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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 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dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 86 0 obj<> endobj 87 0 obj<>/FontDescriptor 86 0 R/DW 1000>> endobj 88 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 89 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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iV7USԅ=W1KzDBy A釆Fe習'c](\tt2kM`ep`~wۻaШQ y%d8m-hsǍ|L7*<;<|PGX?w*;*Jf7V-~y 5*Jx=p@-Q-2L;:즫*O>3 ^ޡENpH2!t=TBHﱠn]/"S[*%ɨ52kG^4'zYrX$XgՁYOzocGD4vLr\AIIGjHsEtkieeJ*Q"5 T;mQ!E `c;'ϕ&n$g߯c|a8>|A">!W4,+/t$%BY8"6V+*9= OliDb<Wz<*aJfU YDV\Kc2Tkj51 j*A&pZ,E)Wt+ »w[PJKqTp+I`VUr$Gp$ŞQ{%"]dr@c{C oX|kN}&˵˳d7M.'*~u@nJY9JUGINz-~e*(>5H 8Љbze:e[VY'`" L@%ی|ҭ4P&yQgZ/n A2ėn̰̓Lе %$3hbe9jƅğ 淧%6lFr7?ɅO#[PE-.m:TTX:PSH(!TiIKtٱչ9Jxt8[)={6y*Cb{oG盧sRw;\4O\۱8Y MQMS*vA`sT?lPN;Z Z+T#Gq{^~8bH֬k] 2!{j{:e (Mz #Ԁp rěd\y=_[SUg @Jx!UT题EX'U<3e!.[#'"bjC#tC-:JPFHlJT8I;jE]zM !'P"XDe(q>ɨdC-Agr5*|&68)1aw"+5i4˪t9t|CAl~JjE/Ҙϐ/T]_7O{sX7.J=iKjƇԩ[gP\" \+WVr1'- П&3&};.S|HnMJOM00 U hF(>˿C1:bESWp|;zT|&9 fL7yTnɋe &3I@UVcHp_ hy{ |FeSCXdP3SZdf̒@ m+J³(*PRl# "l.cG}:if[XqoU,4HC#"%e> GOܟ/ԌsVew$ġ SH) hYjs輞ﻢvbp]z{ouVj'A/?-plaC3 jr,9ب/^ 5*9!1LKW+Z?߼L{ޗÔJpAӘw! e?' -@w'^s'4q&7rdH<L^EĈTdcy[r%ze$R*3}b+5f M!J˞j[Ah9:!d-n/U ADKwxʥ$!pR9`1ho[ Cvik^3PiO,xbsOk_@2G:c| P{"ZRT{ [!!`=|w;.(uc= 4c^4rǽ>r*Pq*57$E eVϱJY˿F?v$oZ$36&VCƤ#4`5K=k$b߶FU4I`f.?~}d #٩̀i}`ć񠇈p;KuJ&V|΅Uln Jf 67rT Ppuv{5:KQzJ slݥ 1 5"O+ \2p!Ui&]?)`.X4{MyERU}q&Ca럂Z<`0>}S,zXMpQ`r}ڣ=P%42tT0xr8~M %kei G=tcQ_@RaLrhD0cfӷ cZf^,{y, }|7;ݒ_qY'hxWB+IӬj٨jʯV粿 ik y=f&CuwKL;G,Q./}ꨭ`OgȮOxzѩ oA<_ Vf׮ t[#^ cX[V #F>>=#L<Ip#Z`@)wp_m"ɿ6o_O. +.}V= QGisH~râLTmo.RIw gia/S])l6OgAQXh1}'^C"gV^qaպ.~e^ wYJ6/Ʊ "( ̘1wx5ƞ  p|=19}vr%ϲSQ%_o\aY3[ߩ-w4T\jP z E/5%]e'tt^ k ܮQ̂Tq9hC9g-=<$t~ۄdfؕ;g>ۣƫ̈K.zMf?g_ :q’vgL,QV\sQzͭNB=+B0-GBDjj܊O8Czךn[$77X&#EϠP[sٶ1JjPB[j<,%x͂Ց71P# bz@q ]Uk>?њ".Z(<[OJ n|O}#X:N0 rw6~+@8ԚyR^&t |ݢ?AKn& @(7rBGNXoO-[3kaM ?"beaDIbݵ:G"*(y_[m]TVsHlPϙ[gWTM [DA#G-^7!ivdoh-.WskLT4s9um<ҖGK_ vTe~jBt50?_x qC7p )8<"10m6ʩGx[IgA̙jS7̷f= NȊYM7+73tI89DI'LN/1FSLgBdx/ʀ' ](aV!bzz-"y|ۏ_lh aoGJbiQ5,ZՄ)۾0s},%vC~ : ϴP`{d(T M{{bo7tt˨@oyh~J|7CF|Np9arLJ,?$?cxkݚ5dgV}t_믑g7 伶*Z\Ex|ƧIoMY?%)"2Qa%*$s~ne$I.i/FM0Oѧ͠^(0vBvWY̧RlXm×äX g^@-|h!O _Z_ +u~d  hF8Rf&1_AMFau|w3 KmuVK Omz<@>p"+klA~ŕJ3 cGo9ߒC^!UA) ۗ]#MdIU66]H<0 ʸRg{T%z"m`'̴X/ _ԑ0oOh*ӃQ{Ҝ Q6'ea[β±\PvTT1#nb3TD5ײ {1&i}uPʋUi)8ן= /.W;6 SC nF~4g/l׵l40 2U_ˎ}8EaGMP?9AFp>d>ڐkV+و:yK~^;L4C ~_=N+bY?3@O47?md`A0b52Ra2 0({8ۍv-.;'p mcA#r/|ʤr1?x[@Y{š3Fo" M)kn(ۅuATӵy$޽\ݩ9: 8|&,ы!l<`OOzȐ$D |U8cZ mBcH105*Nٹq*~+WбލPx_mݖ)O]}lWbTH@Λ^'~p1;^L $a6[ [L@ >g&PaH 0W)k{܁ӽ>]5RKڞ8b3=7h:m OlPՆ}wd[; ZRoMދQUG`5/g@[xH/$)ɩ[<|j|L@pI"s%'ԩ0e|WVoS]Ky-QHwc(2 KlL 0pԗ9EǎTB4+q S_7 o*f,H~fRwߣj.\n.eg#'맆ޣͶw?J2u%)QdkOщOӂvyt*%2@$Zca ?Cv[sL> 0PΏ"aR֖%USƮb`#8:K{l'a}A]"iRICǙ6/rS? !k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 90 0 obj<> endobj 91 0 obj<>stream  cvt bfpgmIglyf headg "6hheao"$hmtxłc#locaBmaxp b prep~ϚbcxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 92 0 obj<> endobj 93 0 obj<>/FontDescriptor 92 0 R/DW 1000>> endobj 94 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 95 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. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 470 0 obj 5489 endobj 471 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 472 0 obj 8610 endobj 473 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 474 0 obj 1897 endobj 475 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 476 0 obj 3661 endobj 477 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 478 0 obj 1595 endobj 479 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 480 0 obj 6197 endobj 481 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. 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This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. It is recomm\ ended, that )Tj 1 0 0 1 36.57001 145.8 Tm (when the Service User Guide is updated, it is presented in a way that ha\ s more )Tj 1 0 0 1 36.57001 128.31 Tm (meaning for the people who live at McGillicuddy House. This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 488 0 obj 1947 endobj 489 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 490 0 obj 5678 endobj 491 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 492 0 obj 4746 endobj 493 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 494 0 obj 5954 endobj 495 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 496 0 obj 4908 endobj 497 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 498 0 obj 5822 endobj 499 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 500 0 obj 3068 endobj 501 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 502 0 obj 5539 endobj 503 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 504 0 obj 1349 endobj 505 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 506 0 obj 5640 endobj 507 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 508 0 obj 3117 endobj 509 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 510 0 obj 5586 endobj 511 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 512 0 obj 4483 endobj 513 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 514 0 obj 5605 endobj 515 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 516 0 obj 4803 endobj 517 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. 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This will make sure that there is clear )Tj 1 0 0 1 202.5 489.54999 Tm (guidance in place for staff to minimise any potential risks )Tj 1 0 0 1 202.5 474.97 Tm (that have been assessed. )Tj 1 0 0 1 34.05 452.13995 Tm (2)Tj 1 0 0 1 96.15001 452.13995 Tm (20)Tj 1 0 0 1 202.5 452.13995 Tm (Staff should have their competency to administer )Tj 1 0 0 1 202.5 437.56 Tm (medication assessed formally on a regular basis. This will )Tj 1 0 0 1 202.5 422.97998 Tm (make sure that medicines are given to housemates safely.)Tj 1 0 0 1 34.05 400.14999 Tm (3)Tj 1 0 0 1 96.15001 400.14999 Tm (20)Tj 1 0 0 1 202.5 400.14999 Tm (The home's policies and procedures on medication should )Tj 1 0 0 1 202.5 385.56998 Tm (be extended to include taking verbal orders from GP's, )Tj 1 0 0 1 202.5 370.98999 Tm (what to do when medicine is administered when )Tj 1 0 0 1 202.5 356.41 Tm (housemates are out in the community and self )Tj 1 0 0 1 202.5 341.82999 Tm (administration. 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 534 0 obj 5489 endobj 535 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 536 0 obj 8610 endobj 537 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 65)Tj 1 0 0 1 435.37 377.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 356.47998 m 297.30002 356.47998 l S 299.54999 356.47998 m 431.44998 356.47998 l S 433.70001 356.47998 m 565.60004 356.47998 l S 0.95294 0.95294 0.95294 RG 31.2 333.64999 m 565.60004 333.64999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 367.89999 m 567.79999 367.89999 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 568.10004 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 247.42 m 568.10004 247.42 l S 30.07001 368.97 m 30.07001 246.34 l S 298.41998 368.97 m 298.41998 343.98999 l S 432.56998 368.97 m 432.56998 343.98999 l S 566.71997 368.97 m 566.71997 246.34 l S BT /T1_0 12 Tf 1 0 0 1 34.05 351.70999 Tm (learning disability)Tj 1 0 0 1 302.39999 351.70999 Tm (8)Tj 1 0 0 1 436.54999 351.70999 Tm (0)Tj 1 0 0 1 34.05 328.88 Tm (Additional conditions: )Tj 1 0 0 1 34.05 306.04999 Tm (The maximum number to be accommodated is 8)Tj 1 0 0 1 34.05 283.22 Tm (The registered person may provide the following categories of service on\ ly: Care home )Tj 1 0 0 1 34.05 268.63998 Tm (only\(PC\) to service users of the following gender: Either whose primar\ y care needs on )Tj 1 0 0 1 34.05 254.06 Tm (admission ot the hoem are within the following category: Learning disabi\ lity \(LD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 232.62999 m 315.25 232.62999 l S 1 1 1 RG 317.5 232.62999 m 346.54999 232.62999 l S 348.80002 232.62999 m 377.89999 232.62999 l S 380.14999 232.62999 m 409.20001 232.62999 l S 411.44998 232.62999 m 440.54999 232.62999 l S 442.80002 232.62999 m 471.89993 232.62999 l S 474.14993 232.62999 m 503.20001 232.62999 l S 505.44998 232.62999 m 534.54999 232.62999 l S 536.79999 232.62999 m 565.90002 232.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 244.03998 m 568.10004 244.03998 l S 28.99001 221.20999 m 568.10004 221.20999 l S 30.07001 245.12 m 30.07001 220.12999 l S 316.37 245.12 m 316.37 220.12999 l S 347.66998 245.12 m 347.66998 220.12999 l S 379.01999 245.12 m 379.01999 220.12999 l S 410.31998 245.12 m 410.31998 220.12999 l S 441.66998 245.12 m 441.66998 220.12999 l S 473.01999 245.12 m 473.01999 220.12999 l S 504.31998 245.12 m 504.31998 220.12999 l S 535.66998 245.12 m 535.66998 220.12999 l S 567.01996 245.12 m 567.01996 220.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 227.86 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 209.34 m 565.90002 209.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 199.70999 m 568.10004 199.70999 l S 30.07001 200.78998 m 30.07001 39.14999 l S 567.01996 200.78998 m 567.01996 39.14999 l S 28.99001 218.95999 m 568.10004 218.95999 l S 28.99001 199.70999 m 568.10004 199.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 220.03998 m 30.07001 198.62999 l S 567.01996 220.03998 m 567.01996 198.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 205.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 538 0 obj 1897 endobj 539 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 540 0 obj 3661 endobj 541 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 542 0 obj 1595 endobj 543 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 544 0 obj 6197 endobj 545 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 546 0 obj 1695 endobj 547 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 548 0 obj 1960 endobj 549 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 550 0 obj 5799 endobj 551 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. It is recomm\ ended, that )Tj 1 0 0 1 36.57001 145.8 Tm (when the Service User Guide is updated, it is presented in a way that ha\ s more )Tj 1 0 0 1 36.57001 128.31 Tm (meaning for the people who live at McGillicuddy House. This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 552 0 obj 1947 endobj 553 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 554 0 obj 5678 endobj 555 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 556 0 obj 4746 endobj 557 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 558 0 obj 5954 endobj 559 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 560 0 obj 4908 endobj 561 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 562 0 obj 5822 endobj 563 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 564 0 obj 3068 endobj 565 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 566 0 obj 5539 endobj 567 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 568 0 obj 1349 endobj 569 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 570 0 obj 5640 endobj 571 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 572 0 obj 3117 endobj 573 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 574 0 obj 5586 endobj 575 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 576 0 obj 4483 endobj 577 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 578 0 obj 5605 endobj 579 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 580 0 obj 4803 endobj 581 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. The staff trai\ ning matrix )Tj 1 0 0 1 34.32001 201.73 Tm (evidences that a rolling programme is in place to make sure that care st\ aff are trained )Tj 1 0 0 1 34.32001 184.23 Tm (in all necessary areas to enable them to care for housemates safely.)Tj ET endstream endobj 582 0 obj 3700 endobj 583 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 584 0 obj 6472 endobj 585 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32001 345.62 m 564.96997 345.62 l S 1 1 1 RG 204 w 31.2 424.80002 m 91.05 424.80002 l S 93.3 424.80002 m 197.40001 424.80002 l S 199.64998 424.80002 m 289.44998 424.80002 l S 291.70001 424.80002 m 473.80002 424.80002 l S 476.04999 424.80002 m 566.10004 424.80002 l S 257.64999 w 31.2 191.73 m 91.05 191.73 l S 93.3 191.73 m 197.40001 191.73 l S 199.64998 191.73 m 289.44998 191.73 l S 291.70001 191.73 m 473.80002 191.73 l S 476.04999 191.73 m 566.10004 191.73 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 321.67999 m 568.29999 321.67999 l S 30.07001 529.01001 m 30.07001 60.7 l S 567.21997 529.01001 m 567.21997 60.7 l S 28.99001 560.47998 m 568.40002 560.47998 l S 28.99001 527.92999 m 568.29999 527.92999 l S 92.17 529.01001 m 92.17 60.7 l S 198.51999 529.01001 m 198.51999 60.7 l S 290.57001 529.01001 m 290.57001 60.7 l S 474.91998 529.01001 m 474.91998 60.7 l S 28.99001 629.46997 m 568.40002 629.46997 l S 28.99001 560.47998 m 568.40002 560.47998 l S 28.99001 527.92999 m 568.40002 527.92999 l S 28.99001 321.67999 m 568.29999 321.67999 l S 28.99001 61.78 m 568.29999 61.78 l S 30.07001 630.54999 m 30.07001 526.84998 l S 92.12 561.56 m 92.12 526.84998 l S 198.51999 561.56 m 198.51999 526.84998 l S 290.62 561.56 m 290.62 526.84998 l S 475.01999 561.56 m 475.01999 526.84998 l S 567.32001 630.54999 m 567.32001 526.84998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 31.2 616.27997 Tm (Statutory requirements)Tj 0 Tr 1 0 0 1 34.05 596.27997 Tm (These requirements set out what 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This will make sure that there is clear )Tj 1 0 0 1 202.5 489.54999 Tm (guidance in place for staff to minimise any potential risks )Tj 1 0 0 1 202.5 474.97 Tm (that have been assessed. )Tj 1 0 0 1 34.05 452.13995 Tm (2)Tj 1 0 0 1 96.15001 452.13995 Tm (20)Tj 1 0 0 1 202.5 452.13995 Tm (Staff should have their competency to administer )Tj 1 0 0 1 202.5 437.56 Tm (medication assessed formally on a regular basis. This will )Tj 1 0 0 1 202.5 422.97998 Tm (make sure that medicines are given to housemates safely.)Tj 1 0 0 1 34.05 400.14999 Tm (3)Tj 1 0 0 1 96.15001 400.14999 Tm (20)Tj 1 0 0 1 202.5 400.14999 Tm (The home's policies and procedures on medication should )Tj 1 0 0 1 202.5 385.56998 Tm (be extended to include taking verbal orders from GP's, )Tj 1 0 0 1 202.5 370.98999 Tm (what to do when medicine is administered when )Tj 1 0 0 1 202.5 356.41 Tm (housemates are out in the community and self )Tj 1 0 0 1 202.5 341.82999 Tm (administration. This will make sure that there is clear )Tj 1 0 0 1 202.5 327.25 Tm (guidance for staff to administer medicines safely.)Tj 1 0 0 1 34.05 304.41998 Tm (4)Tj 1 0 0 1 96.15001 304.41998 Tm (24)Tj ET endstream endobj 588 0 obj 1882 endobj 589 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 590 0 obj 4658 endobj 591 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for adults \(18-65 years\))Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 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365.95999 m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm (care home)Tj 1 0 0 1 255.59 361.19 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 361.19 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 594 0 obj 5489 endobj 595 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 596 0 obj 8610 endobj 597 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 598 0 obj 1897 endobj 599 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 600 0 obj 3661 endobj 601 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 602 0 obj 1595 endobj 603 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 604 0 obj 6197 endobj 605 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 606 0 obj 1695 endobj 607 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 608 0 obj 1960 endobj 609 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 610 0 obj 5799 endobj 611 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. It is recomm\ ended, that )Tj 1 0 0 1 36.57001 145.8 Tm (when the Service User Guide is updated, it is presented in a way that ha\ s more )Tj 1 0 0 1 36.57001 128.31 Tm (meaning for the people who live at McGillicuddy House. This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 612 0 obj 1947 endobj 613 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 614 0 obj 5678 endobj 615 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 616 0 obj 4746 endobj 617 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 618 0 obj 5954 endobj 619 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 620 0 obj 4908 endobj 621 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 622 0 obj 5822 endobj 623 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 624 0 obj 3068 endobj 625 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 626 0 obj 5539 endobj 627 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 628 0 obj 1349 endobj 629 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 630 0 obj 5640 endobj 631 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 632 0 obj 3117 endobj 633 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 634 0 obj 5586 endobj 635 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 636 0 obj 4483 endobj 637 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 638 0 obj 5605 endobj 639 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 640 0 obj 4803 endobj 641 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. 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This will make sure that there is clear )Tj 1 0 0 1 202.5 489.54999 Tm (guidance in place for staff to minimise any potential risks )Tj 1 0 0 1 202.5 474.97 Tm (that have been assessed. )Tj 1 0 0 1 34.05 452.13995 Tm (2)Tj 1 0 0 1 96.15001 452.13995 Tm (20)Tj 1 0 0 1 202.5 452.13995 Tm (Staff should have their competency to administer )Tj 1 0 0 1 202.5 437.56 Tm (medication assessed formally on a regular basis. This will )Tj 1 0 0 1 202.5 422.97998 Tm (make sure that medicines are given to housemates safely.)Tj 1 0 0 1 34.05 400.14999 Tm (3)Tj 1 0 0 1 96.15001 400.14999 Tm (20)Tj 1 0 0 1 202.5 400.14999 Tm (The home's policies and procedures on medication should )Tj 1 0 0 1 202.5 385.56998 Tm (be extended to include taking verbal orders from GP's, )Tj 1 0 0 1 202.5 370.98999 Tm (what to do when medicine is administered when )Tj 1 0 0 1 202.5 356.41 Tm (housemates are out in the community and self )Tj 1 0 0 1 202.5 341.82999 Tm (administration. This will make sure that there is clear )Tj 1 0 0 1 202.5 327.25 Tm (guidance for staff to administer medicines safely.)Tj 1 0 0 1 34.05 304.41998 Tm (4)Tj 1 0 0 1 96.15001 304.41998 Tm (24)Tj ET endstream endobj 648 0 obj 1882 endobj 649 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 654 0 obj 5489 endobj 655 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 656 0 obj 8610 endobj 657 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 658 0 obj 1897 endobj 659 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 660 0 obj 3661 endobj 661 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 662 0 obj 1595 endobj 663 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 664 0 obj 6197 endobj 665 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 666 0 obj 1695 endobj 667 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 668 0 obj 1960 endobj 669 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 670 0 obj 5799 endobj 671 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. 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This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 672 0 obj 1947 endobj 673 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 674 0 obj 5678 endobj 675 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 676 0 obj 4746 endobj 677 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 678 0 obj 5954 endobj 679 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 680 0 obj 4908 endobj 681 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 682 0 obj 5822 endobj 683 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 684 0 obj 3068 endobj 685 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 686 0 obj 5539 endobj 687 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 688 0 obj 1349 endobj 689 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 690 0 obj 5640 endobj 691 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 692 0 obj 3117 endobj 693 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 694 0 obj 5586 endobj 695 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 696 0 obj 4483 endobj 697 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 698 0 obj 5605 endobj 699 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 700 0 obj 4803 endobj 701 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. The staff trai\ ning matrix )Tj 1 0 0 1 34.32001 201.73 Tm (evidences that a rolling programme is in place to make sure that care st\ aff are trained )Tj 1 0 0 1 34.32001 184.23 Tm (in all necessary areas to enable them to care for housemates safely.)Tj ET endstream endobj 702 0 obj 3700 endobj 703 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 704 0 obj 6472 endobj 705 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32001 345.62 m 564.96997 345.62 l S 1 1 1 RG 204 w 31.2 424.80002 m 91.05 424.80002 l S 93.3 424.80002 m 197.40001 424.80002 l S 199.64998 424.80002 m 289.44998 424.80002 l S 291.70001 424.80002 m 473.80002 424.80002 l S 476.04999 424.80002 m 566.10004 424.80002 l S 257.64999 w 31.2 191.73 m 91.05 191.73 l S 93.3 191.73 m 197.40001 191.73 l S 199.64998 191.73 m 289.44998 191.73 l S 291.70001 191.73 m 473.80002 191.73 l S 476.04999 191.73 m 566.10004 191.73 l S 0.75294 0.75294 0.75294 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This will make sure that there is clear )Tj 1 0 0 1 202.5 327.25 Tm (guidance for staff to administer medicines safely.)Tj 1 0 0 1 34.05 304.41998 Tm (4)Tj 1 0 0 1 96.15001 304.41998 Tm (24)Tj ET endstream endobj 708 0 obj 1882 endobj 709 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 710 0 obj 4658 endobj 711 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for adults \(18-65 years\))Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 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365.95999 m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm (care home)Tj 1 0 0 1 255.59 361.19 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 361.19 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 714 0 obj 5489 endobj 715 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 716 0 obj 8610 endobj 717 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 718 0 obj 1897 endobj 719 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 720 0 obj 3661 endobj 721 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 722 0 obj 1595 endobj 723 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 724 0 obj 6197 endobj 725 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 726 0 obj 1695 endobj 727 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 728 0 obj 1960 endobj 729 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 730 0 obj 5799 endobj 731 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. It is recomm\ ended, that )Tj 1 0 0 1 36.57001 145.8 Tm (when the Service User Guide is updated, it is presented in a way that ha\ s more )Tj 1 0 0 1 36.57001 128.31 Tm (meaning for the people who live at McGillicuddy House. This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 732 0 obj 1947 endobj 733 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 734 0 obj 5678 endobj 735 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 736 0 obj 4746 endobj 737 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 738 0 obj 5954 endobj 739 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 740 0 obj 4908 endobj 741 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 742 0 obj 5822 endobj 743 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 744 0 obj 3068 endobj 745 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 746 0 obj 5539 endobj 747 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 748 0 obj 1349 endobj 749 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 750 0 obj 5640 endobj 751 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 752 0 obj 3117 endobj 753 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 754 0 obj 5586 endobj 755 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 756 0 obj 4483 endobj 757 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 758 0 obj 5605 endobj 759 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 760 0 obj 4803 endobj 761 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. 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This will make sure that there is clear )Tj 1 0 0 1 202.5 489.54999 Tm (guidance in place for staff to minimise any potential risks )Tj 1 0 0 1 202.5 474.97 Tm (that have been assessed. )Tj 1 0 0 1 34.05 452.13995 Tm (2)Tj 1 0 0 1 96.15001 452.13995 Tm (20)Tj 1 0 0 1 202.5 452.13995 Tm (Staff should have their competency to administer )Tj 1 0 0 1 202.5 437.56 Tm (medication assessed formally on a regular basis. This will )Tj 1 0 0 1 202.5 422.97998 Tm (make sure that medicines are given to housemates safely.)Tj 1 0 0 1 34.05 400.14999 Tm (3)Tj 1 0 0 1 96.15001 400.14999 Tm (20)Tj 1 0 0 1 202.5 400.14999 Tm (The home's policies and procedures on medication should )Tj 1 0 0 1 202.5 385.56998 Tm (be extended to include taking verbal orders from GP's, )Tj 1 0 0 1 202.5 370.98999 Tm (what to do when medicine is administered when )Tj 1 0 0 1 202.5 356.41 Tm (housemates are out in the community and self )Tj 1 0 0 1 202.5 341.82999 Tm (administration. This will make sure that there is clear )Tj 1 0 0 1 202.5 327.25 Tm (guidance for staff to administer medicines safely.)Tj 1 0 0 1 34.05 304.41998 Tm (4)Tj 1 0 0 1 96.15001 304.41998 Tm (24)Tj ET endstream endobj 768 0 obj 1882 endobj 769 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 774 0 obj 5489 endobj 775 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 776 0 obj 8610 endobj 777 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 778 0 obj 1897 endobj 779 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 780 0 obj 3661 endobj 781 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 782 0 obj 1595 endobj 783 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 784 0 obj 6197 endobj 785 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 786 0 obj 1695 endobj 787 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 788 0 obj 1960 endobj 789 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 790 0 obj 5799 endobj 791 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. 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This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 792 0 obj 1947 endobj 793 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 794 0 obj 5678 endobj 795 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 796 0 obj 4746 endobj 797 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 798 0 obj 5954 endobj 799 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 800 0 obj 4908 endobj 801 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 802 0 obj 5822 endobj 803 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 804 0 obj 3068 endobj 805 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 806 0 obj 5539 endobj 807 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 808 0 obj 1349 endobj 809 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 810 0 obj 5640 endobj 811 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 812 0 obj 3117 endobj 813 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 814 0 obj 5586 endobj 815 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 816 0 obj 4483 endobj 817 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 818 0 obj 5605 endobj 819 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 820 0 obj 4803 endobj 821 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. The staff trai\ ning matrix )Tj 1 0 0 1 34.32001 201.73 Tm (evidences that a rolling programme is in place to make sure that care st\ aff are trained )Tj 1 0 0 1 34.32001 184.23 Tm (in all necessary areas to enable them to care for housemates safely.)Tj ET endstream endobj 822 0 obj 3700 endobj 823 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 824 0 obj 6472 endobj 825 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32001 345.62 m 564.96997 345.62 l S 1 1 1 RG 204 w 31.2 424.80002 m 91.05 424.80002 l S 93.3 424.80002 m 197.40001 424.80002 l S 199.64998 424.80002 m 289.44998 424.80002 l S 291.70001 424.80002 m 473.80002 424.80002 l S 476.04999 424.80002 m 566.10004 424.80002 l S 257.64999 w 31.2 191.73 m 91.05 191.73 l S 93.3 191.73 m 197.40001 191.73 l S 199.64998 191.73 m 289.44998 191.73 l S 291.70001 191.73 m 473.80002 191.73 l S 476.04999 191.73 m 566.10004 191.73 l S 0.75294 0.75294 0.75294 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This will make sure that there is clear )Tj 1 0 0 1 202.5 327.25 Tm (guidance for staff to administer medicines safely.)Tj 1 0 0 1 34.05 304.41998 Tm (4)Tj 1 0 0 1 96.15001 304.41998 Tm (24)Tj ET endstream endobj 828 0 obj 1882 endobj 829 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35001 535.14001 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 830 0 obj 4658 endobj 831 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for adults \(18-65 years\))Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 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365.95999 m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm (care home)Tj 1 0 0 1 255.59 361.19 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 361.19 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 834 0 obj 5489 endobj 835 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 836 0 obj 8610 endobj 837 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 838 0 obj 1897 endobj 839 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 840 0 obj 3661 endobj 841 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 842 0 obj 1595 endobj 843 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 844 0 obj 6197 endobj 845 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. 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This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. It is recomm\ ended, that )Tj 1 0 0 1 36.57001 145.8 Tm (when the Service User Guide is updated, it is presented in a way that ha\ s more )Tj 1 0 0 1 36.57001 128.31 Tm (meaning for the people who live at McGillicuddy House. This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 852 0 obj 1947 endobj 853 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 854 0 obj 5678 endobj 855 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 856 0 obj 4746 endobj 857 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 858 0 obj 5954 endobj 859 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 860 0 obj 4908 endobj 861 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 862 0 obj 5822 endobj 863 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 864 0 obj 3068 endobj 865 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 866 0 obj 5539 endobj 867 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 868 0 obj 1349 endobj 869 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 870 0 obj 5640 endobj 871 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 872 0 obj 3117 endobj 873 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 874 0 obj 5586 endobj 875 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 876 0 obj 4483 endobj 877 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 878 0 obj 5605 endobj 879 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 880 0 obj 4803 endobj 881 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. 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This will make sure that there is clear )Tj 1 0 0 1 202.5 489.54999 Tm (guidance in place for staff to minimise any potential risks )Tj 1 0 0 1 202.5 474.97 Tm (that have been assessed. )Tj 1 0 0 1 34.05 452.13995 Tm (2)Tj 1 0 0 1 96.15001 452.13995 Tm (20)Tj 1 0 0 1 202.5 452.13995 Tm (Staff should have their competency to administer )Tj 1 0 0 1 202.5 437.56 Tm (medication assessed formally on a regular basis. This will )Tj 1 0 0 1 202.5 422.97998 Tm (make sure that medicines are given to housemates safely.)Tj 1 0 0 1 34.05 400.14999 Tm (3)Tj 1 0 0 1 96.15001 400.14999 Tm (20)Tj 1 0 0 1 202.5 400.14999 Tm (The home's policies and procedures on medication should )Tj 1 0 0 1 202.5 385.56998 Tm (be extended to include taking verbal orders from GP's, )Tj 1 0 0 1 202.5 370.98999 Tm (what to do when medicine is administered when )Tj 1 0 0 1 202.5 356.41 Tm (housemates are out in the community and self )Tj 1 0 0 1 202.5 341.82999 Tm (administration. This will make sure that there is clear )Tj 1 0 0 1 202.5 327.25 Tm (guidance for staff to administer medicines safely.)Tj 1 0 0 1 34.05 304.41998 Tm (4)Tj 1 0 0 1 96.15001 304.41998 Tm (24)Tj ET endstream endobj 888 0 obj 1882 endobj 889 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 22.5 w 22.95 802.40997 m 560.45001 802.40997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35001 799.08997 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35001 781.10999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35001 759.60004 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.60004 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35001 739.60004 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.60004 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35001 719.60999 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35001 719.60999 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35001 699.60999 Tm (\240)Tj 1 0 0 1 28.35001 679.60999 Tm (We want people to be able to access this information. If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 894 0 obj 5489 endobj 895 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 896 0 obj 8610 endobj 897 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 898 0 obj 1897 endobj 899 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 900 0 obj 3661 endobj 901 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 902 0 obj 1595 endobj 903 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 904 0 obj 6197 endobj 905 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 906 0 obj 1695 endobj 907 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 908 0 obj 1960 endobj 909 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 910 0 obj 5799 endobj 911 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. 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This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 912 0 obj 1947 endobj 913 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 914 0 obj 5678 endobj 915 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 916 0 obj 4746 endobj 917 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 918 0 obj 5954 endobj 919 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 920 0 obj 4908 endobj 921 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 922 0 obj 5822 endobj 923 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 924 0 obj 3068 endobj 925 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 926 0 obj 5539 endobj 927 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 928 0 obj 1349 endobj 929 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 930 0 obj 5640 endobj 931 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a fire.\ )Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 932 0 obj 3117 endobj 933 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 546.25 w 34.60001 538.27997 m 562.53998 538.27997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 524.88 w 33.47 526.46997 m 563.65997 526.46997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 261.82999 l S 564.78998 791.10999 m 564.78998 261.82999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 262.89999 m 565.87 262.89999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (belongings and a number of housemates offered photographs to look at whi\ ch )Tj 1 0 0 1 34.32001 761.60004 Tm (recorded events that are important to them.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (One of the bedrooms smelt of damp and this was noted at the last visit t\ o the home. )Tj 1 0 0 1 34.32001 709.10999 Tm (The appointed manager said that that this room is in need of more freque\ nt )Tj 1 0 0 1 34.32001 691.62 Tm (ventilation and that this matter would be attended to. A smell of urine \ was found in )Tj 1 0 0 1 34.32001 674.12 Tm (one resident's bedroom. It is recommended that the bedroom carpet is tho\ roughly )Tj 1 0 0 1 34.32001 656.63 Tm (cleaned or a more suitable replacement acquired.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (An assessment of any potential risks to housemates' health and safety ha\ s been )Tj 1 0 0 1 34.32001 604.14001 Tm (carried out for each person's bedroom. It is required that these assessm\ ents be )Tj 1 0 0 1 34.32001 586.64001 Tm (extended to include the risk of someone scolding themselves on uncovered\ hot )Tj 1 0 0 1 34.32001 569.14996 Tm (radiators or pipe work if they fall. )Tj 0 -17.5 TD (\240)Tj 0 -17.48999 TD (People who live in the home have the use of a shared bathroom and shower\ room. )Tj 0 -17.5 TD (Staff said that to make sure that people bathe in water that is at a saf\ e temperature, )Tj 0 -17.48999 TD (the water temperature is checked every time a person has a bath. Thermom\ eters )Tj 0 -17.5 TD (were observed in the bathroom to do this. It is recommended that as a fu\ rther )Tj T* (precaution that the bath water temperature is recorded regularly to make\ sure that it )Tj 0 -17.48999 TD (remains at a temperature that is safe to bathe.)Tj 0 -17.5 TD (\240)Tj 0 -17.49002 TD (It was observed that the home was clean on the day of the inspection. Th\ e staff )Tj 0 -17.5 TD (training matrix evidences that staff have received or are booked on trai\ ning in how to )Tj T* (minimise the spread of infection in the home. )Tj ET endstream endobj 934 0 obj 5586 endobj 935 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 428.00998 m 562.53998 428.00998 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 171.84 w 33.47 416.75998 m 563.65997 416.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 328.63998 l S 564.78998 504.87985 m 564.78998 328.63998 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 329.70999 m 565.87 329.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (There are enough staff on duty to meet the needs of the people who live \ in the home )Tj 1 0 0 1 36.62 426.25 Tm (and a staff training programme is in place to make sure that these needs\ are met in a )Tj 1 0 0 1 36.62 408.75998 Tm (satisfactory way.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Housemates can not be assured that the current recruitment practices wit\ hin the )Tj 1 0 0 1 36.62 356.26999 Tm (home always protect them from potential harm.)Tj 1 0 0 1 36.62 338.76999 Tm (\240)Tj 1 0 0 1 28.35001 314.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 221.81998 w 34.60001 192.92999 m 562.53998 192.92999 l S 1 1 1 RG 22.5 w 32.35001 294.84 m 564.78998 294.84 l S 200.45 w 33.47 181.12 m 563.65997 181.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 282.47 m 565.87 282.47 l S 32.35001 283.54999 m 32.35001 78.70001 l S 564.78998 283.54999 m 564.78998 78.70001 l S 32.35001 282.47 m 564.78998 282.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 291.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 266.79001 Tm (The staff rota indicates that there are a minimum of two staff on duty f\ rom 8am to )Tj 1 0 0 1 36.57001 249.28998 Tm (8pm, with one staff on duty from 8pm to 8am. The appointed manager said \ that the )Tj 1 0 0 1 36.57001 231.78998 Tm (rota is flexible and an extra member of staff is on duty to make sure th\ at housemates )Tj 1 0 0 1 36.57001 214.3 Tm (can go out and about in the community. Indeed, on the day of the inspect\ ion there )Tj 1 0 0 1 36.57001 196.8 Tm (were three staff on duty in the morning, including the appointed manager\ .)Tj 1 0 0 1 36.57001 179.31 Tm (\240)Tj 1 0 0 1 36.57001 161.81 Tm (Records evidence that 80% of staff are trained to National Vocational Qu\ alification )Tj 1 0 0 1 36.57001 144.31 Tm (\(NVQ\) level 2 or above. This exceeds the National Minimum Standards of\ 50% of staff. )Tj 1 0 0 1 36.57001 126.82001 Tm (This award is useful because it helps staff develop good care practices \ and their skills )Tj 1 0 0 1 36.57001 109.32001 Tm (in working with people who live in a residential care home.)Tj 1 0 0 1 36.57001 91.83 Tm (\240)Tj ET endstream endobj 936 0 obj 4483 endobj 937 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 598.73999 w 34.60001 512.02997 m 562.53998 512.02997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 577.37 w 33.47 500.22 m 563.65997 500.22 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 209.34 l S 564.78998 791.10999 m 564.78998 209.34 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 210.40999 m 565.87 210.40999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before new members of staff are employed at the home a number of checks \ need to )Tj 1 0 0 1 34.32001 761.60004 Tm (be carried out to make sure that all members of staff working at the hom\ e are suitable )Tj 1 0 0 1 34.32001 744.10999 Tm (to care for vulnerable service users. Files were seen for two new member\ s of staff. It )Tj 1 0 0 1 34.32001 726.60999 Tm (was found that the home is not doing all that it can to ensure the safe \ staff )Tj 1 0 0 1 34.32001 709.10999 Tm (recruitment of staff. One criminal records bureau check had been obtaine\ d a week )Tj 1 0 0 1 34.32001 691.62 Tm (after the person had been employed at the home; neither file contained e\ ither an )Tj 1 0 0 1 34.32001 674.12 Tm (application form or a record to evidence that the potential applicants h\ ad been )Tj 1 0 0 1 34.32001 656.63 Tm (interviewed as to their suitability for the position of a care worker; a\ nd one file did not )Tj 1 0 0 1 34.32001 639.13 Tm (contain a photograph of the member of staff. Requirements are being made\ about )Tj 1 0 0 1 34.32001 621.63 Tm (these breaches of the Care Homes Regulations 2001, which state that, "Th\ e registered )Tj 1 0 0 1 34.32001 604.14001 Tm (person shall not employ a person to work at the care home unless he has \ obtained in )Tj 1 0 0 1 34.32001 586.64001 Tm (respect of that person: a recent photograph; details of criminal offence\ s; a full )Tj 1 0 0 1 34.32001 569.14996 Tm (employment history; a statement by the person as to his mental and physi\ cal health". )Tj 1 0 0 1 34.32001 551.64996 Tm (It is recommended that monitoring systems are put in place to ensure tha\ t these )Tj 1 0 0 1 34.32001 534.14996 Tm (breaches of the regulations do not occur in future.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The appointed manager is responsible for making sure that care staff hav\ e the skills )Tj 1 0 0 1 34.32001 481.66998 Tm (they need to support the residents who live in the home. Evidence was se\ en that all )Tj 1 0 0 1 34.32001 464.16998 Tm (new care staff receive the appropriate introductory training, which give\ s them the )Tj 1 0 0 1 34.32001 446.66998 Tm (basic competencies they need to be able to work without direct supervisi\ on.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (In addition to the introductory training, care workers undertake a numbe\ r of training )Tj 1 0 0 1 34.32001 394.19 Tm (courses that develop their skills in caring for the people that live in \ the home. The )Tj 1 0 0 1 34.32001 376.69 Tm (appointed manager has completed a staff training matrix, which identifie\ s the training )Tj 1 0 0 1 34.32001 359.19 Tm (that each member of staff needs to achieve. There are few gaps in this r\ ecord )Tj 1 0 0 1 34.32001 341.70001 Tm (indicating that most staff are trained in the areas that are essential f\ or them to be )Tj 1 0 0 1 34.32001 324.20001 Tm (able to perform their roles effectively.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home believes that staff supervision is important so that staff have\ the )Tj 1 0 0 1 34.32001 271.70999 Tm (opportunity to discuss care practice, the philosophy of the home and the\ ir own )Tj 1 0 0 1 34.32001 254.22 Tm (development needs. Staff files viewed show that a formal supervision pro\ gramme is in )Tj 1 0 0 1 34.32001 236.72 Tm (place in addition to informal support.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj ET endstream endobj 938 0 obj 5605 endobj 939 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live in the home benefit from the management approach, which \ is )Tj 1 0 0 1 36.62 375.25 Tm (individual and open.)Tj 1 0 0 1 36.62 357.75998 Tm (\240)Tj 1 0 0 1 36.62 340.25998 Tm (People who live in the home are regularly asked about their views of the\ service.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (For housemates to be assured that their health, safety and welfare is pr\ omoted at all )Tj 1 0 0 1 36.62 287.76999 Tm (times, some further action needs to be taken.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The appointed manager is responsible for the day to day running of the h\ ome. He has )Tj 1 0 0 1 36.57001 198.28998 Tm (been employed in this position for two years and has both of the formal \ qualifications )Tj 1 0 0 1 36.57001 180.78998 Tm (specified by the National Minimum Standards. These awards are recognised\ by the )Tj 1 0 0 1 36.57001 163.3 Tm (commission to be useful because they help to make sure that people who m\ anage )Tj 1 0 0 1 36.57001 145.8 Tm (residential care services have the competencies that are necessary to do\ so. The )Tj 1 0 0 1 36.57001 128.31 Tm (appointed manager said that he has already submitted his application to \ become the )Tj 1 0 0 1 36.57001 110.81 Tm (registered home manager.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 940 0 obj 4803 endobj 941 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 633.72998 w 34.60001 494.53998 m 562.53998 494.53998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 612.35999 w 33.47 482.72998 m 563.65997 482.72998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 174.34999 l S 564.78998 791.10999 m 564.78998 174.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 175.42 m 565.87 175.42 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (There is evidence that a culture of mutual support is encouraged in this\ home. For )Tj 1 0 0 1 34.32001 761.60004 Tm (example, when one housemate was upset, another housemate informed a memb\ er of )Tj 1 0 0 1 34.32001 744.10999 Tm (staff about this fact. The housemate received reassurances from both the\ staff )Tj 1 0 0 1 34.32001 726.60999 Tm (member and other people living in the home. People who live in the home \ were )Tj 1 0 0 1 34.32001 709.10999 Tm (observed talking to and gaining assurances from the appointed manager an\ d staff )Tj 1 0 0 1 34.32001 691.62 Tm (members throughout the inspection. The whole staff team always gave thei\ r time )Tj 1 0 0 1 34.32001 674.12 Tm (generously to the people who live in the home. Evidence was seen that st\ aff meetings )Tj 1 0 0 1 34.32001 656.63 Tm (take place regularly for all care staff to help better communication bet\ ween everyone )Tj 1 0 0 1 34.32001 639.13 Tm (involved.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (For the home to run in the best interests of the people who live in it, \ it is important to )Tj 1 0 0 1 34.32001 586.64001 Tm (have a system in place which regularly obtains their views and those of \ visitors, about )Tj 1 0 0 1 34.32001 569.14996 Tm (the standard of care that they receive from the home. Evidence was seen \ in )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate's files that housemates have recently completed a questionnair\ e asking )Tj 1 0 0 1 34.32001 534.14996 Tm (them their views about certain aspects of daily life. The appointed home\ manager said )Tj 1 0 0 1 34.32001 516.65997 Tm (that he took action to address any improvements that were identified dur\ ing the )Tj 1 0 0 1 34.32001 499.16 Tm (surveys. For this good practice to be evidenced, it is recommended that \ a report is )Tj 1 0 0 1 34.32001 481.66998 Tm (made summarising the responses from the questionnaires and that the surv\ ey is )Tj 1 0 0 1 34.32001 464.16998 Tm (extended to include relatives and professionals who regularly visit the \ home. At the )Tj 1 0 0 1 34.32001 446.66998 Tm (last visit to the home it was recommended that the home should further s\ trengthen )Tj 1 0 0 1 34.32001 429.17999 Tm (the quality assurance system by implementing monitoring systems used in \ the home )Tj 1 0 0 1 34.32001 411.67999 Tm (to make sure that they are effective. Particular attention should be giv\ en to areas that )Tj 1 0 0 1 34.32001 394.19 Tm (have been identified in this report as needing improvement, such as risk\ assessments )Tj 1 0 0 1 34.32001 376.69 Tm (and the recruitment and selection of care staff.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The appointed home manager has told us that there are no people living a\ t the home )Tj 1 0 0 1 34.32001 324.20001 Tm (subject to a deprivation of liberty authorisation, under the Mental Capa\ city Act 2005.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The appointed home manager made a declaration in the AQAA \(annual quali\ ty )Tj 1 0 0 1 34.32001 271.70999 Tm (assurance assessment\) that all items of equipment in use in the home re\ main in good )Tj 1 0 0 1 34.32001 254.22 Tm (working order. As mentioned previously in this report, environmental ris\ k assessments )Tj 1 0 0 1 34.32001 236.72 Tm (have been carried out but need to be extended in some areas to make sure\ that the )Tj 1 0 0 1 34.32001 219.23 Tm (home is as safe as possible to the people who live in it. The staff trai\ ning matrix )Tj 1 0 0 1 34.32001 201.73 Tm (evidences that a rolling programme is in place to make sure that care st\ aff are trained )Tj 1 0 0 1 34.32001 184.23 Tm (in all necessary areas to enable them to care for housemates safely.)Tj ET endstream endobj 942 0 obj 3700 endobj 943 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 944 0 obj 6472 endobj 945 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 108.12 w 32.32001 719.77997 m 564.96997 719.77997 l S 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 93.3 677.13 m 197.40001 677.13 l S 199.64998 677.13 m 289.44998 677.13 l S 291.70001 677.13 m 473.80002 677.13 l S 476.04999 677.13 m 566.10004 677.13 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 664.64001 l S 567.21997 689.63 m 567.21997 664.64001 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 664.64001 l S 198.51999 689.63 m 198.51999 664.64001 l S 290.57001 689.63 m 290.57001 664.64001 l S 474.91998 689.63 m 474.91998 664.64001 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 665.71997 m 568.29999 665.71997 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (\240)Tj 1 0 0 1 96.15001 672.35999 Tm (\240)Tj 1 0 0 1 202.5 672.35999 Tm (\240)Tj 1 0 0 1 294.54999 672.35999 Tm (\240)Tj 1 0 0 1 478.89993 672.35999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32001 345.62 m 564.96997 345.62 l S 1 1 1 RG 204 w 31.2 424.80002 m 91.05 424.80002 l S 93.3 424.80002 m 197.40001 424.80002 l S 199.64998 424.80002 m 289.44998 424.80002 l S 291.70001 424.80002 m 473.80002 424.80002 l S 476.04999 424.80002 m 566.10004 424.80002 l S 257.64999 w 31.2 191.73 m 91.05 191.73 l S 93.3 191.73 m 197.40001 191.73 l S 199.64998 191.73 m 289.44998 191.73 l S 291.70001 191.73 m 473.80002 191.73 l S 476.04999 191.73 m 566.10004 191.73 l S 0.75294 0.75294 0.75294 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a f.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 957 0 obj 5634 endobj 958 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 959 0 obj 5633 endobj 960 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of a.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 961 0 obj 5632 endobj 962 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event of .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 963 0 obj 5631 endobj 964 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 965 0 obj 5630 endobj 966 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event o.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 967 0 obj 5629 endobj 968 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 969 0 obj 5628 endobj 970 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the event.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 971 0 obj 5627 endobj 972 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the even.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 973 0 obj 5626 endobj 974 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the eve.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 975 0 obj 5625 endobj 976 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the ev.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 977 0 obj 5624 endobj 978 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the e.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 979 0 obj 5623 endobj 980 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 981 0 obj 5622 endobj 982 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in the.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 983 0 obj 5621 endobj 984 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in th.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 985 0 obj 5620 endobj 986 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in t.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 987 0 obj 5619 endobj 988 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 989 0 obj 5618 endobj 990 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close in.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 991 0 obj 5617 endobj 992 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close i.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 993 0 obj 5616 endobj 994 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 995 0 obj 5615 endobj 996 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors close.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 997 0 obj 5614 endobj 998 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors clos.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 999 0 obj 5613 endobj 1000 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors clo.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1001 0 obj 5612 endobj 1002 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors cl.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1003 0 obj 5611 endobj 1004 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors c.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1005 0 obj 5610 endobj 1006 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1007 0 obj 5609 endobj 1008 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doors.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1009 0 obj 5608 endobj 1010 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire door.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1011 0 obj 5607 endobj 1012 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire doo.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1013 0 obj 5606 endobj 1014 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire do.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1015 0 obj 5605 endobj 1016 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1017 0 obj 5604 endobj 1018 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1019 0 obj 5603 endobj 1020 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fire.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1021 0 obj 5602 endobj 1022 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fir.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1023 0 obj 5601 endobj 1024 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all fi.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1025 0 obj 5600 endobj 1026 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all f.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1027 0 obj 5599 endobj 1028 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1029 0 obj 5598 endobj 1030 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that all.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1031 0 obj 5597 endobj 1032 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that al.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1033 0 obj 5596 endobj 1034 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that a.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1035 0 obj 5595 endobj 1036 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1037 0 obj 5594 endobj 1038 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring that.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1039 0 obj 5593 endobj 1040 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring tha.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1041 0 obj 5592 endobj 1042 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1043 0 obj 5591 endobj 1044 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring t.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1045 0 obj 5590 endobj 1046 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1047 0 obj 5589 endobj 1048 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuring.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1049 0 obj 5588 endobj 1050 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensurin.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1051 0 obj 5587 endobj 1052 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensuri.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1053 0 obj 5586 endobj 1054 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensur.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1055 0 obj 5585 endobj 1056 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ensu.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1057 0 obj 5584 endobj 1058 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and ens.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1059 0 obj 5583 endobj 1060 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and en.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1061 0 obj 5582 endobj 1062 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and e.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1063 0 obj 5581 endobj 1064 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1065 0 obj 5580 endobj 1066 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work and.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1067 0 obj 5579 endobj 1068 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1069 0 obj 5578 endobj 1070 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. 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People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work a.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1071 0 obj 5577 endobj 1072 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work .)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1073 0 obj 5576 endobj 1074 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. The summer house offers a quiet space with seating, a TV and \ stereo.)Tj 1 0 0 1 36.57001 126.82001 Tm (\240)Tj 1 0 0 1 36.57001 109.32001 Tm (Bedrooms viewed have been personalised to reflect individual tastes and \ interests. )Tj 1 0 0 1 36.57001 91.83 Tm (One housemate was very proud to show the inspector some of their persona\ l )Tj ET endstream endobj 1075 0 obj 4658 endobj 1076 0 obj<>stream q 538.5 0 0 61.5 28.35001 14.2 cm /Im0 Do Q 0.75294 0.75294 0.75294 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.40002 m 561.52997 766.40002 l S q 170.25 0 0 54.75 28.35001 750.90002 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14001 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07001 m 557.14996 599.07001 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35001 551.37 Tm (Care homes for adults \(18-65 years\))Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35001 540.33002 Tm <0003>Tj 1 0 0 1 28.35001 533.08997 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 160.37999 461.31998 l S 1 1 1 RG 162.62999 461.31998 m 563.64996 461.31998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 414.75 m 565.84998 414.75 l S 30.07001 531.79999 m 30.07001 413.66998 l S 161.5 531.79999 m 161.5 413.66998 l S 564.77997 531.79999 m 564.77997 413.66998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (McGillicuddy House)Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (18 Vicarage Road )Tj 1 0 0 1 165.48 474.12988 Tm (Strood)Tj 1 0 0 1 165.48 456.54999 Tm (Rochester)Tj 1 0 0 1 165.48 438.97 Tm (Kent)Tj 1 0 0 1 165.48 421.38998 Tm (ME2 4DG)Tj /C2_1 10 Tf 1 0 0 1 28.35001 402.48999 Tm <0003>Tj 1 0 0 1 28.35001 385.48999 Tm <0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 365.95999 m 358.94998 365.95999 l S 1 1 1 RG 361.20001 365.95999 m 565.90002 365.95999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 377.37 m 568.10004 377.37 l S 28.99001 354.53998 m 568.10004 354.53998 l S 30.07001 378.44998 m 30.07001 353.45999 l S 360.06998 378.44998 m 360.06998 353.45999 l S 567.01996 378.44998 m 567.01996 353.45999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm (care home)Tj 1 0 0 1 255.59 361.19 Tm ( is:)Tj 0 Tr 1 0 0 1 400.13998 361.19 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 0 0 1 28.35001 289.22998 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 272.22998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 317.5 254.75 m 565.90002 254.75 l S 1 1 1 RG 317.5 231.92 m 346.54999 231.92 l S 348.80002 231.92 m 377.89999 231.92 l S 380.14999 231.92 m 409.20001 231.92 l S 411.44998 231.92 m 440.54999 231.92 l S 442.80002 231.92 m 471.89993 231.92 l S 474.14993 231.92 m 503.20001 231.92 l S 505.44998 231.92 m 534.54999 231.92 l S 536.79999 231.92 m 565.90002 231.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 243.34 m 568.10004 243.34 l S 28.99001 266.16998 m 568.10004 266.16998 l S 28.99001 243.34 m 568.10004 243.34 l S 28.99001 220.50998 m 568.10004 220.50998 l S 30.07001 267.23999 m 30.07001 219.42998 l S 316.37 267.23999 m 316.37 219.42998 l S 347.66998 244.40999 m 347.66998 219.42998 l S 379.01999 244.40999 m 379.01999 219.42998 l S 410.31998 244.40999 m 410.31998 219.42998 l S 441.66998 244.40999 m 441.66998 219.42998 l S 473.01999 244.40999 m 473.01999 219.42998 l S 504.31998 244.40999 m 504.31998 219.42998 l S 535.66998 244.40999 m 535.66998 219.42998 l S 567.01996 267.23999 m 567.01996 219.42998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 249.98 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 249.98 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 227.14998 Tm (Nicki Dawson)Tj 1 0 0 1 329.63 227.14998 Tm (0)Tj 1 0 0 1 360.94998 227.14998 Tm (2)Tj 1 0 0 1 392.28 227.14998 Tm (0)Tj 1 0 0 1 423.60999 227.14998 Tm (9)Tj 1 0 0 1 454.94998 227.14998 Tm (2)Tj 1 0 0 1 486.28 227.14998 Tm (0)Tj 1 0 0 1 517.60004 227.14998 Tm (0)Tj 1 0 0 1 548.95996 227.14998 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 208.25 Tm <0003>Tj 1 0 0 1 28.35001 191.25 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 174.25 Tm <0003>Tj 1 0 0 1 297.63998 162.17999 Tm <0003>Tj 1 0 0 1 297.63998 150.12 Tm <0003>Tj ET endstream endobj 1077 0 obj 5633 endobj 1078 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1079 0 obj 5489 endobj 1080 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1081 0 obj 8610 endobj 1082 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 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567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (McGillicuddy House)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (18 Vicarage Road )Tj 1 0 0 1 273.04999 729.03998 Tm (Strood)Tj 1 0 0 1 273.04999 711.45996 Tm (Rochester)Tj 1 0 0 1 273.04999 693.88 Tm (Kent)Tj 1 0 0 1 273.04999 676.29999 Tm (ME2 4DG)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01634711781)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 65)Tj 1 0 0 1 435.37 377.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 356.47998 m 297.30002 356.47998 l S 299.54999 356.47998 m 431.44998 356.47998 l S 433.70001 356.47998 m 565.60004 356.47998 l S 0.95294 0.95294 0.95294 RG 31.2 333.64999 m 565.60004 333.64999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 367.89999 m 567.79999 367.89999 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 568.10004 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 247.42 m 568.10004 247.42 l S 30.07001 368.97 m 30.07001 246.34 l S 298.41998 368.97 m 298.41998 343.98999 l S 432.56998 368.97 m 432.56998 343.98999 l S 566.71997 368.97 m 566.71997 246.34 l S BT /T1_0 12 Tf 1 0 0 1 34.05 351.70999 Tm (learning disability)Tj 1 0 0 1 302.39999 351.70999 Tm (8)Tj 1 0 0 1 436.54999 351.70999 Tm (0)Tj 1 0 0 1 34.05 328.88 Tm (Additional conditions: )Tj 1 0 0 1 34.05 306.04999 Tm (The maximum number to be accommodated is 8)Tj 1 0 0 1 34.05 283.22 Tm (The registered person may provide the following categories of service on\ ly: Care home )Tj 1 0 0 1 34.05 268.63998 Tm (only\(PC\) to service users of the following gender: Either whose primar\ y care needs on )Tj 1 0 0 1 34.05 254.06 Tm (admission ot the hoem are within the following category: Learning disabi\ lity \(LD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 232.62999 m 315.25 232.62999 l S 1 1 1 RG 317.5 232.62999 m 346.54999 232.62999 l S 348.80002 232.62999 m 377.89999 232.62999 l S 380.14999 232.62999 m 409.20001 232.62999 l S 411.44998 232.62999 m 440.54999 232.62999 l S 442.80002 232.62999 m 471.89993 232.62999 l S 474.14993 232.62999 m 503.20001 232.62999 l S 505.44998 232.62999 m 534.54999 232.62999 l S 536.79999 232.62999 m 565.90002 232.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 244.03998 m 568.10004 244.03998 l S 28.99001 221.20999 m 568.10004 221.20999 l S 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of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 1083 0 obj 1897 endobj 1084 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 1085 0 obj 3661 endobj 1086 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 1087 0 obj 1595 endobj 1088 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 1089 0 obj 6197 endobj 1090 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 1091 0 obj 1695 endobj 1092 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and bedroom doors that are kept open and may not\ prevent )Tj 1 0 0 1 35.17 788.13995 Tm (the spread of a fire should it occur.)Tj 1 0 0 1 35.17 773.56 Tm (\240)Tj 1 0 0 1 35.17 758.97998 Tm (\240)Tj 1 0 0 1 35.17 744.40002 Tm (\240)Tj 1 0 0 1 28.35001 720.94 Tm (\240)Tj 1 0 0 1 28.35001 700.95001 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 700.95001 Tm (care home)Tj 1 0 0 1 480.03998 700.95001 Tm ( is taking )Tj 1 0 0 1 28.35001 683.45001 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 663.45996 Tm (\240)Tj 1 0 0 1 28.35001 643.45996 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 643.45996 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 623.45996 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 623.45996 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 603.46997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 1093 0 obj 1960 endobj 1094 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (30)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35001 546.14996 m 566.92999 546.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 542.08997 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 1095 0 obj 5799 endobj 1096 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People are provided with information about the service, but some of this\ information )Tj 1 0 0 1 36.62 375.25 Tm (needs to be changed so that people have all the information they need to\ make a )Tj 1 0 0 1 36.62 357.75998 Tm (decision about whether to live in the home.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People would benefit form a more comprehensive assessment of their needs\ before )Tj 1 0 0 1 36.62 305.26999 Tm (they move into the home, so that they can be sure that they will receive\ the right type )Tj 1 0 0 1 36.62 287.76999 Tm (of care.)Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (The aims and objectives of the home are set out in the home's 'Statement\ of Purpose'. )Tj 1 0 0 1 36.57001 198.28998 Tm (The appointed home manager said that the 'Service user Guide', which con\ tains )Tj 1 0 0 1 36.57001 180.78998 Tm (details of the services and facilities that are available to the people \ living in the home, )Tj 1 0 0 1 36.57001 163.3 Tm (needs to be updated, so that it gives accurate information. It is recomm\ ended, that )Tj 1 0 0 1 36.57001 145.8 Tm (when the Service User Guide is updated, it is presented in a way that ha\ s more )Tj 1 0 0 1 36.57001 128.31 Tm (meaning for the people who live at McGillicuddy House. This would comple\ ment the )Tj 1 0 0 1 36.57001 110.81 Tm (audio version of the guide which is already available.)Tj 1 0 0 1 36.57001 93.31 Tm (\240)Tj ET endstream endobj 1097 0 obj 1947 endobj 1098 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 178.84 w 34.60001 721.98999 m 562.53998 721.98999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 157.45999 w 33.47 710.17999 m 563.65997 710.17999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 629.23999 l S 564.78998 791.10999 m 564.78998 629.23999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 630.32001 m 565.87 630.32001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Before a new person is admitted to the home a full needs assessment shou\ ld be )Tj 1 0 0 1 34.32001 761.60004 Tm (carried out to decide whether or not the home is a suitable place for th\ e person to )Tj 1 0 0 1 34.32001 744.10999 Tm (live. The assessment of one person that has recently moved to the home w\ as looked )Tj 1 0 0 1 34.32001 726.60999 Tm (at. The home obtained the joint assessment from the local authority soci\ al service )Tj 1 0 0 1 34.32001 709.10999 Tm (department and used this information to make the decision of whether the\ home could )Tj 1 0 0 1 34.32001 691.62 Tm (meet the person's needs. It is recommended that the home develops its ow\ n tool to )Tj 1 0 0 1 34.32001 674.12 Tm (assess the needs of potential housemates, to complement the information \ obtained )Tj 1 0 0 1 34.32001 656.63 Tm (from the local authority.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj ET endstream endobj 1099 0 obj 5678 endobj 1100 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 342.50998 m 562.53998 342.50998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 206.83 w 33.47 331.25998 m 563.65997 331.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 225.64 l S 564.78998 436.88 m 564.78998 225.64 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 226.72 m 565.87 226.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Housemates each have a personal centered plan of care. Some plans would \ benefit )Tj 1 0 0 1 36.62 358.25 Tm (from clearer guidance for staff as to how to minimise potential risks id\ entified in these )Tj 1 0 0 1 36.62 340.75998 Tm (assessments.)Tj 1 0 0 1 36.62 323.25998 Tm (\240)Tj 1 0 0 1 36.62 305.76999 Tm (Housemates participate in all aspects of life in the home and their indi\ vidual needs and )Tj 1 0 0 1 36.62 288.26999 Tm (choices are promoted.)Tj 1 0 0 1 36.62 270.76999 Tm (\240)Tj 1 0 0 1 36.62 253.28 Tm (Housemates are supported to be independent.)Tj 1 0 0 1 36.62 235.78 Tm (\240)Tj 1 0 0 1 28.35001 211.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 118.82001 w 34.60001 141.44 m 562.53998 141.44 l S 1 1 1 RG 22.5 w 32.35001 191.84999 m 564.78998 191.84999 l S 97.45 w 33.47 129.62999 m 563.65997 129.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 179.48 m 565.87 179.48 l S 32.35001 180.56 m 32.35001 78.70001 l S 564.78998 180.56 m 564.78998 78.70001 l S 32.35001 179.48 m 564.78998 179.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 188.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 163.78999 Tm (Each person that lives in the home should have an individual plan of car\ e that clearly )Tj 1 0 0 1 36.57001 146.3 Tm (sets out their health, personal and social care needs, together with the\ staff support )Tj 1 0 0 1 36.57001 128.8 Tm (that is required to meet these assessed needs. Three care plans were exa\ mined. The )Tj 1 0 0 1 36.57001 111.31 Tm (home has acted on the recommendation made at the last inspection, that e\ ach )Tj 1 0 0 1 36.57001 93.81 Tm (housemate has an individual person centred plan. These plans contain inf\ ormation )Tj ET endstream endobj 1101 0 obj 4746 endobj 1102 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 668.71997 w 34.60001 477.03998 m 562.53998 477.03998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 647.34998 w 33.47 465.22998 m 563.65997 465.22998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 139.34999 l S 564.78998 791.10999 m 564.78998 139.34999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 140.42999 m 565.87 140.42999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (that is important to the individual such as their personal history, like\ s and dislikes, )Tj 1 0 0 1 34.32001 761.60004 Tm (dreams/goals and how these can be met. There is evidence that some goals\ have )Tj 1 0 0 1 34.32001 744.10999 Tm (already been met and that goals are regularly reviewed. Each housemate a\ lso has a )Tj 1 0 0 1 34.32001 726.60999 Tm (communication passport which clearly states how they make their needs kn\ own on a )Tj 1 0 0 1 34.32001 709.10999 Tm (daily basis. Each person's personal care needs current healthcare needs \ are detailed in )Tj 1 0 0 1 34.32001 691.62 Tm (the housemate's six monthly reviews.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (All care plans should have written plans in place to minimise the effect\ of any potential )Tj 1 0 0 1 34.32001 639.13 Tm (risks. Evidence was seen that such plans are in place, but some are not \ regularly )Tj 1 0 0 1 34.32001 621.63 Tm (reviewed nor do they all contain clear guidance for staff about how to m\ inimise )Tj 1 0 0 1 34.32001 604.14001 Tm (potential risks. For example, the moving and handling assessment for one\ housemate )Tj 1 0 0 1 34.32001 586.64001 Tm (had not been reviewed for two years. The risk assessment for one housema\ te is that )Tj 1 0 0 1 34.32001 569.14996 Tm (they have a very low risk of epileptic seizures. The guidance for staff \ to follow is that )Tj 1 0 0 1 34.32001 551.64996 Tm (they "should be aware of what to do". These are not clear instructions f\ or staff to )Tj 1 0 0 1 34.32001 534.14996 Tm (follow should the person have a seizure. It is recommended that all risk\ assessments )Tj 1 0 0 1 34.32001 516.65997 Tm (are audited to ensure that they contain clear guidance to staff to minim\ ise potential )Tj 1 0 0 1 34.32001 499.16 Tm (risks to the people that live in the home.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (Housemates are encouraged to be as independence as possible. Since the l\ ast )Tj 1 0 0 1 34.32001 446.66998 Tm (inspection one housemate is now going out locally in the community by th\ emselves. )Tj 1 0 0 1 34.32001 429.17999 Tm (Evidence was seen in the house meeting notes that this person is, 'reall\ y pleased' with )Tj 1 0 0 1 34.32001 411.67999 Tm (their new independence. Evidence was seen in personal centred plans that\ )Tj 1 0 0 1 34.32001 394.19 Tm (housemates are encouraged to make choices and decisions about their live\ s. )Tj 1 0 0 1 34.32001 376.69 Tm (Throughout the day housemates were observed discussing ideas about what \ they )Tj 1 0 0 1 34.32001 359.19 Tm (wanted to do with staff and staff listening and responding positively to\ these )Tj 1 0 0 1 34.32001 341.70001 Tm (suggestions.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The home assists some housemates with their weekly monies. The record fo\ r one )Tj 1 0 0 1 34.32001 289.20999 Tm (housemate was looked at. It was found to be well organised, showing that\ monies are )Tj 1 0 0 1 34.32001 271.70999 Tm (spent in the best interests of the people who live in the home.)Tj 1 0 0 1 34.32001 254.22 Tm (\240)Tj 1 0 0 1 34.32001 236.72 Tm (Housemates have regular, recorded meetings where they come together to d\ iscuss )Tj 1 0 0 1 34.32001 219.23 Tm (their home life. Each housemate takes turns to chair the meeting. The la\ st minutes )Tj 1 0 0 1 34.32001 201.73 Tm (state that housemates organised a garden fete and from the money they br\ ought a )Tj 1 0 0 1 34.32001 184.23 Tm (new large screen TV. One housemate proudly showed the new TV to the insp\ ector as )Tj 1 0 0 1 34.32001 166.73999 Tm (she entered the home.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj ET endstream endobj 1103 0 obj 5954 endobj 1104 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 89.36 w 34.60001 378.48999 m 562.53998 378.48999 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 66.86 w 33.47 367.23999 m 563.65997 367.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 331.60999 l S 564.78998 402.88 m 564.78998 331.60999 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 332.69 m 565.87 332.69 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (excellent)Tj 0 Tr 1 0 0 1 317.10999 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People who live at the home are supported to live fulfilling lives.)Tj 1 0 0 1 28.35001 317 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 224.78998 w 34.60001 194.42 m 562.53998 194.42 l S 1 1 1 RG 22.5 w 32.35001 297.82001 m 564.78998 297.82001 l S 203.42 w 33.47 182.61 m 563.65997 182.61 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 285.44998 m 565.87 285.44998 l S 32.35001 286.51999 m 32.35001 78.70001 l S 564.78998 286.51999 m 564.78998 78.70001 l S 32.35001 285.44998 m 564.78998 285.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 294.50998 Tm (Evidence:)Tj 1 0 0 1 36.57001 269.75998 Tm (People who live at McGillicuddy House are given opportunities for person\ al )Tj 1 0 0 1 36.57001 252.26999 Tm (development. Personal centred plans evidence that some housemates are su\ pported )Tj 1 0 0 1 36.57001 234.76999 Tm (to learn how to use their money. During the inspection housemates were o\ bserved )Tj 1 0 0 1 36.57001 217.26999 Tm (taking part in a range of household tasks including cooking, washing up \ and sorting )Tj 1 0 0 1 36.57001 199.78 Tm (out the laundry. It was also observed that housemates receive a lot of e\ motional )Tj 1 0 0 1 36.57001 182.28 Tm (support from staff through regular conversations.)Tj 1 0 0 1 36.57001 164.78999 Tm (\240)Tj 1 0 0 1 36.57001 147.28999 Tm (The home has adapted positively to the recent closure of the local day c\ entre which )Tj 1 0 0 1 36.57001 129.78999 Tm (most housemates used to attend. The appointed home manager has used this\ as an )Tj 1 0 0 1 36.57001 112.3 Tm (opportunity to develop more activities for the people who live in the ho\ me. )Tj 1 0 0 1 36.57001 94.8 Tm (Housemates talked about the activities that they take part in with enthu\ siasm. )Tj ET endstream endobj 1105 0 obj 4908 endobj 1106 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Comments from housemates include, "I won three pounds at bingo", "I make\ the )Tj 1 0 0 1 34.32001 761.60004 Tm (lunches at Age Concern", and "I do the cooking". Activities recorded in \ individual files )Tj 1 0 0 1 34.32001 744.10999 Tm (include gardening, drama, picnics, days out, shopping, swimming, arts an\ d craft and )Tj 1 0 0 1 34.32001 726.60999 Tm (water pistol fights! One housemate has a voluntary job and some housemat\ es are due )Tj 1 0 0 1 34.32001 709.10999 Tm (to start college in September. Evidence was seen in the house meeting mi\ nutes that )Tj 1 0 0 1 34.32001 691.62 Tm (housemates are actively involved in planning activities and that they ar\ e encouraged )Tj 1 0 0 1 34.32001 674.12 Tm (to try out new interests. Activities that housemates take part in are re\ corded in )Tj 1 0 0 1 34.32001 656.63 Tm (individual files. In addition a monthly review is kept of all activities\ that take place by )Tj 1 0 0 1 34.32001 639.13 Tm (everyone living in the home.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (Some housemates are due to go on holiday soon. The appointed manager sai\ d that )Tj 1 0 0 1 34.32001 586.64001 Tm (not all housemates wan to go and this was confirmed by people living at \ the home. )Tj 1 0 0 1 34.32001 569.14996 Tm (One housemate shared photographs of a recent birthday that they celebrat\ ed. The )Tj 1 0 0 1 34.32001 551.64996 Tm (housemate celebrated their day by having a garden party with friends and\ family, )Tj 1 0 0 1 34.32001 534.14996 Tm (complete with a marquee and a beautifully decorated cake.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The home has good links with the local community. Some housemates shop )Tj 1 0 0 1 34.32001 481.66998 Tm (independently at the local shops, some attend a local church. The appoin\ ted home )Tj 1 0 0 1 34.32001 464.16998 Tm (manager stated in the AQAA \(annual quality assurance assessment\) that \ a successful )Tj 1 0 0 1 34.32001 446.66998 Tm (summer garden fete was organised which was supported by new contacts at \ bingo, )Tj 1 0 0 1 34.32001 429.17999 Tm (neighbours and local shops.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (People living at the home said that their friends and relatives are welc\ ome to visit )Tj 1 0 0 1 34.32001 376.69 Tm (them at their home. Evidence was seen in daily notes that housemates are\ )Tj 1 0 0 1 34.32001 359.19 Tm (encouraged to keep in contact with their relatives. Internet access has \ recently been )Tj 1 0 0 1 34.32001 341.70001 Tm (installed so that housemates can keep in contact via e-mail.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Housemates were observed moving freely around the home during the inspec\ tion. )Tj 1 0 0 1 34.32001 289.20999 Tm (People who chose to have keys to their rooms to maintain their privacy.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People who live in the home are involved in all aspects of meal preparat\ ion. During the )Tj 1 0 0 1 34.32001 236.72 Tm (inspection housemates were asked their choices for the evening meal. One\ housemate )Tj 1 0 0 1 34.32001 219.23 Tm (went out to the local shops to buy food items that were needed for the d\ ay. One )Tj 1 0 0 1 34.32001 201.73 Tm (housemate was observed preparing the evening meal. In addition, people a\ re also )Tj 1 0 0 1 34.32001 184.23 Tm (involved in baking on a regular basis. Person centred plans contain phot\ ographs of )Tj 1 0 0 1 34.32001 166.73999 Tm (cakes that housemates have proudly made. During the inspection, one hous\ emate was )Tj 1 0 0 1 34.32001 149.23999 Tm (supported to make an orange cake and the smell that came from the kitche\ n indicated )Tj 1 0 0 1 34.32001 131.75 Tm (that the cake was absolutely delicious!)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 1107 0 obj 5822 endobj 1108 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 394.00998 m 562.53998 394.00998 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 171.84 w 33.47 382.75998 m 563.65997 382.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 294.63998 l S 564.78998 470.87991 m 564.78998 294.63998 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 295.70999 m 565.87 295.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People who live in the home have their personal and healthcare needs met\ .)Tj 1 0 0 1 36.62 392.25 Tm (\240)Tj 1 0 0 1 36.62 374.75998 Tm (People who live in the home are being encouraged to administer their own\ )Tj 1 0 0 1 36.62 357.25998 Tm (medications where they have been assessed as able to do so. People would\ further )Tj 1 0 0 1 36.62 339.76999 Tm (benefit from clearer guidance being given to staff in some aspects of th\ e management )Tj 1 0 0 1 36.62 322.26999 Tm (of medicines.)Tj 1 0 0 1 36.62 304.76999 Tm (\240)Tj 1 0 0 1 28.35001 280.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 187.81999 w 34.60001 175.92999 m 562.53998 175.92999 l S 1 1 1 RG 22.5 w 32.35001 260.84 m 564.78998 260.84 l S 166.45 w 33.47 164.12 m 563.65997 164.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.47 m 565.87 248.47 l S 32.35001 249.54999 m 32.35001 78.70001 l S 564.78998 249.54999 m 564.78998 78.70001 l S 32.35001 248.47 m 564.78998 248.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 257.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 232.78998 Tm (The personal support that housemates require and a summary of their heal\ thcare )Tj 1 0 0 1 36.57001 215.28998 Tm (appointments and needs are detailed in their six monthly reviews. This e\ vidences that )Tj 1 0 0 1 36.57001 197.78998 Tm (people who live in the home receive regular support from a range of heal\ thcare )Tj 1 0 0 1 36.57001 180.3 Tm (professionals as required. Important healthcare information about each h\ ousemate is )Tj 1 0 0 1 36.57001 162.8 Tm (contained in individual personal centred plans. The appointed home manag\ er said that )Tj 1 0 0 1 36.57001 145.31 Tm (individual healthcare plans are currently being developed for each house\ mate and this )Tj 1 0 0 1 36.57001 127.81 Tm (will be a valuable addition to the person centred plans. A new hospital \ assessment )Tj 1 0 0 1 36.57001 110.31 Tm (form has been completed for each housemate. This form contains all the i\ nformation )Tj 1 0 0 1 36.57001 92.82001 Tm (that hospital staff would need, should the person be admitted to hospita\ l.)Tj ET endstream endobj 1109 0 obj 3068 endobj 1110 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The home uses a pre-dispensed system for administration of medicines. Th\ is system is )Tj 1 0 0 1 34.32001 744.10999 Tm (used to reduce the risk of housemates receiving incorrect doses or incor\ rect )Tj 1 0 0 1 34.32001 726.60999 Tm (medication. The person that is giving out the medicine records on a pre \ printed form )Tj 1 0 0 1 34.32001 709.10999 Tm (\(MAR sheet\) the medicine has been given or, if it hasn't been given, t\ he reason why. )Tj 1 0 0 1 34.32001 691.62 Tm (On examination of the MAR sheets it was found that there were no gaps in\ the record, )Tj 1 0 0 1 34.32001 674.12 Tm (indicating that medicines are given to housemates as prescribed by their\ GP. Following )Tj 1 0 0 1 34.32001 656.63 Tm (the recommendation made at the last inspection there is now guidance in \ place for )Tj 1 0 0 1 34.32001 639.13 Tm (housemates who are prescribed medicines that are PRN \(as and when requi\ red\) and )Tj 1 0 0 1 34.32001 621.63 Tm (some people are responsible for administering part of their own medicati\ on.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (The training matrix evidences that only staff who give out medicines hav\ e been )Tj 1 0 0 1 34.32001 569.14996 Tm (formally trained to do so. The home manager said that he regularly obser\ ves staff )Tj 1 0 0 1 34.32001 551.64996 Tm (giving out medication to ensure that it is done safely. It is recommende\ d that this )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment of staff's competency to administer medicines is formalised a\ nd )Tj 1 0 0 1 34.32001 516.65997 Tm (undertaken on a regular basis. It is also recommended that the home's po\ licies and )Tj 1 0 0 1 34.32001 499.16 Tm (procedures on medication, which give guidance to staff, be extended to i\ nclude a )Tj 1 0 0 1 34.32001 481.66998 Tm (wider range of aspects concerning the administration and storage of medi\ cation.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj ET endstream endobj 1111 0 obj 5539 endobj 1112 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. 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We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live in the home are confident that any concern or compliant \ they make )Tj 1 0 0 1 36.62 460.25 Tm (will be listened to and resolved to their satisfaction.)Tj 1 0 0 1 36.62 442.75998 Tm (\240)Tj 1 0 0 1 36.62 425.25998 Tm (Staff feel confident to speak out and take action to protect service use\ rs, if they have )Tj 1 0 0 1 36.62 407.76999 Tm (any concerns about their care.)Tj 1 0 0 1 36.62 390.26999 Tm (\240)Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (Neither the home nor the commission has received any complaints about th\ e service )Tj 1 0 0 1 36.57001 300.78998 Tm (in the last year. People living in the home said that they know who to t\ alk to if they )Tj 1 0 0 1 36.57001 283.29001 Tm (have a concern and that staff listen to them and act on what they say. A\ t the last key )Tj 1 0 0 1 36.57001 265.79001 Tm (unannounced inspection it was suggested that the home could make the com\ plaints )Tj 1 0 0 1 36.57001 248.3 Tm (procedure more accessible to the people who live in the home by making a\ n audio )Tj 1 0 0 1 36.57001 230.8 Tm (version of the procedure. This is something would benefit the housemates\ at )Tj 1 0 0 1 36.57001 213.31 Tm (McGillcuddy and would show that the home is doing all that it can to enc\ ourage people )Tj 1 0 0 1 36.57001 195.81 Tm (to speak out.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Some people who live in the home attend Medway Valuing People forum wher\ e people )Tj 1 0 0 1 36.57001 143.31999 Tm (are encouraged to speak out about important issues. One housemate explai\ ned that )Tj 1 0 0 1 36.57001 125.83 Tm (they have met members of the police force and that they talk about keepi\ ng )Tj 1 0 0 1 36.57001 108.33 Tm (themselves safe with regards to drugs and money.)Tj 1 0 0 1 36.57001 90.83 Tm (\240)Tj ET endstream endobj 1113 0 obj 1349 endobj 1114 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 91.36 w 34.60001 765.72998 m 562.53998 765.72998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 69.98 w 33.47 753.91998 m 563.65997 753.91998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 716.71997 l S 564.78998 791.10999 m 564.78998 716.71997 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 717.79999 m 565.87 717.79999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (Staff have a good understanding of what is good care practice. The staff\ training )Tj 1 0 0 1 34.32001 761.60004 Tm (matrix evidences that most staff have received formal training in safegu\ arding )Tj 1 0 0 1 34.32001 744.10999 Tm (vulnerable adults.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj ET endstream endobj 1115 0 obj 5576 endobj 1116 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (30)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. 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We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Housemates benefit from living in a home which meets their needs.)Tj 1 0 0 1 36.62 426.25 Tm (\240)Tj 1 0 0 1 36.62 408.75998 Tm (To make sure that the home is safe at all times for the people who live \ in it, further )Tj 1 0 0 1 36.62 391.25998 Tm (assessments of risk should be carried out with regards to potentially ho\ t radiators and )Tj 1 0 0 1 36.62 373.76999 Tm (pipe work.)Tj 1 0 0 1 36.62 356.26999 Tm (\240)Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home continues to make gradual improvements to the environment for t\ he benefit )Tj 1 0 0 1 36.57001 266.79001 Tm (and comfort of the people who live there. The kitchen has had new floori\ ng and )Tj 1 0 0 1 36.57001 249.28998 Tm (decoration. The appointed manager has identified areas of the home where\ further )Tj 1 0 0 1 36.57001 231.78998 Tm (improvements are needed.)Tj 1 0 0 1 36.57001 214.3 Tm (\240)Tj 1 0 0 1 36.57001 196.8 Tm (People who live in the home have use of a kitchen/living room area. This\ leads directly )Tj 1 0 0 1 36.57001 179.31 Tm (out into the garden where housemates also have use of a summer house. Pe\ ople were )Tj 1 0 0 1 36.57001 161.81 Tm (using the summer house on the day of the inspection. "I like it here", c\ ommented one )Tj 1 0 0 1 36.57001 144.31 Tm (housemate. 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(\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1294 0 obj 1291 endobj 1295 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work and b.)Tj 0 -14.57996 TD (\240)Tj 0 -14.58002 TD (\240)Tj 0 -14.57996 TD (\240)Tj -6.81999 -23.46002 Td (\240)Tj 0 -19.98999 TD (If you want to know what action the person responsible for this care hom\ e is taking )Tj 0 -17.5 TD (following this report, you can contact them using the details on page 4.\ )Tj 0 -19.99005 TD (\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1296 0 obj 1290 endobj 1297 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 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details on page 4.\ )Tj 0 -19.99005 TD (\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1300 0 obj 1288 endobj 1301 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work an.)Tj 0 -14.57996 TD (\240)Tj 0 -14.58002 TD (\240)Tj 0 -14.57996 TD (\240)Tj -6.81999 -23.46002 Td (\240)Tj 0 -19.98999 TD (If you want to know what action the person responsible for this care hom\ e is taking )Tj 0 -17.5 TD (following this report, you can contact them using the details on page 4.\ )Tj 0 -19.99005 TD (\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1302 0 obj 1287 endobj 1303 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work a.)Tj 0 -14.57996 TD (\240)Tj 0 -14.58002 TD (\240)Tj 0 -14.57996 TD (\240)Tj -6.81999 -23.46002 Td (\240)Tj 0 -19.98999 TD (If you want to know what action the person responsible for this care hom\ e is taking )Tj 0 -17.5 TD (following this report, you can contact them using the details on page 4.\ )Tj 0 -19.99005 TD (\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1304 0 obj 1286 endobj 1305 0 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contact them using the details on page 4.\ )Tj 0 -19.99005 TD (\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1306 0 obj 1285 endobj 1307 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 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good service)Tj /C2_1 10 Tf 1 0 0 1 28.35001 342.28998 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 323.22998 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.22998 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35001 306.22998 Tm (people who use it.)Tj 1 0 0 1 138.92999 306.22998 Tm (\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 0 0 1 28.35001 289.22998 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 272.22998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 317.5 254.75 m 565.90002 254.75 l S 1 1 1 RG 317.5 231.92 m 346.54999 231.92 l S 348.80002 231.92 m 377.89999 231.92 l S 380.14999 231.92 m 409.20001 231.92 l S 411.44998 231.92 m 440.54999 231.92 l S 442.80002 231.92 m 471.89993 231.92 l S 474.14993 231.92 m 503.20001 231.92 l S 505.44998 231.92 m 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423.60999 227.14998 Tm (9)Tj 1 0 0 1 454.94998 227.14998 Tm (2)Tj 1 0 0 1 486.28 227.14998 Tm (0)Tj 1 0 0 1 517.60004 227.14998 Tm (0)Tj 1 0 0 1 548.95996 227.14998 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 208.25 Tm <0003>Tj 1 0 0 1 28.35001 191.25 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 174.25 Tm <0003>Tj 1 0 0 1 297.63998 162.17999 Tm <0003>Tj 1 0 0 1 297.63998 150.12 Tm <0003>Tj ET endstream endobj 1310 0 obj 5633 endobj 1311 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 1312 0 obj 5489 endobj 1313 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 1314 0 obj 8610 endobj 1315 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 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584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 80.82001 w 32.32001 515.29999 m 564.76996 515.29999 l S 1 1 1 RG 35.16 w 355.5 539.25 m 565.90002 539.25 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 509.12985 m 353.25 509.12985 l S 1 1 1 RG 355.5 509.12985 m 565.90002 509.12985 l S 0.95294 0.95294 0.95294 RG 31.2 486.30002 m 353.25 486.30002 l S 1 1 1 RG 355.5 486.30002 m 565.90002 486.30002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 520.54999 m 568.10004 520.54999 l S 28.99001 497.72 m 568.10004 497.72 l S 28.99001 474.88992 m 568.10004 474.88992 l S 30.07001 559.02997 m 30.07001 473.81 l S 354.37 559.02997 m 354.37 473.81 l S 567.01996 559.02997 m 567.01996 473.81 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Mrs Assumpta Ann Payne,Mr )Tj 1 0 0 1 355.5 527.19 Tm (Dennis Gover Payne)Tj 1 0 0 1 34.05 504.35999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 504.35999 Tm (care home)Tj 1 0 0 1 34.05 481.53 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 481.53 Tm (8)Tj /T1_0 10 Tf 1 0 0 1 28.35001 462.59 Tm (\240)Tj 1 0 0 1 28.35001 445.59 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 403.26999 m 564.46997 403.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 437.50998 m 567.79999 437.50998 l S 28.99001 414.67999 m 567.79999 414.67999 l S 28.99001 371.26999 m 567.79999 371.26999 l S 30.07001 438.59 m 30.07001 370.20001 l S 298.32001 415.75998 m 298.32001 370.20001 l S 566.71997 438.59 m 566.71997 370.20001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 421.32999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 398.5 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 398.5 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 377.91998 Tm (Under 65)Tj 1 0 0 1 435.37 377.91998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 356.47998 m 297.30002 356.47998 l S 299.54999 356.47998 m 431.44998 356.47998 l S 433.70001 356.47998 m 565.60004 356.47998 l S 0.95294 0.95294 0.95294 RG 31.2 333.64999 m 565.60004 333.64999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 567.79999 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 367.89999 m 567.79999 367.89999 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 322.23999 m 568.10004 322.23999 l S 28.99001 299.41 m 568.10004 299.41 l S 28.99001 247.42 m 568.10004 247.42 l S 30.07001 368.97 m 30.07001 246.34 l S 298.41998 368.97 m 298.41998 343.98999 l S 432.56998 368.97 m 432.56998 343.98999 l S 566.71997 368.97 m 566.71997 246.34 l S BT /T1_0 12 Tf 1 0 0 1 34.05 351.70999 Tm (learning disability)Tj 1 0 0 1 302.39999 351.70999 Tm (8)Tj 1 0 0 1 436.54999 351.70999 Tm (0)Tj 1 0 0 1 34.05 328.88 Tm (Additional conditions: )Tj 1 0 0 1 34.05 306.04999 Tm (The maximum number to be accommodated is 8)Tj 1 0 0 1 34.05 283.22 Tm (The registered person may provide the following categories of service on\ ly: Care home )Tj 1 0 0 1 34.05 268.63998 Tm (only\(PC\) to service users of the following gender: Either whose primar\ y care needs on )Tj 1 0 0 1 34.05 254.06 Tm (admission ot the hoem are within the following category: Learning disabi\ lity \(LD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 232.62999 m 315.25 232.62999 l S 1 1 1 RG 317.5 232.62999 m 346.54999 232.62999 l S 348.80002 232.62999 m 377.89999 232.62999 l S 380.14999 232.62999 m 409.20001 232.62999 l S 411.44998 232.62999 m 440.54999 232.62999 l S 442.80002 232.62999 m 471.89993 232.62999 l S 474.14993 232.62999 m 503.20001 232.62999 l S 505.44998 232.62999 m 534.54999 232.62999 l S 536.79999 232.62999 m 565.90002 232.62999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 244.03998 m 568.10004 244.03998 l S 28.99001 221.20999 m 568.10004 221.20999 l S 30.07001 245.12 m 30.07001 220.12999 l S 316.37 245.12 m 316.37 220.12999 l S 347.66998 245.12 m 347.66998 220.12999 l S 379.01999 245.12 m 379.01999 220.12999 l S 410.31998 245.12 m 410.31998 220.12999 l S 441.66998 245.12 m 441.66998 220.12999 l S 473.01999 245.12 m 473.01999 220.12999 l S 504.31998 245.12 m 504.31998 220.12999 l S 535.66998 245.12 m 535.66998 220.12999 l S 567.01996 245.12 m 567.01996 220.12999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 227.86 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 209.34 m 565.90002 209.34 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 199.70999 m 568.10004 199.70999 l S 30.07001 200.78998 m 30.07001 39.14999 l S 567.01996 200.78998 m 567.01996 39.14999 l S 28.99001 218.95999 m 568.10004 218.95999 l S 28.99001 199.70999 m 568.10004 199.70999 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 220.03998 m 30.07001 198.62999 l S 567.01996 220.03998 m 567.01996 198.62999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 205.78 Tm (Brief description of the )Tj 1 0 0 1 177.31 205.78 Tm (care home)Tj 1 0 0 1 35.5 186.53 Tm (McGillicuddy House provides personal care and support for up to eight ad\ ults who have )Tj 1 0 0 1 35.5 169.53 Tm (a learning )Tj 1 0 0 1 99.89 169.53 Tm (disability.)Tj 1 0 0 1 157.66 169.53 Tm ( \240)Tj 1 0 0 1 35.5 152.53 Tm (\240)Tj 1 0 0 1 35.5 135.53 Tm (The home is a large semi-detached Victorian property situated in a quiet\ residential )Tj 1 0 0 1 35.5 118.53 Tm (road close to Strood town centre. It has easy access to a variety of ame\ nities and )Tj 1 0 0 1 35.5 101.53 Tm (shops and is close to local bus routes and the train )Tj 1 0 0 1 347.38 101.53 Tm (station.)Tj 1 0 0 1 392.82999 101.53 Tm ( \240)Tj 1 0 0 1 35.5 84.53 Tm (\240)Tj 1 0 0 1 35.5 67.53 Tm (The accommodation is situated over four floors. There is a large open pl\ an communal )Tj 1 0 0 1 35.5 50.53 Tm (room that provides living, dining and kitchen facilities. Each person is\ provided with )Tj ET endstream endobj 1316 0 obj 1897 endobj 1317 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (30)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 638.07996 l S 567.01996 795.47998 m 567.01996 638.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 639.14996 m 568.10004 639.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (their own bedroom so that no one has to share. There is a small well mai\ ntained )Tj 1 0 0 1 33.25 766.46997 Tm (garden. The garden contains a summer house which many of the people livi\ ng in the )Tj 1 0 0 1 33.25 749.46997 Tm (home like to use. Restricted residential parking is available in the sur\ rounding )Tj 1 0 0 1 33.25 732.46997 Tm (streets.)Tj 1 0 0 1 79 732.46997 Tm ( \240)Tj 1 0 0 1 33.25 715.46997 Tm (\240)Tj 1 0 0 1 33.25 698.46997 Tm (Fees range from \243400 to \243540 per )Tj 1 0 0 1 245.95998 698.46997 Tm (week.)Tj 1 0 0 1 281.54999 698.46997 Tm ( \240)Tj 1 0 0 1 33.25 681.46997 Tm (\240)Tj 1 0 0 1 33.25 664.46997 Tm (The last key unnannounced inspection to the home was on the 14th Septemb\ er )Tj 1 0 0 1 519.15997 664.46997 Tm (2007.)Tj 1 0 0 1 554.06 664.46997 Tm ( \240)Tj 1 0 0 1 33.25 647.46997 Tm (\240)Tj ET endstream endobj 1318 0 obj 3661 endobj 1319 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced, which means that the people who live and\ work at )Tj 1 0 0 1 35.17 240.90001 Tm (the home did not know that the inspector was calling. Key unannounced in\ spections )Tj 1 0 0 1 35.17 226.31998 Tm (are aimed at making sure that the individual service is meeting the Nati\ onal Minimum )Tj 1 0 0 1 35.17 211.73999 Tm (Standards and that the outcomes for people using the service promote the\ ir best )Tj 1 0 0 1 35.17 197.14998 Tm (interests.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (The inspection started at 10 am and took 6 hours. Seven people who live \ at the home, )Tj 1 0 0 1 35.17 153.41 Tm (two staff and the appointed home manager were involved in the inspection\ to gain )Tj 1 0 0 1 35.17 138.84 Tm (their views and knowledge of the level of care, provided by the service.\ The main areas )Tj 1 0 0 1 35.17 124.25 Tm (of the home including a number of peoples' bedrooms were entered. A numb\ er of )Tj 1 0 0 1 35.17 109.68001 Tm (records to do with people care and safety were looked at.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (It is now a legal requirement for services to complete and return an ann\ ual quality )Tj 1 0 0 1 35.17 65.93001 Tm (assurance assessment \(AQAA\). The AQAA is a self-assessment that focuse\ s on how )Tj ET endstream endobj 1320 0 obj 1595 endobj 1321 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 134.22 w 32.32001 745.41998 m 566.71997 745.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 677.17999 m 568.91998 677.17999 l S 31.2 814.72998 m 31.2 676.10999 l S 567.84998 814.72998 m 567.84998 676.10999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (well outcomes are being met for people using the service. It also gives \ us some )Tj 1 0 0 1 32.92 788.13995 Tm (numerical information about the service. The service returned their AQAA\ to us within )Tj 1 0 0 1 32.92 773.56 Tm (the timescale requested and it contains all the information that we aske\ d for.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (In this report the people who live in the home will be called, 'housemat\ es' as this is )Tj 1 0 0 1 32.92 729.82001 Tm (what they have chosen to call themselves. The person who manages the hom\ e will be )Tj 1 0 0 1 32.92 715.23999 Tm (referred to as, 'the appointed home manager'. This person has been appoi\ nted by the )Tj 1 0 0 1 32.92 700.65997 Tm (registered home owner to manage the home, but has not been formally asse\ ssed by us )Tj 1 0 0 1 32.92 686.07996 Tm (as competent to do so.)Tj ET endstream endobj 1322 0 obj 6197 endobj 1323 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 253.86 w 32.32001 646.89001 m 566.71997 646.89001 l S 20.58 w 32.7 507.41995 m 569.34998 507.41995 l S 210.12 w 33.82001 389.81998 m 568.21997 389.81998 l S 20.58 w 33.45 272.22 m 570.10004 272.22 l S 195.65999 w 34.57001 161.84999 m 568.96997 161.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 518.83997 m 568.91998 518.83997 l S 31.2 776.02997 m 31.2 517.76001 l S 31.2 518.83997 m 569.34998 518.83997 l S 32.7 496.00998 m 569.34998 496.00998 l S 31.62 496.00998 m 570.41998 496.00998 l S 31.62 283.63998 m 570.41998 283.63998 l S 33.45 260.81 m 570.10004 260.81 l S 33.45 283.63998 m 570.10004 283.63998 l S 32.37 260.81 m 571.16998 260.81 l S 32.37 62.90001 m 571.16998 62.90001 l S 32.7 497.09 m 32.7 282.56 l S 33.45 261.88998 m 33.45 61.82001 l S 567.84998 776.02997 m 567.84998 517.76001 l S 569.34998 497.09 m 569.34998 282.56 l S 570.10004 261.88998 m 570.10004 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People who live and work at the home interact with one another like memb\ ers of a )Tj 1 0 0 1 35.17 744.17999 Tm (family. There is constant communication between everyone; everyone is in\ terested in )Tj 1 0 0 1 35.17 729.60004 Tm (what other people are doing; and people make time to listen to each othe\ r.)Tj 1 0 0 1 35.17 715.01996 Tm (\240)Tj 1 0 0 1 35.17 700.44 Tm (The views of people who live in the home are regularly sought through co\ nversations, )Tj 1 0 0 1 35.17 685.85999 Tm (house meetings and the personal centered planning process. Some housemat\ es were )Tj 1 0 0 1 35.17 671.27997 Tm (present when, at the end of the inspection, a summary was made of the go\ od things in )Tj 1 0 0 1 35.17 656.70001 Tm (the home and the things that need improving. The housemates added their \ own )Tj 1 0 0 1 35.17 642.12 Tm (comments. "What do you think about the home" one housemate asked and the\ n )Tj 1 0 0 1 35.17 627.53998 Tm (responded, "It is good living here".)Tj 1 0 0 1 35.17 612.95996 Tm (\240)Tj 1 0 0 1 35.17 598.38 Tm (People feel confident to say if they are unhappy about any aspect of hom\ e life. They )Tj 1 0 0 1 35.17 583.79999 Tm (receive good advice about how to keep themselves safe by attending a loc\ al forum.)Tj 1 0 0 1 35.17 569.21997 Tm (\240)Tj 1 0 0 1 35.17 554.64001 Tm (Staff receive regular training to keep them up to date with current good\ practice in )Tj 1 0 0 1 35.17 540.06 Tm (caring for people with a learning disability. In addition a large percen\ tage of the staff )Tj 1 0 0 1 35.17 525.47998 Tm (team have gained a national vocational qualification.)Tj /T1_0 10 Tf 1 0 0 1 568.96997 645.33997 Tm (\240)Tj 1 0 0 1 31.2 505.31 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 502.6499 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 505.87 Tm (\240)Tj 1 0 0 1 31.2 388.26999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 479.81998 Tm (Personal centred plans have now been developed which include housemates'\ individual )Tj 1 0 0 1 36.67 465.23999 Tm (needs and goals from their own point of view.)Tj 1 0 0 1 36.67 450.66 Tm (\240)Tj 1 0 0 1 36.67 436.07999 Tm (People who live in the home have had more opportunities do take part in \ new and )Tj 1 0 0 1 36.67 421.5 Tm (different activities since the local day centre has closed. Some people \ are going to )Tj 1 0 0 1 36.67 406.91998 Tm (attend college courses and are very excited about their recent visit to \ the college )Tj 1 0 0 1 36.67 392.34 Tm (building.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A staff training matrix has been developed which helps the appointed hom\ e manager )Tj 1 0 0 1 36.67 348.60001 Tm (identify which areas of training staff need to attend. This makes sure t\ hat all staff )Tj 1 0 0 1 36.67 334.01999 Tm (receive the right amount of training that they need.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.85999 Tm (There has been some decoration in the home, including the kitchen.)Tj 1 0 0 1 36.67 290.28 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 570.46997 388.26999 Tm (\240)Tj 1 0 0 1 31.2 270.66998 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 267.44998 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 160.3 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 244.62 Tm (The home is not doing all that it can to make sure that the people who t\ hey employ to )Tj 1 0 0 1 37.42 230.03998 Tm (work in the home are suitable. A requirement has been made in this repor\ t that the )Tj 1 0 0 1 37.42 215.45999 Tm (home thoroughly assesses the fitness of all people before they work with\ people who )Tj 1 0 0 1 37.42 200.87999 Tm (live in the home. This will make sure that housemates are in safe hands.\ )Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (Staff are not given clear guidance on how to minimise any potential risk\ s that have )Tj 1 0 0 1 37.42 157.14 Tm (been identified in the care planning process. It is recommended that an \ audit is )Tj 1 0 0 1 37.42 142.56 Tm (undertaken of all potential risks to people who live in the home and tha\ t written )Tj 1 0 0 1 37.42 127.98 Tm (guidance is given to staff so that they know what to do to minimise any \ potential risks )Tj 1 0 0 1 37.42 113.40001 Tm (that have been identified.)Tj 1 0 0 1 37.42 98.82001 Tm (\240)Tj 1 0 0 1 37.42 84.24001 Tm (Some aspects of the home environment need to be assessed to make sure th\ at they )Tj 1 0 0 1 37.42 69.66 Tm (are not potentially harmful to the people who live in the home. These in\ clude hot )Tj ET endstream endobj 1324 0 obj 1285 endobj 1325 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (30)Tj ET 1 1 1 RG 75.90001 w 34.57001 774.57996 m 568.96997 774.57996 l S 0.75294 0.75294 0.75294 RG 2.25 w 32.37 813.64996 m 571.16998 813.64996 l S 32.37 735.5 m 571.16998 735.5 l S 33.45 814.72998 m 33.45 734.42999 l S 570.10004 814.72998 m 570.10004 734.42999 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.17 802.71997 Tm (radiators and pipe work.)Tj 0 -14.57996 TD (\240)Tj 0 -14.58002 TD (\240)Tj 0 -14.57996 TD (\240)Tj -6.81999 -23.46002 Td (\240)Tj 0 -19.98999 TD (If you want to know what action the person responsible for this care hom\ e is taking )Tj 0 -17.5 TD (following this report, you can contact them using the details on page 4.\ )Tj 0 -19.99005 TD (\240)Tj 0 -20 TD (The report of this inspection is available from our website www.cqc.org.\ uk.)Tj T* (You can get printed copies from enquiries@cqc.org.uk or by telephoning o\ ur)Tj 0 -19.98999 TD (order line 0870 240 7535.)Tj ET endstream endobj 1326 0 obj<>stream iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal endstream endobj xref 6 1 0001809366 00000 n 11 1 0001809562 00000 n 14 1 0001809720 00000 n 16 1 0001809893 00000 n 18 1 0001810040 00000 n 22 1 0001810176 00000 n 24 1 0001810346 00000 n 26 1 0001810482 00000 n 28 1 0001810618 00000 n 100 2 0001810754 00000 n 0001810849 00000 n 1118 209 0001811074 00000 n 0001811097 00000 n 0001812848 00000 n 0001812871 00000 n 0001814621 00000 n 0001814644 00000 n 0001816393 00000 n 0001816416 00000 n 0001818164 00000 n 0001818187 00000 n 0001819934 00000 n 0001819957 00000 n 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