 0 0 1 36.57001 180.3 Tm (provided with is determined. For those who are unable to do this, it is \ recommended )Tj 1 0 0 1 36.57001 162.8 Tm (that their families or advocates do this on their behalf. The service ha\ s devised )Tj 1 0 0 1 36.57001 145.31 Tm (personal preference records which include details of how individuals wis\ h to be )Tj 1 0 0 1 36.57001 127.81 Tm (supported and their preference in relation to their personal appearance.\ These are )Tj 1 0 0 1 36.57001 110.31 Tm (being developed an it is recommended that these are completed as fully a\ s possible.)Tj 1 0 0 1 36.57001 92.82001 Tm (\240)Tj ET endstream endobj 2477 0 obj 4388 endobj 2478 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Activity plans have been devised and these provide a flexible structure \ on when )Tj 1 0 0 1 34.32001 761.60004 Tm (individuals are involved in personal hygiene, household routines and lei\ sure activities. )Tj 1 0 0 1 34.32001 744.10999 Tm (These are made available to each person. )Tj /TT0 12 Tf (There is no keyworker system in place.)Tj /T1_0 12 Tf ( )Tj 0 -17.5 TD (An advocate has been)Tj 1 0 0 1 34.32001 726.60999 Tm 133.332 0 Td ( introduced into the service. Information on this advocacy service)Tj -133.332 -17.5 Td ( is available to people)Tj 1 0 0 1 34.32001 709.10999 Tm 131.50801 0 Td ( and it was reported that three individuals who responded to our)Tj -131.50801 -17.5 Td (surveys had been supported by advocates to complete this. We asked peopl\ e about )Tj T* (the support they)Tj 1 0 0 1 34.32001 674.10999 Tm 100.44 0 Td ( were provided with. In all cases, people were happy with the staff )Tj -100.44 -17.5 Td (team and felt that)Tj 1 0 0 1 34.32001 656.60999 Tm 109.38 0 Td ( they responded to the wishes of each person.)Tj -109.38 -17.48999 Td (\240)Tj T* (We looked at how the service maintains the health of people. Health Acti\ on Plans have )Tj 0 -17.49005 TD (been devised for each person indicating the health needs of people and h\ ow these can )Tj 0 -17.5 TD (best to met. Training for staff has been devised for health action plans\ as evidenced )Tj T* (through training records. Each person has been registered with a general\ practitioner )Tj 0 -17.48999 TD (and there were records indicating that people had continued access to he\ alth )Tj 0 -17.49997 TD (professionals such as doctors, chiropodists, dentists, opticians, genera\ l health checks )Tj 0 -17.49002 TD (and specialist nurses. Care plans revealed that individuals need support\ to maintain )Tj 0 -17.5 TD (their health in all cases and that staff made appointments on their beha\ lf. Interviews )Tj T* (with individuals who live at Hooton Chase noted that they considered the\ mselves to be )Tj 0 -17.48999 TD (healthy at present but if they needed health appointments, these were ar\ ranged by )Tj 0 -17.5 TD (the staff team without delay.Records are available providing a summary o\ f any visits )Tj 0 -17.48999 TD (to health professionals with an indication of progress made with each ap\ pointment. )Tj 0 -17.5 TD (The weight of people is monitored on a regular basis. Care plans give an\ indication in )Tj T* (relation to the physical and mental health of individuals.)Tj 0 -17.48999 TD (\240)Tj 0 -17.5 TD (We looked at how medication is managed. No one self administers medicati\ on at )Tj 0 -17.49002 TD (present and this is included within individual's risk assessments. All m\ edication is )Tj 0 -17.5 TD (securely locked away in a purpose built cabinet with any medication that\ requires )Tj T* (storing in a refrigerator in place .All records in relation to receipt, \ administration and )Tj 0 -17.48999 TD (disposal of medication were noted be in place and appropriately recorded\ . The )Tj 0 -17.5 TD (pharmacy supplier audits the systems used at Hooton Chase on a regular b\ asis. )Tj 0 -17.49001 TD (Agreements have been sort by doctors into the use of homely medications.\ Staff )Tj 0 -17.5 TD (training records and interviews with staff confirmed that all staff had \ received )Tj T* (medication training.)Tj ET endstream endobj 2479 0 obj 5787 endobj 2480 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 141.84999 w 34.60001 488.25 m 562.53998 488.25 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 119.35001 w 33.47 477 m 563.65997 477 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 415.12 l S 564.78998 538.88 m 564.78998 415.12 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 416.20001 m 565.87 416.20001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (The people who use the service and their families are provided with the \ information )Tj 1 0 0 1 36.62 460.25 Tm (they need if they wish to make a complaint and feel confident that the s\ ervice would )Tj 1 0 0 1 36.62 442.75998 Tm (listen and act on any concerns. The people who use the service are prote\ cted from )Tj 1 0 0 1 36.62 425.25998 Tm (abuse.)Tj 1 0 0 1 28.35001 400.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 308.30002 w 34.60001 236.17998 m 562.53998 236.17998 l S 1 1 1 RG 22.5 w 32.35001 381.32999 m 564.78998 381.32999 l S 286.92999 w 33.47 224.37 m 563.65997 224.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 368.95999 m 565.87 368.95999 l S 32.35001 370.03998 m 32.35001 78.70001 l S 564.78998 370.03998 m 564.78998 78.70001 l S 32.35001 368.95999 m 564.78998 368.95999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.01999 Tm (Evidence:)Tj 1 0 0 1 36.57001 353.26999 Tm (We looked at how the service deals with any complaints or concerns about\ the quality )Tj 1 0 0 1 36.57001 335.78 Tm (of support provided by the service. The service has a complaints procedu\ re on display )Tj 1 0 0 1 36.57001 318.28 Tm (which outlines timescales and the response of the service to any concern\ s that people )Tj 1 0 0 1 36.57001 300.78998 Tm (may have. This is mainly for professionals or family members. A complain\ ts procedure )Tj 1 0 0 1 36.57001 283.29001 Tm (is in place for the people who use the service and this is presented in \ a format which )Tj 1 0 0 1 36.57001 265.79001 Tm (is designed to be appropriate to their communication needs given that it\ is in pictorial )Tj 1 0 0 1 36.57001 248.3 Tm (form.)Tj 1 0 0 1 36.57001 230.8 Tm (\240)Tj 1 0 0 1 36.57001 213.31 Tm (We spoke to two people. Both were asked about the action they would take\ if they )Tj 1 0 0 1 36.57001 195.81 Tm (were not happy with the support they received. Both said that they would\ speak to the )Tj 1 0 0 1 36.57001 178.31 Tm (manager and were confident that any concerns they had would be dealt wit\ h. )Tj 1 0 0 1 36.57001 160.81999 Tm (Information received from the service prior to our visit indicated that \ the service had )Tj 1 0 0 1 36.57001 143.31999 Tm (not received any complaints and we have not received any concerns either\ .)Tj 1 0 0 1 36.57001 125.83 Tm (\240)Tj 1 0 0 1 36.57001 108.33 Tm (We looked at how the service protects people from abuse. The service has\ referred an )Tj 1 0 0 1 36.57001 90.83 Tm (allegation of abuse in relation to finances since our last visit. The se\ rvice took all the )Tj ET endstream endobj 2481 0 obj 2075 endobj 2482 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (steps it required to ensure that the allegations had been referred to th\ e Local )Tj 1 0 0 1 34.32001 761.60004 Tm (Authority and that we had been made aware of the issues. Steps have been\ taken to )Tj 1 0 0 1 34.32001 744.10999 Tm (ensure that the financial interests of individuals have been safeguarded\ as a result.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Training records and interviews with staff confirmed that they had had t\ raining in )Tj 1 0 0 1 34.32001 691.62 Tm (abuse awareness and were aware of the whistleblowing procedure. Staff ha\ d also )Tj 1 0 0 1 34.32001 674.12 Tm (received training in actions to deal with any physical or verbal aggress\ ion and this was )Tj 1 0 0 1 34.32001 656.63 Tm (included within risk assessments placing emphasis on dealing with any ag\ gression )Tj 1 0 0 1 34.32001 639.13 Tm (through positive staff interactions. One person who uses the service tol\ d us that they )Tj 1 0 0 1 34.32001 621.63 Tm (felt safe living at Hooton Chase.)Tj ET endstream endobj 2483 0 obj 5928 endobj 2484 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 106.85001 w 34.60001 471.73999 m 562.53998 471.73999 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 84.36 w 33.47 460.5 m 563.65997 460.5 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 416.12 l S 564.78998 504.87985 m 564.78998 416.12 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 417.19 m 565.87 417.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are provided with a well maintained envir\ onment )Tj 1 0 0 1 36.62 426.25 Tm (which is clean and hygienic.)Tj 1 0 0 1 28.35001 401.50998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 309.30002 w 34.60001 236.67 m 562.53998 236.67 l S 1 1 1 RG 22.5 w 32.35001 382.31998 m 564.78998 382.31998 l S 287.92999 w 33.47 224.86 m 563.65997 224.86 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 369.94998 m 565.87 369.94998 l S 32.35001 371.03 m 32.35001 78.70001 l S 564.78998 371.03 m 564.78998 78.70001 l S 32.35001 369.94998 m 564.78998 369.94998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 379.00998 Tm (Evidence:)Tj 1 0 0 1 36.57001 354.26999 Tm (We toured the premises. There have been some improvements to the premise\ s since )Tj 1 0 0 1 36.57001 336.76999 Tm (our last visit. The exterior patio areas have either been re-laid with n\ ew paving stones )Tj 1 0 0 1 36.57001 319.26999 Tm (or are in the process of being completed. The interior of the service ha\ s had )Tj 1 0 0 1 36.57001 301.78 Tm (ornaments and pictures included in some areas such as the dining room an\ d this has )Tj 1 0 0 1 36.57001 284.28 Tm (created a more home like feel to the building. New fire doors have been \ fitted and )Tj 1 0 0 1 36.57001 266.79001 Tm (there is now more information for people provided in pictorial form. We \ toured )Tj 1 0 0 1 36.57001 249.28998 Tm (bedrooms and other areas. Some rooms are more personalised than others y\ et this )Tj 1 0 0 1 36.57001 231.78998 Tm (reflects the preferences of individuals. Three lounge areas are availabl\ e. One has been )Tj 1 0 0 1 36.57001 214.3 Tm (created on the upper landing of the premises as a quiet area. A computer\ is available )Tj 1 0 0 1 36.57001 196.8 Tm (here but there is no access to the internet. The furniture is comfortabl\ e and the )Tj 1 0 0 1 36.57001 179.31 Tm (premises are bright and airy. Individuals are able to access all areas o\ f the building )Tj 1 0 0 1 36.57001 161.81 Tm (given that no one has any restrictions with their mobility at present.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (The building fits in with the local community and is close to transport \ links to local )Tj 1 0 0 1 36.57001 109.32001 Tm (amenities.The service has received visits from Fire Authorities and Envi\ ronmental )Tj 1 0 0 1 36.57001 91.83 Tm (health agencies within the past twelve months. The service has access to\ maintenance )Tj ET endstream endobj 2485 0 obj 2406 endobj 2486 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 266.32001 w 34.60001 678.25 m 562.53998 678.25 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 244.93999 w 33.47 666.44 m 563.65997 666.44 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 541.76001 l S 564.78998 791.10999 m 564.78998 541.76001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 542.83997 m 565.87 542.83997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staff and records suggest that there is an ongoing process for the addre\ ssing of )Tj 1 0 0 1 34.32001 761.60004 Tm (repairs in the building. Individuals have access to the grounds within t\ he service which )Tj 1 0 0 1 34.32001 744.10999 Tm (are well maintained and there are plans to further develop these areas.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The tour of the building noted that the premises were clean and hygienic\ . No domestic )Tj 1 0 0 1 34.32001 691.62 Tm (staff are employed given that there is an expectation that the people wh\ o use the )Tj 1 0 0 1 34.32001 674.12 Tm (service are able to maintain the hygiene of their living space with staf\ f support. This )Tj 1 0 0 1 34.32001 656.63 Tm (was noted in interviews with individuals as well as an examination of da\ ily routines )Tj 1 0 0 1 34.32001 639.13 Tm (which places an emphasis on people being involved in domestic tasks. No \ offensive )Tj 1 0 0 1 34.32001 621.63 Tm (odours were present during our visit.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (A laundry is available which is situated separately from food preparatio\ n and storage )Tj 1 0 0 1 34.32001 569.14996 Tm (areas. The laundry is used by individuals with support and domestic appl\ iances are )Tj 1 0 0 1 34.32001 551.64996 Tm (used at present. )Tj ET endstream endobj 2487 0 obj 5963 endobj 2488 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 463 m 562.53998 463 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 101.85001 w 33.47 451.75 m 563.65997 451.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 398.62 l S 564.78998 504.87985 m 564.78998 398.62 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 399.70001 m 565.87 399.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The people who use the service are supported by people who are trained t\ o meet their )Tj 1 0 0 1 36.62 426.25 Tm (needs and have received a thorough induction into how to best support th\ e people )Tj 1 0 0 1 36.62 408.75998 Tm (who live at Hooton Chase. The recruitment of new staff protects people f\ rom abuse.)Tj 1 0 0 1 28.35001 384.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 291.80002 w 34.60001 227.92998 m 562.53998 227.92998 l S 1 1 1 RG 22.5 w 32.35001 364.82999 m 564.78998 364.82999 l S 270.42999 w 33.47 216.12 m 563.65997 216.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 352.44998 m 565.87 352.44998 l S 32.35001 353.53 m 32.35001 78.70001 l S 564.78998 353.53 m 564.78998 78.70001 l S 32.35001 352.44998 m 564.78998 352.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 361.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 336.76999 Tm (We looked at how the service recruits new members of staff into the serv\ ice. One )Tj 1 0 0 1 36.57001 319.26999 Tm (person has been recruited of late. We looked at their file and found tha\ t it contained )Tj 1 0 0 1 36.57001 301.78 Tm (information which confirmed their identity as well as police checks to c\ onfirm that they )Tj 1 0 0 1 36.57001 284.28 Tm (are a fit person to work at the service. The file also included evidence\ about the way )Tj 1 0 0 1 36.57001 266.79001 Tm (the staff member had been provided with an induction into the service. T\ he induction )Tj 1 0 0 1 36.57001 249.28998 Tm (process included training in relation to mandatory training. The file al\ so provided )Tj 1 0 0 1 36.57001 231.78998 Tm (evidence that the staff member had undertaken Common Induction Standards\ . This is )Tj 1 0 0 1 36.57001 214.3 Tm (a process whereby the values needed to successfully support people are r\ einforced to )Tj 1 0 0 1 36.57001 196.8 Tm (the staff member. In addition to this, new members of staff are provided\ with )Tj 1 0 0 1 36.57001 179.31 Tm (information in respect of the expected practice \(through the General Ca\ re Council )Tj 1 0 0 1 36.57001 161.81 Tm (Code of Conduct\) as well as information about the Mental Capacity Act.)Tj 1 0 0 1 36.57001 144.31 Tm (\240)Tj 1 0 0 1 36.57001 126.82001 Tm (We looked at how staff are trained. Interviews with staff members outlin\ ed the )Tj 1 0 0 1 36.57001 109.32001 Tm (training they had received. This was reinforced with certificates. There\ was also )Tj 1 0 0 1 36.57001 91.83 Tm (evidence that staff had received training in mandatory health and safety\ subjects as )Tj ET endstream endobj 2489 0 obj 1442 endobj 2490 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (well as training in specifically in relation to the needs of the people \ who live at Hooton )Tj 1 0 0 1 34.32001 761.60004 Tm (Chase. Such training included managing challenging behaviour, learning d\ isability )Tj 1 0 0 1 34.32001 744.10999 Tm (awareness, safeguarding, principles of care, person centred planning and\ the role of )Tj 1 0 0 1 34.32001 726.60999 Tm (the care worker.)Tj ET endstream endobj 2491 0 obj 6019 endobj 2492 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (27)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 412 m 562.53998 412 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 101.85001 w 33.47 400.75 m 563.65997 400.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 347.62 l S 564.78998 453.88 m 564.78998 347.62 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 348.70001 m 565.87 348.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (The people who use the service receive support that is managed in a way \ that serves )Tj 1 0 0 1 36.62 375.25 Tm (their interests. Their interests are further served by the way the servi\ ce assesses the )Tj 1 0 0 1 36.62 357.75998 Tm (quality of care it provides. The health and safety of individuals is pro\ moted.)Tj 1 0 0 1 28.35001 333.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 240.8 w 34.60001 202.42998 m 562.53998 202.42998 l S 1 1 1 RG 22.5 w 32.35001 313.82999 m 564.78998 313.82999 l S 219.42998 w 33.47 190.62 m 563.65997 190.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 301.44998 m 565.87 301.44998 l S 32.35001 302.53 m 32.35001 78.70001 l S 564.78998 302.53 m 564.78998 78.70001 l S 32.35001 301.44998 m 564.78998 301.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 310.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 285.76999 Tm (We looked at how the service is managed. Since our last visit, a new Act\ ing Manager )Tj 1 0 0 1 36.57001 268.26999 Tm (has been employed by the service with initial support from a )Tj /TT0 12 Tf (senior)Tj /T1_0 12 Tf ( manager within )Tj 1 0 0 1 36.57001 250.78 Tm (the organisation. The Acting Manager has experience in supporting people\ with )Tj 1 0 0 1 36.57001 233.28 Tm (learning disabilities and has a National Vocational Qualification at Lev\ el 3. She is about )Tj 1 0 0 1 36.57001 215.78998 Tm (to apply to us to become the registered manager of the service. We asked\ staff and )Tj 1 0 0 1 36.57001 198.28998 Tm (the people who use the service about the manager. Comments include 'she \ is fantastic )Tj 1 0 0 1 36.57001 180.78998 Tm (and approachable' and ' she listens to us'. The Acting Manager confirmed\ that she has )Tj 1 0 0 1 36.57001 163.3 Tm (received the support she has needed from the )Tj /TT1 12 Tf (senior)Tj /T1_0 12 Tf ( manager of the organisation.)Tj 1 0 0 1 36.57001 145.8 Tm (\240)Tj 1 0 0 1 36.57001 128.31 Tm (We looked at how the service examines the quality of the support it prov\ ides. The )Tj 1 0 0 1 36.57001 110.81 Tm (service has developed questionnaires for the people who use the service \ in a format )Tj 1 0 0 1 36.57001 93.31 Tm (which contains pictures and symbols. Surveys have also been devised from\ relatives )Tj ET endstream endobj 2493 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0006044281 00000 n 11 1 0006044478 00000 n 14 1 0006044636 00000 n 16 1 0006044809 00000 n 20 1 0006044981 00000 n 22 1 0006045151 00000 n 24 1 0006045287 00000 n 26 1 0006045423 00000 n 29 1 0006045570 00000 n 31 1 0006045740 00000 n 34 1 0006045910 00000 n 36 1 0006046071 00000 n 38 1 0006046242 00000 n 40 1 0006046390 00000 n 42 1 0006046551 00000 n 44 1 0006046722 00000 n 46 1 0006046883 00000 n 48 1 0006047054 00000 n 50 1 0006047202 00000 n 52 1 0006047373 00000 n 55 1 0006047521 00000 n 57 1 0006047692 00000 n 59 1 0006047840 00000 n 93 2 0006048037 00000 n 0006048114 00000 n 2419 75 0006048344 00000 n 0006049558 00000 n 0006049729 00000 n 0006049752 00000 n 0006055830 00000 n 0006055853 00000 n 0006061932 00000 n 0006061955 00000 n 0006068035 00000 n 0006068058 00000 n 0006074139 00000 n 0006074162 00000 n 0006080244 00000 n 0006080267 00000 n 0006086350 00000 n 0006086373 00000 n 0006092455 00000 n 0006092478 00000 n 0006098559 00000 n 0006098582 00000 n 0006104662 00000 n 0006104685 00000 n 0006110764 00000 n 0006110787 00000 n 0006116865 00000 n 0006116888 00000 n 0006122965 00000 n 0006122988 00000 n 0006129064 00000 n 0006129087 00000 n 0006133700 00000 n 0006133723 00000 n 0006139413 00000 n 0006139436 00000 n 0006144789 00000 n 0006144812 00000 n 0006153897 00000 n 0006153920 00000 n 0006157159 00000 n 0006157182 00000 n 0006162769 00000 n 0006162792 00000 n 0006165064 00000 n 0006165087 00000 n 0006167103 00000 n 0006167126 00000 n 0006172298 00000 n 0006172321 00000 n 0006178488 00000 n 0006178511 00000 n 0006181970 00000 n 0006181993 00000 n 0006188053 00000 n 0006188076 00000 n 0006193373 00000 n 0006193396 00000 n 0006195759 00000 n 0006195782 00000 n 0006201854 00000 n 0006201877 00000 n 0006206322 00000 n 0006206345 00000 n 0006212189 00000 n 0006212212 00000 n 0006214344 00000 n 0006214367 00000 n 0006220352 00000 n 0006220375 00000 n 0006222838 00000 n 0006222861 00000 n 0006228881 00000 n 0006228904 00000 n 0006230403 00000 n 0006230426 00000 n 0006236502 00000 n trailer <<3c65411b6000a14491d9979d5738984a>]/Prev 6035687 >> startxref 6240067 %%EOF