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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (St Josephs)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (The Croft )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Sudbury)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Suffolk)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (CO10 1HR)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 383.08 331.89 Tm (three star excellent service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Deborah Kerr)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (St Josephs)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (The Croft)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Sudbury)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Suffolk)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (CO10 1HR)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01787888460)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01787888469)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (careforehomes@aol.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (Carefore Homes Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (60)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 35.16 w 31.2 375.52 m 297.3 375.52 l S 0.001 w 35.16 w 299.55 375.52 m 431.45 375.52 l S 0.001 w 35.16 w 433.7 375.52 m 565.6 375.52 l S 0.001 w 35.16 w 31.2 338.11 m 297.3 338.11 l S 0.001 w 35.16 w 299.55 338.11 m 431.45 338.11 l S 0.001 w 35.16 w 433.7 338.11 m 565.6 338.11 l S 0.001 w 20.58 w 31.2 307.99 m 297.3 307.99 l S 0.001 w 20.58 w 299.55 307.99 m 431.45 307.99 l S 0.001 w 20.58 w 433.7 307.99 m 565.6 307.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 285.16 m 565.6 285.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.41 m 567.8 319.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.58 m 567.8 296.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.75 m 567.8 273.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.41 m 567.8 319.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.58 m 567.8 296.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.75 m 568.1 273.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.34 m 568.1 236.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 235.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 295.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 295.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 235.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (mental disorder, excluding learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 363.46 Tm (disability or dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 378.04 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 378.04 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.63 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.05 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 340.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 340.63 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 303.22 Tm (physical disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 303.22 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 303.22 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 280.39 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.56 Tm (To offer care and accommodation to 1 named person within the category of MD and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 242.98 Tm (DE, as per application V29740. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 221.55 m 315.25 221.55 l S 0.001 w 1 1 1 RG 20.58 w 317.5 221.55 m 346.55 221.55 l S 0.001 w 20.58 w 348.8 221.55 m 377.9 221.55 l S 0.001 w 20.58 w 380.15 221.55 m 409.2 221.55 l S 0.001 w 20.58 w 411.45 221.55 m 440.55 221.55 l S 0.001 w 20.58 w 442.8 221.55 m 471.9 221.55 l S 0.001 w 20.58 w 474.15 221.55 m 503.2 221.55 l S 0.001 w 20.58 w 505.45 221.55 m 534.55 221.55 l S 0.001 w 20.58 w 536.8 221.55 m 565.9 221.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 232.96 m 568.1 232.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.13 m 568.1 210.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 234.04 m 30.07 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 234.04 m 316.37 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 234.04 m 347.67 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 234.04 m 379.02 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 234.04 m 410.32 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 234.04 m 441.67 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 234.04 m 473.02 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 234.04 m 504.32 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 234.04 m 535.67 209.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 234.04 m 567.02 209.05 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 216.78 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 198.26 m 565.9 198.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 188.63 m 568.1 188.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 189.71 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 189.71 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.88 m 568.1 207.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 188.63 m 568.1 188.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 208.96 m 30.07 187.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 208.96 m 567.02 187.55 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 194.7 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 194.7 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 175.45 Tm (St Joseph's is owned by Carefore Homes Ltd, and are registered to provide residential )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 158.45 Tm (care for up to 60 people, from 55 years of age and over. Although the home can care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 141.45 Tm (for a maximum of 60 people, they have the flexibility to take up to 33 frail older )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 124.45 Tm (people, up to 26 older people who have a diagnosis of dementia, and up to 6 people )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 107.45 Tm (within the age range of 55 - 64 years, who have a physical disability or dementia. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 90.45 Tm (home \(part new build, part listed\) opened in August 2005, and is located within )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 73.45 Tm (walking distance of the town of Sudbury, which offers a range of amenities. These )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 56.45 Tm (includes rail and bus links, shops, restaurants, hotel, banks, post office and public )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 434.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 434.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.15 m 568.1 435.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (houses.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (In December 2006, following the conversion of the 'convent' building next door which )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (is now linked to the home, they were registered for an additional 9 places. People can )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (access the home by stairs or passenger lift. Some residents, due to their mobility )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (needs, may find some areas of the home easier to access than others, therefore staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (will discuss this on an individual basis, prior to allocating a room. All 60 bedrooms are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (of single occupancy with an en-suite toilet and wash hand basin. Some also have an )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (en-suite shower.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (The home is divided into 3 main areas, and includes a specialist dementia care unit )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (\(Gainsborough\), which has restricted access and a sensory room. Each of the 3 areas )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm (has their own lounge, dining rooms, assisted bathrooms and access to landscape )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm (gardens or patio. The home has been decorated and furnished to a high standard )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (throughout. There is a hairdressing room, and limited car parking is available at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm (front of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 511.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 494.47 Tm (Fees are currently 740 per week, for stays of over 4 weeks, which includes all )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 477.47 Tm (personal care, accommodation and meals. The home also offers short-term \(respite\) )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 460.47 Tm (care, currently priced at 115 per day for stays at the service under 4 weeks.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 443.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 423.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 406.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 534/Matrix [1 0 0 1 0 0]>>stream xMo0>eclA*8UPuVՖբ;*Ybwwv<ރD;,==`9 }oD9$-g,41gVHWwEs$x9zwj//2PKjBvjOφ]t+ѿ4WHSD߳ݠK!ROXc(jss@*E6E"IބL&іA;(ff^UuE3zBT<`|c'_k'N*+^?-l ]2ꊲmb&!eg{:Ie] \puYUWkOdϾ+zvY8\vV/)8|_ܑ/޹85~|.Fq.)Mz]4Btg4Yb}f`G1 yYN\I]pJ7;rέ4mW9bY;$^iB{3v6g} endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 394.28 715.45 Tm (three star excellent service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (This was a key inspection, which focused on the core standards relating to older )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (people. The inspection was unannounced on a weekday, which lasted nine and a half )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (hours. This report has been written using accumulated evidence gathered prior to and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (during the inspection, including information obtained in thirteen residents and six staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (and health professionals 'Have Your Say' surveys and the Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (Assessment \(AQAA\) issued by the Care Quality Commission \(CQC\). This document )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (gives the provider the opportunity to inform CQC about their service and how well they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (are performing. We also assessed the outcomes for the people living in the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (against the Key Lines Of Regulatory Assessment \(KLORA\).)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm ()Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 90.48 w 32.32 767.29 m 566.72 767.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 720.92 m 568.92 720.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 719.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 719.85 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (A tour of the premises was made and a number of records were inspected, relating to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (people using the service, staff, training, the duty roster, medication and health and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (safety. Time was spent talking with six people living in the home, two visitors and two )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (staff. The manager was present during the inspection and fully contributed to the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (inspection process.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm ()Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 399.66 w 32.32 590.99 m 566.72 590.99 l S 0.001 w 20.58 w 32.7 378.62 m 569.35 378.62 l S 0.001 w 275.11 w 33.82 228.53 m 568.22 228.53 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 390.04 m 568.92 390.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 388.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.04 m 569.35 390.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 367.21 m 569.35 367.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 367.21 m 570.42 367.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 368.29 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 388.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 368.29 m 569.35 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (People living in the home shared their experiences of what it is like for them, living at )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (St Josephs, they told us, they are able to spend their time as they wish and that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (were happy living there. They also told us, "staff in whatever capacity they are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (employed in, show kindness patience and a desire to help each other and every )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (resident. This in turn creates an atmosphere of friendliness, generosity and security. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (The manager or a senior member of staff will always be available and usually an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (answer will be found to any request or problem. I have found staff to be helpful at all )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (times, including the cleaning staff, all staff have an excellent attitude towards residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (and relatives, and provide excellent personal care, and the food is good and nicely )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (presented".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (We also spoke to people visiting the home, who told us, "all staff are friendly and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (approachable, my relative has settled in really well and this makes me feel very )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (confident" and "the staff look after my relative really well, they are nicely settled and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (they have made acquaintances within the home". Other comments included, "my friend )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (has been here nearly two years, it is like living in a hotel with carers around you" and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm ("we are extremely satisfied with the service, my relative feels safe and well supported )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (and the staff provide an all round service of excellent care, with patience and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (compassion". Comments included in the residents, 'Have Your Say' surveys reflected, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm ("I consider the home to be a warm and happy environment, 'Home' is exactly what it )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (feels like, with beautifully kept gardens, building and interiors".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm (Feedback from health professionals, who visit the service, told us, "the staff provide an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm (excellent quality of life to the people who live there" and "the service looks after the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm (social, physical and mental health needs of people in the home well, they would be well )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm (placed to develop a nursing side to the service".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 568.97 589.44 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 376.51 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 373.85 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 377.07 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 226.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm (The service is further developing information about the home using technology to make )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (this information more widely available, via the internet. A short film about the day in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (the life at St Josephs is to be included on the website and a DVD is in the process of )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm (being made to send to all prospective enquirers to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (Improvements have been made to ensure the change over of monthly medication is )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (booked in more efficiently and returns are sent back to the pharmacy more promptly, )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (so that medication not required, is not stored unnecessarily. The homes AQAA reflects )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm (they have responded positively to feedback from residents, relatives and staff about )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (the provision of the breakfast service in the dementia unit. Concerns were raised that )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (residents appeared to be increasingly isolated at this important meal time. A trial )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm (breakfast service in the dining room has been well received, which has improved the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (residents social and nutritional well being.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm (The manager advised us they are in the process of re designing the quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm (surveys, into a more suitable format to ensure these are more user friendly. As )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 117.74 Tm (recommended, in the previous inspection report these should include feedback from )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 103.16 Tm (people who have contact with the home in a professional role, and those residents who )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 226.98 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 33.82 803.74 m 568.22 803.74 l S 0.001 w 20.58 w 33.45 782.41 m 570.1 782.41 l S 0.001 w 108.06 w 34.57 715.84 m 568.97 715.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 793.82 m 570.42 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 770.99 m 570.1 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 793.82 m 570.1 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 770.99 m 571.17 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 660.68 m 571.17 660.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 772.07 m 33.45 659.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 772.07 m 570.1 659.61 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (are unable to complete a survey, or fully communicate their views of the service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 780.86 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 777.64 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 714.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 754.81 Tm (Feedback received in residents surveys, reflected where little improvements could be )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 740.23 Tm (made, to improve the service. These included, in spite of clothes being labeled, some )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 725.65 Tm (laundry does go astray, and more help and supervision in the dining room at lunch )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 711.07 Tm (time, is needed, as more residents require help and encouragement to eat their meal )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm (and the television is often left on with sometimes unsuitable and violent programmes )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm (and more tea tables in the sitting room, would be helpful.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 646.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 626.13 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 626.13 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 626.13 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608.63 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 588.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 568.64 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 568.64 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 568.64 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.14 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 551.14 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 551.14 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 533.65 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 368.74 m 563.65 368.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 97.48 w 32.32 357.5 m 564.78 357.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.63 m 566.98 307.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (People who may use this service and their representatives are provided with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (information they need to help them choose if this service will meet their needs.)Tj ET 0.99608 0.9451 0.76078 RG 213.54 w 33.45 174.99 m 563.65 174.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.76 m 565.9 272.76 l S 0.001 w 192.16 w 32.32 163.18 m 564.78 163.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 260.39 m 566.98 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 261.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 261.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.39 m 565.9 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 269.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.7 Tm (Copies of the statement of purpose and Residents Brochure were provided at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (inspection. These contain detailed information about the services provided, the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (facilities and also includes the complaints procedure. Information about the home is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (provided in a user friendly format, including large print, Braille and on audio tape. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (home is using innovative method to provide information about the service. There are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (plans to develop the website with a short film about the day in the life at St Josephs. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (Additionally, they are in the process of developing a DVD to send to all prospective )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (enquirers to the home. The filming and still photography has been completed and work )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (is in progress to apply the script. The AQAA reflects all the filming was undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (with specific permission from residents, staff and families and visitors.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (People spoken with confirmed they or their relative had had been provided with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (information and the opportunity to visit the home, before deciding if was the right )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (place for them. This was also confirmed in Residents 'Have Your Say' surveys, 12 out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (of 13 surveys returned, said they received enough information to help them decide if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (this was the right home for them. They surveys also reflected all 13 people confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (they had been issued with a copy of their contract. Relatives who had helped residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (complete their surveys commented, "my first impressions of the home are very good, I )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (was recommended St Josephs by friends and am very pleased, all staff are friendly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (and approachable. My relative has settled in really well and this makes me feel very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (confident that their short stay will become a permanent one" and "the staff look after )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (my relative really well, they are nicely settled and they have made acquaintances )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (within the home".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The records and care pathways of three people living in the home were tracked to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (ascertain how well the home is meeting their individual needs. All three people tracked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (had a detailed pre admission assessment completed, which covered all areas of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (individual's health, personal and social care needs. Information provided in the AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (and verified at the inspection confirmed all pre admission assessments, where )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (practicable, are conducted in the residents own home or in hospital, prior to admission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (to St Josephs. Additionally, where people had been referred through social services, a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (copy of the social workers assessment had been obtained, held on file and used to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (complete the individual's care support plan. From the information obtained in the pre )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (admission assessment an holistic care plan is developed, which is person centered, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (and takes into consideration the individuals life history and current needs and choices.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (To ensure the home are able to meet peoples' specific needs, they are supported to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (access extra services through the National Health System \(NHS\) or Social Services )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (including, access to equipment supplies, physiotherapy and audiology appointments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (for hearing aids. Care plans reflected there has been input from health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (professionals, such as the speech and language therapists, dietitians, and the district )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (nurses. Additionally, staff are provided with training to ensure they have the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (knowledge and skills to provide care and support appropriate to the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (individual\(s\).)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (Trial visits to the home are encouraged, to ensure that people considering moving to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (the home are fully informed and involved in the decision making process. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (reflects people that live some distance away or are physically unable to visit, are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (encouraged to discuss the service over the telephone, additionally a senior can arrange )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (to visit them and provide information using photographs to help them to visualise the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (home.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 592.83 m 566.98 592.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (The AQAA and statement of purpose clearly reflect that the service offers emergency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (admission placements, however an initial assessment including obtaining information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (from the clients General Practitioner \(GP\) is still undertaken to ensure the home can )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (meet the individuals needs. The home does not provide intermediate care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (All people moving into the service and their representatives are provided with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (contract, setting out their fees, the roles and responsibilities of the provider and their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (rights and obligations whilst living in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 385.25 m 563.65 385.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 132.47 w 32.32 374 m 564.78 374 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 306.64 m 566.98 306.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (People who use this service receive health and personal care, based on their individual )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (needs, and can be assured that at the time of their death and dying they will be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (supported by a staff team who will have the skills to ensure the comfort and dignity of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (the individual who is dying. )Tj ET 0.99608 0.9451 0.76078 RG 212.54 w 33.45 174.5 m 563.65 174.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.77 m 565.9 271.77 l S 0.001 w 191.17 w 32.32 162.69 m 564.78 162.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.4 m 566.98 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.4 m 565.9 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 268.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (The AQAA states there has been improvements made to the care plan and information )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (gathering process, which has been subject to significant changes since St Josephs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (opened in August 2005. Three people's care pathways and care plans were tracked as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (part of the inspection. Care plans had photographs in place of individual residents to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (identify and personalise the care plan document. The plans are built around the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (individual needs of residents, which have been discussed and written in conjunction )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (with them and their family and includes their preferences, choices and daily routines. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (Evidence was seen that these are being reviewed monthly.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm ()Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (The plans are divided into sections, which include the individuals personal details, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (including next of kin, General Practitioner \(GP\), medical history, medical and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (professional interventions, reviews, support plans and risk assessment. These )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (collectively set out the actions required by care staff to ensure that peoples' health, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (personal and social care needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (Plans are written in a person centered way, 'all about me', and include a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (comprehensive life history. These provided information of the individuals past, focusing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (on significant and important events in their life, what matters to them and why. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (information provides vital links to the persons past, which has formed their identity, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (and forms the basis of communication and provides staff with an understanding of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (individual. Additionally, the care plans contained a good description of how peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (dementia had progressed and the effect it was having on their life. These clearly set )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (out a description of the individual and how to recognise their well being, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (included, 'they are generally a happy person, with a good sense of humour, they enjoy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (the feel of different fabrics and will happily spend hours looking at magazines and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (observing others'. The care plans are set out in a way that could easily be used by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (people unfamiliar with the individual, to deliver a personalised and consistent service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Comprehensive risk assessments are in place, identifying the risks for activities of daily )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (living, such as mobility and personal hygiene and the action required by staff, to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (minimise these, whilst enabling the individual to retain some independence and choice. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (The home uses a traffic light system, no or minimal assistance \(green\), requires some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (assistance \(amber\)and requires hoisting and transfer aid \(red\). The assessments took )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (in all activities that a resident may undertake during the day, for example transferring )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (from bed to chair. It gave staff clear guidance on how many staff were required, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (were applicable, which mobility aids to use. The assessment also gave information on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (any history of falls, condition of skin and any communication and behavioural needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (the resident may have. Other assessments include pressure area management and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (nutrition)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (The manager and a senior have become falls champions, and attend regular meetings )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (with the Primary Care Trust \(PCT\), piloting different ideas to reduce the level of falls )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (for people living in the home. The manager completes a monthly analysis of falls, to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (find out why they have occurred. A sample of the assessments seen reflected where )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (individuals' are at a high level of risk, action has been taken to minimise these. One )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (individual who had had 7 falls within a month, had been provided with appropriate aids )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (and equipment to promote independence, minimise the risk of further falls and had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (had their medication reviewed by their GP, which had reduced the number of falls. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (monthly analysis is put onto a graph and provided to seniors to monitor and to review )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (each person at the end of each month to assess if the level of falls has reduced.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Daily records are well written and provide a good overview of how each individual has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (spent their day, they also document the care provided and give an indication of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (individuals' health and well being. These reflect people in the home are able to access )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (health care services, when required. The home has a positive relationship with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (local GP and district nurses, who make regular visits to the home. Dates and details )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (and outcomes of appointments had been clearly recorded in peoples care plans. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Additionally, the AQAA reflects the home has contact with outside agencies including )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (chiropody, continence advisor's, dental, optical, audiology, pharmaceutical and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (mobility suppliers, which ensure people using the service, can maintain choice when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (receiving these services.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (One of the people tracked during the inspection, due to deterioration in the health has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (been assessed as requiring permanent bed rest. A new assessment has been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (completed reflecting the equipment provided to aid their comfort and wellbeing, it also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (reflect staff are to pop in at frequent intervals to chat and ensure radio or TV is tuned )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (into appropriate programmes for background sounds. Staff were observed in their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (room chatting with them. The required health charts are being kept and monitored, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (such as fluid intake output, turning and nutrition charts, to reflect they are receiving a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (good intake of fluid and a balanced diet.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The AQAA reflects staff are trained in the delivery of person centered care, providing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (choices, and treating people with dignity and respect at all times. The staff actively )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (encourage residents to maintain a level of independence, encouraging them to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (complete even the smallest of tasks for themselves. This is particularly the case within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (the dementia care unit, residents are encouraged to assist where they can as this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (improves their well being. This was confirmed in discussions with residents and staff. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (Staff were able to give a verbal account of the needs and preferences of individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (residents. People living in the home confirmed that staff treat them with dignity and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (respect. The interactions between residents and staff were observed to be friendly and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (appropriate. A relative who had helped a resident, to complete their 'Have Your Say' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (survey, commented, "as a relative I would like to praise the staff for their support and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (care, it is not an easy task, but the staff are always cheerful and willing". Another )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (person spoken with commented, "the resident in the room next to me is enough to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (drive me round the bend, however staff are so kind and patient with them".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Time was spent with the senior observing them administer the lunch time medication. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (They had a good knowledge of medication and about ensuring people receive their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (medication at correct times and complications that may arise from missed medication. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (The home uses the Monitored Dosage System \(MDS\). Photographs of residents had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (been attached to the Medication Administration Records \(MAR\) charts folder to avoid )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 723.71 w 33.45 449.55 m 563.65 449.55 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 702.34 w 32.32 437.74 m 564.78 437.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 85.44 m 566.98 85.44 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (mistakes with the persons identity. The practice of administering medication is being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (generally well managed. The MAR charts inspected were found to be completed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (correctly, staff had made good use of the codes to reflect if medication had not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (administered and the reason why not.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The medication room is well equipped, and contains a controlled drugs cupboard which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (meets regulations and a small fridge for medicines. The temperature of the fridge and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (medication room is being monitored daily to ensure they are at the correct safe )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (temperatures for storing medicines. 7 people are currently prescribed controlled drugs. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (A random inspection of three peoples controlled drugs was checked against the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (controlled drugs register and found to be accurate, which reflects, people are receiving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (medication as prescribed, by their GP.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (The home has comprehensive range of policies relating to self medicating and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (ordering, storing, administration, monitoring and returning of unused medication. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Improvements have been made to ensure the change over of monthly medication is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (booked in more efficiently and returns are sent back to the pharmacy more promptly, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (so that medication that is not required, is not stored unnecessarily. Carefores Home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Director of care services undertakes regular spot checks and audits of the medication, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (to monitor and encourage good working practice. The most recent medication audit, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (carried on 6th June 09, sampled 4 boxes of medication, these were found to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (correct, and blister packs checked, were found to be consistent with the MAR charts.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The AQAA reflects staff at St Josephs treat all residents who are dying with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (compassion, dignity and understanding. This is extended to their families and friends )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (who need a tremendous amount of support during this difficult time. The staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (honest and open with everyone to ensure that the individual receives the very best )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (care including pain relief, access to spiritual needs and the comfort from their families )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (and loved ones. Staff respect the individuals need for quiet and they go about their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (work in an unobtrusive way whilst ensuring that everyones needs are met without )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (delay. This was confirmed in a discussion with staff who commented, "this is a home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (for life, we look after residents regardless of how long they are here, and it is a big )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (comfort to residents to know that they can stay here". A residents, 'Have Your Say' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (survey also commented, "during recent months several residents have been unwell )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (and there have been several deaths. I have been very aware from my own experience )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (and observation of others, how extremely good the care staff have been with much )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (patience, people have gradually got better. Where death has occurred there has been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (great sensitivity in dealing with situations. To me personally this extremely good care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (and kindness of staff has been greatly appreciated and is very reassuring".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 436.74 m 563.65 436.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 97.48 w 32.32 425.5 m 564.78 425.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.63 m 566.98 375.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (People using this service are supported to make choices about how they spend their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (time and to live ordinary and meaningful lives. )Tj ET 0.99608 0.9451 0.76078 RG 281.54 w 33.45 208.99 m 563.65 208.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.76 m 565.9 340.76 l S 0.001 w 260.16 w 32.32 197.18 m 564.78 197.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 328.39 m 566.98 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 329.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 329.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.39 m 565.9 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 337.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.7 Tm (Discussion with residents and visitors and information provided in the AQAA confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (St Josephs goes the 'extra mile' for the residents to ensure their experience is the very )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (best. During our visit we spoke with six people living in the home who shared their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (experiences of what it is like for them, living at St Josephs. They told us, they are able )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (to spend their time as they wish and that they were happy living there. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (included, "I like being here, they look after me well and staff spend time taking me )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (out" and "I spend my time watching soaps, I go out shopping with my family, and I )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (pursue my hobby of flower arranging, nothing could be better and I have no criticism )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (of the home, it is excellent". One person began the conversation with negative feelings )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (about the home, however further discussion reflected they were in the process, of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (making a difficult decision to sell their home and move into residential care on a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (permanent basis. They commented, "the care provided to others in the home is second )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (to none and that staff are all very nice and helpful". Other residents told us, "I love )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (living here, I get good care. I can do what I want, go out for the day with friends, )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (spend time in the garden. I have a call pendent, so that I have access to staff when I )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (need it, and I have regular visitors and activities are available, but not really anything )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (I want to join in with, however I do attend functions such as BBQ and quiz nights".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (We also spoke to two people visiting the home, who told us, "I visit regularly, it is a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (terrific home I can not complain, if I did have concerns would go to the manager" and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ("my relative can be a bit aggressive, however the staff communicate in a very nice )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (way, I normally visit, twice a week around lunchtime, the food is good, and I am )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (always offered a meal" and "the home is like a 5 star hotel, our family feel comfortable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (with our relative living here, they are well looked after, they are good staff, staff get a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (smile from them. There are always plenty of staff around, particularly in the dementia )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (unit". One of the visitors told us, "my friend has been here nearly two years, it is like )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (living in a hotel with carers around you. I am very happy with the service they are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (receiving, the care staff are very friendly and helpful, whenever my friend asks for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (something, they respond very quickly".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Information provided in the AQAA and verified at the inspection confirmed staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (support residents in both parts of the home to participate in activities, within the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (or outside. Staff and management work hard to raise funds to ensure that activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (are available. Many of the fund raising exercises include social gatherings such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Christmas party, summer BBQ providing an opportunity for residents, families and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (staff to get together and really build the 'family' feel of the home. The introduction of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (quiz night once a month has been a huge success and was well supported by families )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (and friends, a few of the residents joined staff teams to add support.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (However, one person spoken with commented there were not enough activities in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (elderly frail unit and more frustratingly that people don't want or are unable to take )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (part. Discussion with the manager and confirmed in the AQAA reflected that activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (are widely publicised for the residents who reside in the frail elderly part of the home, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (however it can often be difficult when external activities tailored to accommodate their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (requests, are planned and then they do not wish to attend. Activities provided for all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (people living in the home include, group physiotherapy sessions, chair exercise class, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (entertainment, board games, art and crafts, film shows at The Bridge Project, day trips )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (including trips to the shops, beach, garden centres, treasure hunt, quiz evening and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (flower arranging.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Time was spent sitting with people in the dementia unit observing what was going on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (and the general interaction between staff and residents. People were observed walking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (about the home and in the garden, some had chosen to stay in their room. There is a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (relaxed 'go with the flow' approach in the unit, staff and residents started playing with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (a balloon, and other residents joined in. Staff were seen sitting and just being with )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (people and there was a lot of feeling based communication, hugs and touching to offer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (love and reassurance to people. One resident was observed sitting and playing and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (cuddling a fluffy owl, which they were clearly fond of and invited the inspector to feel )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (how soft it was. Staff are aware of peoples past interests, one resident used to play a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (lot of golf, a pitch and put has been purchased for the garden and some garden shears )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (for another resident who likes to do some gardening. The manager advised there are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (spare handbags, general bric a brac, dressing up clothes and fluffy cushions situated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (around in the dementia unit, although not seen, the manager commented these had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (most likely been removed by residents. A tog wheel on a board has been mounted on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (the wall outside the lounge, providing a tactile object for people to use. Three )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (residents were observed baking fruit buns. Another resident was seen entering and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (spending some time in the relaxation room, which has a range of sensory objects, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (such as fibre optics, a projector, bubble tube and music. Staff use this room to provide )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (residents with soothing and relaxing hand massages, using therapy oils. People )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (confirmed, they are encouraged to undertake domestic tasks, one resident has a daily )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (routine of folding napkins and laying the tables at meal times.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Memory boxes have been put together for all residents living in the dementia care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (unit. A sample box was seen during the inspection. Boxes have the persons name )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (printed on them, residents are encouraged to help personalise the boxes on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (outside and place memorable items inside. These boxes are kept in peoples rooms to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (be used at any time of day.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The AQAA reflects the home does not have set visiting times, families or friends are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (encouraged to visit at anytime, and many stay for lunch or supper. This was confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (in discussion with residents and visitors and observation of people receiving visitors )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (throughout the day. There was a lot of activity with people going out with staff and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (relatives.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (The resident group is predominately white European however the AQAA states there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (are two people of different nationalities living in the home. Both have lived in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (United Kingdom, for over thirty years and both speak excellent English. The home is a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (multi cultural employer, which recognises the importance of maintaining cultural links )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (for people living in the home. This is of benefit to one of the residents as two staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (from the same country are able to converse with the resident, in their native language. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (The other resident receives visits from a relative each week and they also converse in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (their native language.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (The menu displayed by the dining room reflects the home offers a wide and varied )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (choice of meals. Hot and cold drinks and snacks were seen being offered throughout )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (the day. The AQAA reflects only fresh ingredients, including seasonal vegetables and )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 163.84 w 33.45 729.48 m 563.65 729.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 142.47 w 32.32 717.67 m 564.78 717.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 644.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 644.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 645.32 m 566.98 645.32 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (local suppliers particularly for meat and vegetables and fruit. Pictorial menu cards have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (been a resounding success for residents living dementia encouraging them to take an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (interest in what they eat. Residents 'Have Your Say surveys' told us, "the food is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (excellent, yet to hear anyone complain about the food, and the food is home cooked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (and the meals are healthy" and "we are helped and encouraged to eat more that we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (would ourselves". One person commented, "a bottle of beer now and then would be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (welcomed".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 479 m 563.65 479 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 114.98 w 32.32 467.75 m 564.78 467.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 408.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 408.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.14 m 566.98 409.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People who use this service have access to a robust and effective complaints )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (procedure and are protected from abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 315.04 w 33.45 225.74 m 563.65 225.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.27 m 565.9 374.27 l S 0.001 w 293.67 w 32.32 213.93 m 564.78 213.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.89 m 566.98 361.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.89 m 565.9 361.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 370.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (The policies and procedures for dealing with complaints, whistle blowing and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (safeguarding the people living in the home were examined. The complaints procedure )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (is also displayed in large print for those with poor eyesight, it can also be read to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (individuals if this is identified as a need. People using the service, relatives and staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (confirmed they are aware of the complaints procedure and are encouraged to raise any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (concerns or complaints they may have. They were clear they would talk to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (manager about any concerns and were confident that these would be dealt with. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (Residents and staff told us, "the manager is very approachable and I feel able to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (discuss any concerns openly with them". They also told us, "they are extremely )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (satisfied with the service and that they feel safe and well supported and the staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (provide an all round service of excellent care, coping with patience and compassion )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (with all demanding situations which can arise, time is always found to deal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (sympathetically, with enquiries".)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (Of the 13 residents 'Have Your Say' surveys returned, in response to the question, did )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (they know who to speak to if they were unhappy, 12 people had ticked the 'always' )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (box, with one person making no comment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (The complaints log was seen, which reflected 9 complaints have been made about this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (service, in the last twelve months. Information in the log book confirmed the 9 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (complaints, numbered 14 to 22, had been investigated and feedback with written )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (response to complainant within timescales, who were satisfied with the outcome.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The homes Safeguarding Vulnerable Adults \(SOVA\) policy was reviewed in April 2009. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (It clearly defines what is meant by a vulnerable adult, types of abuse, prevention of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (abuse, and what staff should do if they suspect abuse. The AQAA reflects the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (take the protection of vulnerable adults very seriously and that this is emphasised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (during training. Training is open and interactive, and staff are encouraged to talk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (about their experiences and what they would do in certain circumstances. Staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (monitored through supervision on their understanding of SOVA issues and verbally )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (tested through the supervision and training route. Additionally, external training in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (safe guarding is now becoming the normal process of the company, utilising free )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (training that is available in both Essex and Suffolk. Staff also have access to e learning )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (\(computer based training\) offering staff more flexibility in the way on which they learn.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Staff spoken with were clear about their role and their duty of care to raise any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (concerns they may have about other members of staff conduct and in reporting of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (incidents of poor practice and suspected situations of abuse, however they were less )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (clear about reporting incidents to the local authority safeguarding team via Social )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Services, Customer First service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (The home has an open culture where individuals' told us they feel safe and supported )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (to share any concerns in relation to their protection and or safety. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (continues to let us know about things that have happened in the home and they have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (shown that they have managed issues well. Two safeguarding referrals have been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (made about this service by the adult and community services based at West Suffolk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (Hospital regarding two admissions from the home to the hospital. The home worked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (well with social services and us, to ensure both incidents were fully investigated, with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (satisfactory outcomes for both individuals, who remain at the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (Discussions with staff confirmed they had received training to support people whose )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (behaviour could develop into physical and verbal aggression. They were able to give )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (clear descriptions of how they would support people to manage this aspect of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (care. One person commented, "I have not really experienced a situation, of aggressive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (behaviour, however residents have every right not to like you and sometimes they just )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (don't. In these situations, I would find another member of staff to support them". )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Support plans and Antisocial Behaviour Charts \(ABC\) charts are in place, which reflect )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 268.82 w 33.45 677 m 563.65 677 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 247.44 w 32.32 665.19 m 564.78 665.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.34 m 566.98 540.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (the types of behaviour the individual may exhibit, things that may trigger behaviour to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (occur and staffs approach to deal with the situation. These are person centered, in that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (they focus on what is important to the individual, the antecedents, and consequences )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (rather than the behaviour itself and recognise that behaviours are determined by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (feelings and emotions and to prevent behaviour from escalating, these need to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (understood.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Staff files and discussion with staff confirmed all staff are subject to Criminal Records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Bureau \(CRB\) checks prior to commencing employment. This was confirmed in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (discussion with staff and comments received in staff have 'Your Say surveys', which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (included, I had to wait at least a month before I could start work waiting for my CRB )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (and recruitment checks to come through and I was recruited fairly and had all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (documents in place prior to employment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The physical design and layout of the home provides the people who live there with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (safe, well maintained, comfortable and a homely environment, which encourages )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (independence and wellbeing. )Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (On entering the home there is a nice atmosphere. The AQAA states the home provides )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (a quality homely environment, which has often been described by our residents as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (more like a hotel. St. Josephs is homely, it is not simply a care home but it is the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (residents home and also a home to their families. This was confirmed by our visit to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (the home and in discussions with people living there and visitors and in 13 residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm ('Have your Say' surveys, which told us, "I consider the home to be a warm and happy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (environment, the rooms and public areas are always spotless and the bedrooms are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (kept clean, as well as all the living areas" and "St Josephs is fortunate in its setting, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (which provides a very pleasant environment inside and out. 'Home' is exactly what it )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (feels like, with beautifully kept gardens, building and interiors" and "the home is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (comfortable and clean, with nice gardens, and nice staff, which makes me feel safe".)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (The home is bright and welcoming, with spacious communal areas, which are nicely )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (decorated using colours, which are pleasing to the eye and create a calm and homely )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (atmosphere. Furnishings are domestic in style, as are the lighting, carpets and )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (curtains. Soft furnishings throughout the home are designed for the specific use of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (older people, without being clinical. The lay out and design of the home enables the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (people who live there to be as independent as possible. Corridors and door ways are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (suitable for electric and self propelled wheelchairs and there are numerous disabled )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (access doorways to the outside, to ensure ease of movement throughout the building.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (St Josephs is divided into two units, one for elderly care and a specialist dementia care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (unit, known as Gainsborough. The elderly unit consists of 33 single rooms, on two )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (floors, each with toilet and hand wash basin en suite facilities. 23 of these have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (additional en suite showers installed. A further 8 en suite bedrooms are provided in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (convent area of the home. Gainsborough unit has 17 rooms on the ground floor and a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (further 9 single rooms on the 1st floor, these all have toilet and hand wash basin en )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (suite facilities, 2 of the rooms on the 1st floor also have en-suite shower facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The elderly unit has two lounges, one large with a conservatory leading out into the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (garden and a smaller lounge over looking the front entrance, used as a private )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (meeting area for residents and their guests. Other communal areas consisted of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (dining room and 3 small kitchenettes for residents and relatives to make their own hot )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (drinks and snacks. The home has its own hairdressing salon, a regular hairdresser )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (visits twice a week, people also have own hairdressers visit. The room is also used for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Chiropodist visits. The convent has its own lounge, residents kitchen and bathing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Gainsborough unit is self contained and has the added security of a keypad entry )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (system on entrance doors and a safe fenced garden. Bedroom doors have monitors )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (fitted to them linked to the nurse call system, alerting staff if residents leave their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (room at night. The unit has been specifically designed with wide corridors, which flow )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (into communal seating areas and out into the gardens, to allow people freedom of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (movement. There is a sensory room and a small kitchenette for residents who have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (supervised access for cooking. Communal areas are provided with a range of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (comfortable seating, including sofas and armchairs. The enclosed garden over looks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (the river and a school, we were advised people enjoy watching and hearing the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (children at playtime.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (The home has two gardens both have views over the river and water meadows. These )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (are well maintained, with a range of plants, flowers, hanging baskets and seating for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (people to enjoy in the nicer weather. The garden area for Gainsborough unit is safe, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (well planted, bright and interesting for the residents. The AQAA reflects one of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (residents has developed and designed the garden area on the annexe who describes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (this as their contribution to the beauty of St Josephs, they tend to the garden with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (assistance of the regular gardener.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (People living in the home are encouraged to personalise their rooms, and to add )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (finishing touches of their own to make their living space more homely. Bedroom doors )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (in the dementia unit had pictures of the individual or of animals attached to help )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (people recognise their room. Bedrooms are nicely decorated with peoples personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (effects to reflect their individual personalities, hobbies and interests.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Information provided in AQAA and verified at the inspection confirmed the home is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (maintained to a high standard of decoration. An operations manager has been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (appointed to oversee the management of the environment. There is an ongoing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (programme of maintenance to ensure the home retains its current high standard of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (decor. The main dining room, lounge, hallways, and several bedrooms have recently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (been redecorated, with further plans to replace some of the carpets in bedrooms on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Gainsborough unit, as these have become tired and worn. Additionally, the AQQA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (states there are plans to re decorate areas of the dementia unit, as it appears rather )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (plain and lacks depth of colour. This is to be discussed at the September residents and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (relatives meeting, to look at ideas of how improvements can be made.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The home has sufficient bathrooms and toilets available to meet the needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (people living there. The elderly unit has 3 separate bathrooms, with Jacuzzi style air )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (baths, with providing optional hydro massage facility, these are fitted with an electric )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (hoist. 1 bathroom also has a disabled access shower cubicle. The dementia unit has 2 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (large bathrooms 1 with disabled access shower, both with fixed hoists; these too are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (fitted with the optional hydro massage facility.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (The home is generally equipped with aids and equipment to promote mobility and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (maximise peoples independence, including grab rails and other aids, which are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (available in corridors, bathrooms, and toilets and where required, and in residents own )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (rooms. The home has a range of hoists. Risk assessments seen in peoples care plans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (confirmed, each person is assessed to ensure the correct equipment is being used.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (Call systems are provided throughout the home in all individual and communal rooms, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (people also have access to pendants which link into the call system and ensures that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (people using the service have access to staff at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (The laundry facilities are clean and tidy with appropriate equipment to launder soiled )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (linen, clothing and bedding. Systems are in place to minimise risk of infection via the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (use of dissolvable red bags for any soiled laundry soiled. Additionally the home has an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (OTEX laundry system, which controls the risk of infection. The system works by lifting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (the fibres in the clothing, the injection of ozone into the water ensures disinfection of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (the clothing, without the potential risk of damage to the clothing. Appropriate )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 268.82 w 33.45 677 m 563.65 677 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 247.44 w 32.32 665.19 m 564.78 665.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.34 m 566.98 540.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (protective equipment, such as aprons and gloves and hand washing facilities of liquid )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (soap and paper towels are provided in all en suite and toilet facilities, where staff may )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (be required to provide assistance with personal care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (The AQAA reflects staff training in the control of infection is ongoing with regularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (inspections by senior managers and ongoing monitoring by senior staff, to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (at all times the control of infection does not go unchecked. Of the 13 residents 'Have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Your Say' surveys returned, in response to the question is the home fresh and clean, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (10 people had ticked the 'always' box, with three people ticking the 'usually' box. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Discussion with people and their relatives during the inspection also told us, "the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (is always clean and tidy, the cleaners are always in and out, and there always toilet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (rolls available".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People using this service are supported by a staff team that are available in sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (numbers and who are trained, skilled and competent to do their jobs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (Information provided in the AQAA and verified at the inspection confirmed, St Josephs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (has a very dedicated team of staff, many of who have been employed at the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (since it opened. The duty roster reflects the home is staffed twenty fours a day, seven )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (days a week. The normal staffing ratio is 12 staff between the hours of 8am and 2pm, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (and 10 staff between the hours of 2 to 10pm. These figures include a senior care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (officer and senior care assistant on each shift. Staff are split between the two units, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (normally 5 staff to each unit, however staff confirmed this depends on the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (residents, and staff will swap, they are not restricted to set numbers. Nights are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (covered by 4 awake staff between the hours of 10pm and 8am. There was evidence )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (from the staff rota, discussion with residents and staff that staffing levels are well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (maintained. We received 6 staff 'Have Your Say' surveys, which told us 5 staff thought )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (there are enough staff to meet the needs of the people using the service, one person )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (did not make a comment.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (The AQAA states staff are very keen to improve their levels of training and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (understanding of their roles. All 6 staff surveys told us, they received good training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (and support to ensure they have the skills and knowledge to do their jobs and to meet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the different needs of the people living in the home. Training courses are held )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (internally and externally, privately and college based. Some of the training is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (mentored in house, through written and verbal questioning, and externally assessed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (and formally accredited. Staff also attend conferences and care shows, and have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (access to e learning \(computer based training\). Subjects available to meet the specific )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (needs of the residents include stoma care, falls, Parkinson's, continence, epilepsy, non )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (violet intervention and neurological disorders. Records, discussion with staff and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (information provided in the AQAA reflects the most recent training has included )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (moving and handling, dementia care, food hygiene, first aid, safeguarding adults, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (mental capacity, deprivation of liberty, health and safety, risk assessments, control of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (substances hazardous to health, medication, infection control, customer services, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (principles of care, falls and prevention and food safety management.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (St Josephs has 44 permanent care staff, 29 staff have completed an NVQ 2 or above. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (These figures reflect the home has 65 per cent of staff who hold a recognised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (qualification, which is above the National Minimum Standard \(NMS\) 50 per cent. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (AQAA reflects more staff have been enrolled to take higher level awards, which has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (become normal practice with several staff gaining level 3 and now working towards )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (level 4. Discussion with the director of care services and the manager confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (training is given priority. Seniors are to attend training in September, run by dementia )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (care matters, which will provide an holistic approach to dementia care. A traffic light )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (system is used on the computer, which indicates amber when training is due. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (organisation has a rolling programme of mandatory training and has access to distance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (learning through local colleges.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (Comments received in residents surveys confirmed the staff are always very friendly, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (helpful and very caring. Discussions with staff and observation of their actions with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (residents during the inspection confirmed this. One member of staff commented, "it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (can be difficult to communicate with people with dementia", they described how )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (peoples moods could change, happy and bouncy, and then sad. They demonstrated a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (real feelings based approach to support the individual by, sitting with them, offering )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (them cups of tea, reassurance and comfort, and trying to encourage happy memories.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (The AQAA reflects the home has a robust recruitment processes in place, to select the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (right candidate and to protect the people living in the home. All 6 staff surveys, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (records seen and discussions with staff confirmed they had been recruited fairly and all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (relevant documents and recruitment checks, required by regulations, to determine the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (fitness of the worker had been obtained prior to them commencing employment.)Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 408.78 w 33.45 607.01 m 563.65 607.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 387.41 w 32.32 595.2 m 564.78 595.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.37 m 566.98 400.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Carefore Homes Ltd has their own induction processes for care staff, which meet the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Skills for Care, Common Induction Standards \(CIS\). Records seen and staff spoken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (with confirmed they had received a very good induction, which included an orientation )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (tour of the home, introduction to care home procedures, health and safety issues, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (personal care, and moving and handling. 3 staff ticked the box 'always' and 3 ticked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the box 'usually' in response the question, if their induction covered everything they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (needed to know to their job. Additionally staff spoken with confirmed they had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (received a good induction, one person told us, "I feel my induction and training is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (ongoing, we are on a constant learning curve".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Discussion with staff during the inspection told us, they enjoy working in the home, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (comments included, "I enjoy coming to work the residents are lovely, and I have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (worked in 3 different care homes and this is the best" and "I can not think of anything )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (to improve, we have a very good staff team, we never use agency, all of the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (flexible and will cover for each other". Other comments included, I have worked here )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (since the home opened, we had days and days of training, and got to know building )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (before people moved in and we get a lot of training" and "staff are happy here, we are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (a contented workforce who work to a high standard, I cannot think of anything that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (could be done better". Another person commented, "I have worked in many residential )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (homes, working at St Josephs is the best. I would like my grandparents to come here, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (I would recommend St Josephs".)Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 368.25 m 563.65 368.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 132.47 w 32.32 357 m 564.78 357 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 289.64 m 566.98 289.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The management and administration of the home is based on openness and respect )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (and is run in the best interests of the people living there by a competent and qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (manager.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 195.54 w 33.45 166 m 563.65 166 l S 0.001 w 1 1 1 RG 22.5 w 31.2 254.77 m 565.9 254.77 l S 0.001 w 174.17 w 32.32 154.19 m 564.78 154.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.4 m 566.98 242.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.4 m 565.9 242.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (Lorraine Hodges is the registered manager of the service. They have a range of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (qualifications to support their position as manager, which include the Registered )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (Managers Award \(RMA\), National Vocational Qualifications \(NVQ\), levels 2, 3 and 4 in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (care, NVQ assessors award and a 1 year diploma award 'An emotional Journey', )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (accredited by Surrey university. The director of care services provided information in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (the AQQA about the management of the home. They commented that the manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (has worked tremendously hard to achieve their own personal goals as well as those of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (the organisation. They also comment that the manager has a strong sense of loyalty )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (and duty to the residents, staff and the company, and is constantly looking at ways to )Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 82 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (improve the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Information received in the 'Have Your Say' surveys and discussion with residents also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (provided positive feedback about the manager, comments included, "the manager is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (first class, no one could wish for better, they are very patient" and "the manager has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (an open door policy, I can approach them or the seniors if I have any concerns". Staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (told us, "St Josephs has a very good manager, they are supportive and understanding, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (they spend a lot of time with the residents and their families and us", and "we have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (support from the manager I find them very understanding and they always put the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (residents first, they undertake activities with residents, including in their own time, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (which I admire".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (The AQAA reflects there have been changes to the management structure, within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Carefore Ltd, with additional posts created. The creation of the Operations Manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and designated administrative support has meant that the roles and responsibilities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (have been re defined, reducing some of the pressures on managers of the services. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Monthly managers meetings have given managers the opportunity to meet, with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (director of care services and to share ideas.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (The manager completed and sent us their AQAA when we asked for it, it contained )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (excellent information about the service, which supported evidence found during our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (inspection. The AQAA reflects a high level of understanding about the importance of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (equality and diversity and evidence to show they listen to people living in the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (and consult with relatives. The AQQA clearly demonstrates where the home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (improved and what further improvements they intend to make to further enhance the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (the service, they are currently providing.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (The Director of care services makes regular visits to the home as part of these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (organisations commitment to monitoring quality and performance and to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (people living in the home receive the very best in service and care. They meet with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (residents, families, staff and other residents representatives during these visits, taking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (into account all of their views including noting what the home does well and also areas )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (that could still be improved. Additionally, surveys are sent annually to obtain residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (and relatives perspective of the service. These are currently provided in 'tick box' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (format and the manager confirmed they are looking to develop these to make them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (more user friendly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (People using the service are provided with opportunity at regular residents meetings to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (have their say about how the service is being run and managed. The minutes of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (meetings are then made available to residents. Staff join these meetings to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (that people are provided with the opportunity to have their say and express their )Tj ET endstream endobj 83 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 84 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (opinions, particularly those with communication difficulties. The AQAA reflects yearly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (relatives and residents meetings are also held, these again are formal meetings with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (specific agenda and minutes produced. Relatives, friends, residents and residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (representatives are encouraged to submit details of what they would like placed on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (agenda. This ensures that every individual is given the opportunity to share their views )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and concerns on what we do well and also what areas they would like to see )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (improvements in.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Handling of peoples individual finances were not inspected on this occasion, however )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (the AQAA provided detailed information of the processes in place to ensure residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (financial interests are safeguarded. As part of the new management and support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (structure the AQAA reflects personal finances are now handled centrally at Blackbrook )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (House, another Carefore run home. Cheques are cashed through the residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (personal finance cheque account operated by the administration department. A small )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (amount of cash does remain on the premises of St Josephs and invoices for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (hairdressing, chiropody, manicures, newspapers etc are sent to Blackbrook House and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (paid from the residents cheque account. Accounts and statements are sent out on a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (monthly basis to the person who manages the resident personal finances. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (accuracy of the residents money confirms that this was the most efficient and secure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (way of managing this aspect of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (Records seen, discussion with staff and feedback in staff 'Have Your Say' surveys told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (us that staff feel supported to do their jobs. 5 staff ticked the box 'always' and 1 ticked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the box 'usually' in response the question, do you get enough support from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (manager and meet to discuss how you are working. Staff commented, "I get good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (support from the manager and director of care services, who is often at the home" and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ("I receive regular supervision and supervise care staff, we are will supported".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (A certificate was seen in the entrance hall, reflecting Babergh District Council, yearly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (visit to the service, to inspect food safety and management. They have a scoring )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (system referred to as 'scores on the doors', which reflected that St Josephs had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (received a positive 4 star rating, out of a possible 5.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (The home takes steps to safeguard the health, safety and welfare of people living and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (working in the home. Risk assessments are carried out for all safe working practices )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (with significant findings recorded and the action taken to minimise risks occurring. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (most recent gas, electrical safety certificates, including Portable Appliance Testing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (\(PAT\) were seen and records showed that all equipment is regularly checked and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (serviced. Certificates confirmed the passenger lifts and moving an handling equipment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (is being regularly serviced as per the manufacturers recommendations in line with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Lifting Operations and Lifting Equipment Regulations \(LOLER\). The fire logbook showed )Tj ET endstream endobj 85 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 86 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (36)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 93.86 w 33.45 764.48 m 563.65 764.48 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 72.48 w 32.32 752.67 m 564.78 752.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 714.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 714.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 715.3 m 566.98 715.3 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (that the fire alarm, emergency lighting and fire fighting equipment is regularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (serviced. Emergency lighting and the fire alarm system are tested weekly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET endstream endobj 87 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 94 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 95 0 obj[6 0 R/XYZ 0 272 0] endobj 96 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. 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. 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 105 0 obj<> endobj 106 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 107 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 108 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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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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