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Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F2 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F2 12 Tf BT 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 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Brentwood Care Centre)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Larchwood Gardens)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Pilgrims Hatch )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Brentwood)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Essex)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (CM15 9NG)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01277375316)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01277375473)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (brentwood@ranccare.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 566.03 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 499.76 m 564.77 499.76 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 20.58 w 31.2 500.88 m 565.9 500.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 478.05 m 353.25 478.05 l S 0.001 w 1 1 1 RG 20.58 w 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2.25 w 567.02 559.03 m 567.02 442.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Ranc Care Homes Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 59.76 496.11 Tm (Susan )Tj ET /F2 12 Tf BT 1 0 0 1 100.85 496.11 Tm (Cruse)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 473.28 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 473.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 450.45 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 450.45 Tm (112)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 431.51 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 414.51 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 372.19 m 564.47 372.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 383.6 m 567.8 383.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 406.43 m 567.8 406.43 l S 0.001 w [] 0 d [] 0 d 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0 0 1 34.05 177.32 Tm (with nursing - Code CRH N to service users of the following gender: Either Whose )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 162.74 Tm (primary care needs on admission to the home are within the following categories: Old )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 148.16 Tm (age not falling into any other category who are over 60 years of age - Code OP )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 133.58 Tm (\(maximum number of places 112\) Service users with dementia who are over 50 years )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 119 Tm (of age - Code DE \(Maximum number of places 112\) Service users with a physical )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 104.42 Tm (disability who are over 40 years of age - Code PD \(Maximum number of places 9\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 82.99 m 315.25 82.99 l S 0.001 w 1 1 1 RG 20.58 w 317.5 82.99 m 346.55 82.99 l S 0.001 w 20.58 w 348.8 82.99 m 377.9 82.99 l S 0.001 w 20.58 w 380.15 82.99 m 409.2 82.99 l S 0.001 w 20.58 w 411.45 82.99 m 440.55 82.99 l 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inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 78.22 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 78.22 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 78.22 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 78.22 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 78.22 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 78.22 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 78.22 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 78.22 Tm (9)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (39)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 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nursing care for up to a maximum of one )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 713.22 Tm (hundred and twelve people.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 696.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 679.22 Tm (Accommodation is provided over three floors. Residents have access to comfortable )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 662.22 Tm (communal areas and all residents have single bedrooms with ensuite facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 645.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 628.22 Tm (The costs for placement at the home range from 558.25 to 1016.00 per week.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 535/Matrix [1 0 0 1 0 0]>>stream xMo@ s2|A*8! qJYX-*?{Y%KF*"u3s?Xc2sPF_Y ?7Z~[,q$1]Pa 9Bab<z`OxΩW͂66Ԟ^ [ոEe(C` q}l"`wԑ "kE,|%~``Ӛ'.dAl0Bs4db.Eh:;NNgaom$ցP SU2†h3A CmHVt5Xmw]?t׮$aJFA;5{E͋ӭj˱[wjߍÛ1ooƇ4onp5VwO:ZR>r[͏Bvt4Ypp\F[0zB5L8@~~9M {IѣpP*e6a>ӴQ9R;mϴNY_yQ endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 410.5 749.45 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection. The visit took place over two days by one )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (inspector and lasted a total of 16 hours, with all key standards inspected. Additionally, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm (a pharmacist inspector examined the home's medication practices and procedures. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm (Progress against previous requirements and recommendations from the last key and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (random inspection were also inspected. We also checked compliance to the Statutory )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (Requirement Notice that was issued on 3rd April 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (Prior to this inspection the manager had submitted an Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (Assessment \(AQAA\). This is a self assessment document, required by law, detailing )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (what the home does well, what could be done better and what needs improving. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm (Information given in this document has been incorporated into this report.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (As part of the process a number of records relating to residents, care staff and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (general running of the home were examined. A partial tour of the premises was )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 571.62 w 32.32 526.72 m 566.72 526.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 239.78 m 568.92 239.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 238.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm (undertaken throughout the first day of inspection, residents, peoples' representatives )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (and members of staff were spoken with over the 2 days and their comments are used )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (throughout the main text of the report. Prior to the site visit, surveys for residents, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (staff and healthcare professionals were forwarded to the home for distribution and for )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (people to complete and return to us. We received 11 resident and 9 staff surveys and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (where comments have been recorded, these have been incorporated into the main text )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (of the report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (On the first day of inspection, the manager and other members of the staff team )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (assisted us. Feedback of the inspection findings, were given as a summary to both the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (manager and Nursing Director. On the second day of inspection, both administrators )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (assisted us. Feedback on the inspection findings were given to the Nursing Director. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (The opportunity for discussion and/or clarification was given on both days.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (Following the last key inspection to the home on the 13th and 19th November 2008, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (we held a management review as a result of the home's poor quality rating and us )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm (having received several correspondence from people who were concerned about the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm (service. The outcome of the review was for us to undertake a further random )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (inspection on 19th February 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (At the random inspection of 19th February 2009, serious shortfalls were observed in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm (relation to the home's care planning and risk assessment processes, resulting in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm (residents' healthcare needs not being clearly recorded and/or monitored and including )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 467.38 Tm (prompt referral to an appropriate healthcare professional or specialist. Records also )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 452.8 Tm (showed that physical and verbal aggression by some residents were not clearly )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 438.22 Tm (understood or dealt with appropriately by staff. Records also showed failure by the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 423.64 Tm (management team of the home/senior team members to instigate appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 409.06 Tm (measures so as to safeguard others who live at Brentwood Care Centre. As a result of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 394.48 Tm (these concerns, copies of documents were taken under Code B of the Police and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 379.9 Tm (Criminal Evidence Act 1984. As a result of the above, a Statutory Requirement Notice )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 365.32 Tm (was served on 3rd April 2009, in relation to breaches of regulation pertaining to care )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 350.74 Tm (planning, providing suitable training for staff in relation to restraint and how to manage )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 336.16 Tm (incidents of challenging behaviour and failure to take appropriate action to safeguard )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 321.58 Tm (one person's dignity. The date for compliance was 1st May 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 307 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 292.42 Tm (As part of this key inspection we checked compliance to the Statutory Requirement )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 277.84 Tm (Notice and insufficient improvement was found. As a result of further non-compliance )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 263.26 Tm (and continued breaches of regulation, we are now considering further enforcement )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 248.68 Tm (action. )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 326.76 w 32.32 610.44 m 566.72 610.44 l S 0.001 w 20.58 w 32.7 434.52 m 569.35 434.52 l S 0.001 w 195.54 w 33.82 324.21 m 568.22 324.21 l S 0.001 w 20.58 w 33.45 213.9 m 570.1 213.9 l S 0.001 w 137.34 w 34.57 132.7 m 568.97 132.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 445.94 m 568.92 445.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 444.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 445.94 m 569.35 445.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 423.11 m 569.35 423.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 423.11 m 570.42 423.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 225.32 m 570.42 225.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 202.49 m 570.1 202.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 225.32 m 570.1 225.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 202.49 m 571.17 202.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 424.19 m 32.7 224.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 203.57 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 444.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 424.19 m 569.35 224.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 203.57 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (Residents live in a home which is decorated, furnished and maintained to a high )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (standard. Residents bedrooms are spacious, comfortable and personalised. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (is clean, tidy and odour free.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm (Records and systems for ensuring that residents' monies are safeguarded and there is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (a clear audit trail demonstrating expenditure and monies received were seen to be of a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (good standard.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (A good range of activities \('in house' and within the local community\) is provided for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (those people who are 'more able', both physically and mentally alert.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (The quality of food provided at the care home is good and in general terms, residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (comments were positive and are highlighted within the main text of the report.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (Visiting arrangements in the home ensure that people who live at Brentwood Care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm (Centre, get to see their relatives and/or friends at any reasonable time. Visitors to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm (home stated they are made to feel welcome and both the management team of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm (home and care staff are friendly and welcoming.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (There is a formal assessment process in place to ensure that prospective people )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.16 Tm (admitted to the care home are assessed prior to admission. Relatives confirmed that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.58 Tm (they have the opportunity to visit the care home on a trial basis.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 608.89 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 432.41 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 429.75 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 432.97 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 322.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (Medication practices and procedures were seen to have improved.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 377.76 Tm (Complaints management and referrals to the local Safeguarding Team, are now well )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 363.18 Tm (managed and documented with a clear audit trail.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (Recruitment procedures within the home are much improved, so as to safeguard the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (people who live at Brentwood Care Centre.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (Efforts have been made by the manager to initiate and provide as many training )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (opportunities and opportunities for personal development for staff in relation to core )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (subject areas.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm (A system for staff supervision has been newly implemented. )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 322.66 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 212.35 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 209.13 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 131.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.3 Tm (Ensure that care plans for individual people are reflective of their specific care needs, )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.72 Tm (are up to date and provide clear guidance for staff as to how care should be provided )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.14 Tm (and risk areas proactively managed. Systems must be put in place to ensure that other )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (associated documentation e.g. daily nutritional records, turn charts are completed )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (regularly and there is a clear audit trail depicting staffs interventions.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm (Ensure that staff interaction with the people who live at the care home is improved and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm (that the routines of the home are focused around the needs of the people who live )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm (there and not around the needs of staff and 'task orientated'.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 177.96 w 34.57 723.55 m 568.97 723.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 633.44 m 571.17 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 632.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (Further training, in both core subject areas and training specifically centred around )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (those conditions associated with the needs of older people, are provided to all )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (members of staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm (All staff including the manager, are appropriaetly supervised at regular intervals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm (Ensure that staffing levels are appropriate to meet the needs of existing residents who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm (live at Brentwood Care Centre, so as to ensure their safety and wellbeing needs are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (met. Ensure there is a clear rationale for current staffing levels based on individual's )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (dependency levels and other important factors e.g. layout of the premises, variations )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (throughout the day, staff skills and competency etc.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 618.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 598.89 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 598.89 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 598.89 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 581.39 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 561.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 541.4 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 541.4 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 521.4 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 521.4 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501.41 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 386.74 m 562.54 386.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 84.36 w 33.47 375.5 m 563.66 375.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.19 m 565.87 332.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (People who come to live at the home can be confident that their needs will be )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (assessed.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 316.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.3 w 34.6 194.17 m 562.54 194.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 297.32 m 564.79 297.32 l S 0.001 w 202.93 w 33.47 182.36 m 563.66 182.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.95 m 565.87 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 286.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 286.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.95 m 564.79 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 294.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 269.27 Tm (There remains a formal pre admission assessment format and procedure in place, so )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.77 Tm (as to ensure that the management and staff team are able to meet the prospective )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.27 Tm (resident's needs. Assessments are generally conducted by the registered manager, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.78 Tm (unit manager or other senior members of staff. Records showed that in addition to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (formal assessment procedure, supplementary information is provided from individual's )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (placing authority and/or hospital. Since the last key inspection the organisation have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (also introduced an additional admission information record, which at a glance provides )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (staff with details as to the individual person's care needs. This is seen as positive, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (however care must be taken to ensure that these are fully completed and are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (reflective of information as detailed within the pre admission assessment and placing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (authority assessment.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 581.24 w 34.6 520.78 m 562.54 520.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 559.87 w 33.47 508.97 m 563.66 508.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 227.91 m 565.87 227.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (As part of this inspection, the care files for 2 people who were newly admitted to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (care home were examined. Records showed that a pre admission assessment had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (been completed for both people, prior to their admission to Brentwood Care Centre. In )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (general terms information recorded was observed to be informative, however care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (must be taken to ensure that all elements of the document are completed. For )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (example the pre admission assessment for one person showed their continence )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (assessment as not being completed, however other documentation recorded them as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (being at risk of recurrent Urinary Tract Infections \(UTI's\) and having specific )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (continence needs which would require monitoring upon admission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Neither of the above assessments showed evidence that these had been conducted )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (with the resident and/or their representative or that they had been given the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (opportunity to visit the care home prior to admission. Neither of the above residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (were able to confirm as to whether or not they had been involved in the process or )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (visited the care home as a result of their poor cognitive ability. However, from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (discussions with 2 relatives we were advised that they were given the opportunity to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (look round the home and one person confirmed they were initially involved with their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (relative's assessment. One relative confirmed they were provided with a copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (home's brochure. The AQAA details "we encourage prospective clients and their family )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (not to book an appointment for viewing-view at any time". We were advised that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (management do not write to the resident and/or their representative to confirm they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (can meet the person's care needs. Where people are referred by the Local Authority )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (confirmation is verbally agreed with the Placement Team.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (A copy of the home's Statement of Purpose and Service Users Guide is readily )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (available and is located within the main reception area of the home. Both documents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (need to be amended to reflect that the Commission for Social Care Inspection has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (changed its name as of 1st April 2009 to the Care Quality Commission. A copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (last inspection report is also available for people to peruse.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (The home does not provide intermediate care. )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 403.25 m 562.54 403.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 119.35 w 33.47 392 m 563.66 392 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.2 m 565.87 331.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (People who live at the care home can expect to have a plan of care, however )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (significant and serious shortfalls in care planning and risk assessing means that some )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (people cannot be assured that their needs will always be met or that their health and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (wellbeing will be maintained or proactively managed.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 315.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.3 w 34.6 193.68 m 562.54 193.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.33 m 564.79 296.33 l S 0.001 w 201.93 w 33.47 181.87 m 563.66 181.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 283.96 m 565.87 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.96 m 564.79 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 293.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (There is a formal care planning system in place to help staff identify the care needs of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (individual residents and to specify how these are to be met by staff who work in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (care home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (As part of this site visit 2 care files were examined in full and 3 care files were partially )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (examined in relation to specific healthcare needs for individual people. Following )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (concerns raised at the previous key inspection \(November 2008\) and random )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (inspection \(February 2009\), we were advised through the home's improvement plan )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (and action plans that care plans and risk assessments would be updated and reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (by 1st May 2009 and staff working within the home would receive care planning )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (training. As a result of continued concerns and further breaches of regulation relating )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (to care planning, evidence was taken at the random inspection \(February 2009\) and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (as a result of this a Statutory Requirement Notice was issued on 3rd April 2009, with a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (date for compliance being 1st May 2009. At this key inspection insufficient )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (improvement was found and we are now considering further enforcement action.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (On the second day of inspection the care file for one person was examined. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (showed they were at risk of poor nutrition. The person's weight records showed that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (over an 8 month period, the person had lost approximately over 8KG in weight. Whilst )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (we recognise there was a plan of care pertaining to nutrition, this was dated March 09 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (and not written at the time of their admission to the home. Records also showed that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (no risk assessment had been completed detailing the specific risk and how this was to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (be proactively managed by the staff team. Nutritional records were inconsistently )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (completed and it was not always possible to determine whether the person received a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (satisfactory diet. Records also showed that the person could display agitation and/or )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (aggression towards others on occasions. A plan of care was available, however this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (had been archived and at the time of this site visit, no information relating to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (person's inappropriate behaviours was available detailing the person's care needs and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (the action to be taken by care staff to ensure that the needs of the person are met. No )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (risk assessment was devised. No rationale could be given from discussions with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (senior in charge as to why the care plan had been archived and why no risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (assessment was completed. The AQAA details under the heading of 'our evidence to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (show that we do it well', "individualised up to date care plans". This did not concur )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (with our findings. The AQAA also details under the heading of 'our plans for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (improvement in the next 12 months', "Improve our care planning systems and move )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (to computerised care planning system which identifies when care plans/risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (assessments are not updated. Ensure a person centred approach, given training to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (care staff in how best to document care delivered to ensure that all aspects of what is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (being delivered is also recorded".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Records showed that people living at Brentwood Care Centre have access to a range of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (healthcare professionals and services as and when required. These include GP, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (attendance at hospital appointments, Optician, Dentist, Community Psychiatric Nurse )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (Services and District Nurse Services. Care files examined showed that healthcare )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (records are maintained for individual people and include both clinical records and a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (professional visitors record. Care must be taken to ensure there is a clear audit trail )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (detailing the outcomes of any visits by healthcare professionals and the action taken )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (by staff to address the person's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (Staff interactions with residents was observed to be variable and inconsistent, with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (some staff talking to individual resident's and demonstrating a good rapport, whilst )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (others were seen to only interact with residents as part of a task and/or routine )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (activity. Routines at the home were observed to be task based, rigid and not person )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (led. On the first day of inspection, several residents within one lounge were asking to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (have a drink, however as the teatime meal was 20 minutes away, people were told )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (they would have to wait. This is seen as unsatisfactory and not good practice and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (requires reviewing. Records of staff and relatives meetings evidence that the issue has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (been raised in relation to residents not always receiving a mid morning drink. One )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (record made reference to relatives noting that over an 8 day period, people had not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (been provided with drinks mid morning as they were either left on a table for people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (to help themselves or left in the kitchen. If this is the case, this practice must stop and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (all residents must be offered a drink and where assistance is required to have a drink, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (this must be provided by staff. Comments received from people who live at the care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (home were mixed, with some people being very complimentary about staff, however )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (recognising that staff were not able to spend a lot of time with them as they were very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (busy and others feeling lonely on occasions. One person stated, "I wish staff would )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (come and see me from time to time". Several comments were made to us in relation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (to several people not receiving regular baths/showers. Records were inconsistently )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (completed to evidence personal care being provided regularly. One resident's survey )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (recorded under the heading 'what could the home do better' "2 baths a week )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (\(sometimes we have none\) and "Don't keep us waiting so long to go to the toilet".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (While we acknowledge that peoples' individual records \(care plans\) are stored securely )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (within each unit, information recorded within communication books and diaries was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (easily accessible to anyone visiting the units. Information recorded was observed to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (related to individual people and included specific information about their individual )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (care needs, health and wellbeing. This means that peoples' private and personal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (information is easily available for visitors to the home to access. This requires )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (reviewing.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Clear and detailed written procedures for the safe use of medicines are available for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (care staff, but these are not always followed. This could put residents at risk. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (Medication is stored securely for the protection of residents but the keys to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (medication storage room on one unit was left hanging on a hook at the side of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (nurses station and openly accessible. This is not in line with the home's own policy )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (which states 'The keys to the drugs cupboard and the treatment room will be kept by )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (the duty senior RN'. This means that medicines may be accessible to unauthorised )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (people. The temperatures of all the medication storage rooms was acceptable and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (ensure that medication is of suitable quality, but the temperatures are not monitored )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (or recorded regularly which would be good practice. The temperatures of the fridges )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (used to store medicines are recorded regularly but in all areas had been recorded )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 476.27 w 34.6 573.27 m 562.54 573.27 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 454.9 w 33.47 561.46 m 563.66 561.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 331.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 331.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.89 m 565.87 332.89 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (outside the recommended range without any action taken to investigate the quality of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (the medicines stored there, despite the home's own policy stating 'The general )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (manager must be alerted if two or more consecutive temperature readings fall above )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (7C and a record made of action taken'. The failure to store medicines under the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (correct temperature could result in people receiving medication that is ineffective. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Most of the cupboards used to store controlled drugs met the relevant regulations but )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (on one unit the key to the cupboard had been lost and so the way the cupboard was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (fixed could not be inspected. Because of the loss of the key the unit was storing a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (controlled drug with other medication and this is unacceptable. The requirement made )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (on the last inspection that controlled drugs must be stored securely in line with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (relevant legislation has therefore not been met and has been given a new timescale )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (for action.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (We looked at the medication and medication records for several people in the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and, in general, they were of good order with very few discrepancies and omissions. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (This demonstrates that people receive the medicines prescribed for them. The packs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (of medicines supplied to the home sometimes contain more than one type of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (medicines without any description to be able to tell which each medicine was. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (could result in people being given the wrong medicine, particularly if there are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (changes made to the instructions which had occurred for two people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (Medication is only given to residents by suitably trained staff and we watched )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (medication being given to several people at breakfast time. In general, this was done )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (with regard to people's dignity and personal choice, but on one occasion a resident )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (was called to the trolley for her medication rather than the medication being taken to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (the resident. )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 454.74 m 562.54 454.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 84.36 w 33.47 443.5 m 563.66 443.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 399.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 399.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 400.19 m 565.87 400.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People living at the care home can expect the activities programme to generally meet )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (their social needs. People can expect to receive a varied diet. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 384.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 292.3 w 34.6 228.17 m 562.54 228.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 365.32 m 564.79 365.32 l S 0.001 w 270.93 w 33.47 216.36 m 563.66 216.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 352.95 m 565.87 352.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 354.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 354.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 352.95 m 564.79 352.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 362.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 337.27 Tm (We were advised that 2 activities co-ordinators are employed at Brentwood Care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.77 Tm (Centre for a total of 60 hours per week. They work flexible hours, including evenings )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 302.27 Tm (and weekends. We were advised that when a new person is admitted to the care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (home, the activities co-ordinators familiarise themselves with the person's care file )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (and complete a 'Map of Life with the person and/or their representative. This )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (document provides useful information relating to the person's childhood, employment )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (history, family life, hobbies and interests. Additionally an activity record is completed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm (for each person evidencing their participation of the activity programme.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (A weekly activity programme is devised and this is provided to individual residents and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (a copy displayed on a notice board within each unit. In addition to the activity )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (programme a list of 'special dates' and/or events for the month are also listed and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (displayed. On inspection of 4 weeks activities programme, activities included, a visit to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (the hairdresser, religious observance, arts and crafts, mobile library, movement to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm (music, crosswords, Wii games, massage, film afternoon, sensory, reminiscence and )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (pat dog \(twice monthly\). The programme also showed that people are given the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (opportunity to participate in community activities. The activities programme showed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (that over a 4 week period there was lunch at Harry Ramsden's fish and chip )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (restaurant, coffee morning at a community centre, visit to Old Macdonalds Farm, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (lunch out and various external entertainers visited the care home, including children )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (from a local school. The programme shows little evidence of activities provided on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (both Windsor and Balmoral units. For example within a 4 week period, records showed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (that activities on Windsor Unit were provided on 5 occasions only.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (One of the activity co-ordinator's has passed their minibus driving test since the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (key inspection and the care home are now able to access a minibus twice monthly for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (residents use. As suggested at the previous key inspection to the home, consideration )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (should be given to devising the activity programme in larger print and/or pictorial )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (format so as to enable people in the home to make an informed choice. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (details within the next 12 months, "to continue with the person centred approach for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (meeting the individual needs, encourage care staff to interact more with the residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (and develop a dementia garden".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (On the first day of inspection it was positive to observe the portable sensory unit )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (being used on Windsor unit during the afternoon. However, whilst we acknowledge )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (staff had darkened the lounge, music was playing softly and there were pleasant )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (aromatic smells, staff were observed to be seated in the lounge area writing up notes )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (and talking exclusively to one another for approximately 25-30 minutes. Observations )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (on other units evidenced that staff interaction with residents so as to promote their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (social care needs were limited. This has been highlighted at both staff and relatives )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (meetings.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (Residents spoken with confirmed that they can choose whether or not to spend time in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (their own room or join others in the main lounge areas. They can also choose whether )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (or not to join in activities or pursue their own interests in their own room, such as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (reading, watching television or listening to music. Comments relating to the activity )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (programme were positive and included, "The entertainment that Shirley and Tracey )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (organise is always good" and "good entertainment". Out of 11 resident surveys )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (received, 2 stated, "Would like to go out more for a walk or to the shops" and "Would )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (like to go out more as family not able to come every day".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (There remains an open visiting policy at the care home, whereby visitors can see their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (member of family and/or friend at any reasonable time. There was evidence to show )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (throughout both days of the inspection, that people living at the care home are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (actively encouraged and supported to maintain friendships and relationships.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 528.76 w 34.6 547.03 m 562.54 547.03 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 507.38 w 33.47 535.22 m 563.66 535.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 279.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 279.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 280.4 m 565.87 280.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (There is a rolling 4 week menu within the home. A menu was displayed within the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (main reception area and within 3 dining areas observed over 2 days of inspection. Out )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (of 3 dining areas observed, only 1 displayed the correct menu for the day )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (\(Kensington\). Four people spoken with on Westminster unit were unable to tell us the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (choices available for the lunchtime meal or what they had specifically chosen. Current )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (practice within the home is that people are asked their meal options for lunch and tea, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the day before. From our observations it was apparent that some people had difficulty )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (remembering the meal options available and staff were observed to not remind people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (of the choices available. Dining tables were attractively laid with tablecloths, cutlery )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (and serviettes. People were given a choice of drinks and meals provided to people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (were seen to be plentiful and attractively presented. Comments from residents on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Westminster, regarding meals provided were positive and these included "the meals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (are lovely", "the food is very nice" and "yes I have no problems with the meals".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The teatime meal was observed on Windsor unit. We found one member of staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (providing assistance to people in the dining room, however at 17.45 p.m. 6 people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (who spend the majority of time in their bedroom were still waiting to be assisted to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (have their teatime meal. Where assistance was provided this was provided in an )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (appropriate way, however there was little verbal encouragement and/or verbal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (interaction provided by individual member's of staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (During the morning on the first day of inspection, the 'tea round' was observed within )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (one unit \(Westminster\). We initially observed that only a choice of tea was offered to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (residents, however after discussion with the member of staff, people were given a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (choice of tea and coffee. None of the lounge areas visited on both days of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (inspection were observed to have drinks readily available for people throughout the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (day and other than at set times during the day were not offered a drink. This means )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (that people could be placed at risk of poor fluid intake and becoming dehydrated.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People can expect their concerns to be listened to and dealt with appropriately and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (that they will be safeguarded by staff knowledge and supporting policies and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm (procedures. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 325.8 w 34.6 244.93 m 562.54 244.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 304.43 w 33.47 233.12 m 563.66 233.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 370.77 Tm (There is a complaints policy and procedure in place and this is clearly displayed. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (People spoken with and relatives surveys returned to us, confirmed that people know )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (how to make a complaint and where issues have been raised, these have been dealt )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (with. The AQAA details that the manager has an 'open door' policy and residents, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (staff, relatives and others can report any concerns. The manager advised that there is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (a positive relationship with the local Safeguarding Team.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (Since the last key inspection the home has received 7 complaints relating to fee )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (increases, alleged poor care practices and concerns about individual's finances. It was )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (evident that appropriate measures have been undertaken by the manager to address )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (the above and where appropriate external agencies have been contacted.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (Several cards of thanks and compliment had been received. More recent ones included )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (comments such as, "Thank you for looking after my [name of resident] during their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (time at Brentwood Care Centre. They enjoyed their time there and said "they treated )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (me with respect and would not hesitate if the need arose to stay with you again. We )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (will ensure that [name of resident] comes to you if the need arises. Please accept our )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 266.32 w 34.6 678.25 m 562.54 678.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 244.94 w 33.47 666.44 m 563.66 666.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 541.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 541.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 542.84 m 565.87 542.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (thanks" and "To all those that have helped in our efforts to get our relative into )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Brentwood Care Centre".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Since the last key inspection of November 2008 we were aware of 3 safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (referrals and investigations. All related to alleged poor care practices, failure to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (that residents and others are safeguarded from physical abuse by other people living )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (within the home environment and poor manual handling procedures. There was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (evidence to show that in all but one situation, the manager of the home had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (undertaken appropriate measures and the relevant external agencies were contacted. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (The outcome of the above was that 2 safeguarding issues were upheld.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Safeguarding policies and procedures are readily available and staff spoken with were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (able to demonstrate a basic understanding and awareness of safeguarding procedures. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Staff spoken with were able to confirm that they had received safeguarding training. )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 488.74 m 562.54 488.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 84.36 w 33.47 477.5 m 563.66 477.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 434.19 m 565.87 434.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Residents can expect to live in a safe, comfortable, homely and well maintained )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (environment which meets their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 418.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 326.3 w 34.6 245.17 m 562.54 245.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 399.32 m 564.79 399.32 l S 0.001 w 304.93 w 33.47 233.36 m 563.66 233.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.95 m 565.87 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 388.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 388.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.95 m 564.79 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 396.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 371.27 Tm (A partial tour of the premises was undertaken by us during the first day of inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (All units were visited and the home was observed to be clean, tidy and odour free. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (home continues to be maintained, decorated and furnished to a high standard and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (provides residents with a homely and comfortable environment. There is a large )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (welcoming reception area on the ground floor and a passenger lift provides access to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (all floors. Each unit has sufficient communal space \(lounge, quiet lounge and dining )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (areas for residents use\). Since the last key inspection, the 2 units on the ground floor )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (have been merged.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (A random sample of residents' bedrooms were inspected and all were seen to be )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (personalised and individualised and many rooms detail the person's name. Signage )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (within the care home needs to be improved so as to aid orientation for people who )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (have poor cognitive ability and/or dementia. Since the last key inspection, special )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (Dorguards have been fitted to individual residents' rooms, so that in the event of a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (fire, the door will close automatically. However, we noted that some bedroom doors )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (continue to be held open by furnishings or other items. This potentially places people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (at risk as their door may not close automatically should the fire alarm be raised.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 371.29 w 34.6 625.76 m 562.54 625.76 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 349.92 w 33.47 613.95 m 563.66 613.95 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 436.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 436.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 437.86 m 565.87 437.86 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (A maintenance person is employed at the care home for 40 hours per week, Monday )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (to Friday. This can be flexible to cover emergencies during the evening and at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (weekends, however there is an external contractor to cover any eventualities during )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ('out of hours'. Within each unit, there is a maintenance book to record issues that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (require attention or any health and safety matters. There is a maintenance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (programme within the home so as to ensure that the home environment and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (equipment is well maintained. A random sample of safety and maintenance certificates )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (showed that equipment in the home has been serviced and remains in date until their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (next examination. Records of fire drills were examined and these showed that these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (are regularly undertaken with records kept. The training matrix and actual training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (certificates evidenced on the second day, confirm that the maintenance person's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (training relating to moving and handling, safeguarding, health and safety, fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (awareness and PAT \(Portable Appliance Testing\) is up to date.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The laundry was clean, tidy and fitted with appropriate equipment. Although there is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (an appropriate system in place to manage people's laundry, some negative comments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (from residents and their families were recorded within the quality assurance surveys )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (undertaken in April and May 2009. Comments made reference to missing laundry )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (items and some items of laundry being incorrectly located in others rooms.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The level of staffing and staff deployment restricts the ability of the service to deliver )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (person centred care and to ensure people's needs can be met. People cannot be )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (assured that all staff have up to date relevant training.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (There were 82 people living at Brentwood Care Centre at the time of the first day of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (inspection. We were advised that staffing levels remain at:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (Windsor Unit: 1 RMN and 4 healthcare assistants between 07.45/08.00 a.m. to 20.00 )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (p.m. and 1 RMN and 2 healthcare assistants between 19.45/20.00 p.m. and 08.00 )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (a.m. each day.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (Sandringham Unit: 1 RGN and 5 healthcare assistants between 07.45/08.00 a.m. to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (20.00 p.m. and 1 RGN and 2 healthcare assistants between 19.45/20.00 p.m. and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (08.00 a.m. each day.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (Westminster Unit: 2 Senior healthcare assistants and 5 healthcare assistants between )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (07.45/08.00 a.m. and 20.00 p.m. Monday to Friday and a supernumerary Unit )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (Manager. On Saturdays and Sundays this is increased to 2 Senior healthcare )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (assistants and 6 healthcare assistants. At night 7 days a week, there is 2 Senior )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (healthcare assistants and 2 healthcare assistants.)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Balmoral Unit: 1 RGN and 1 healthcare assistant throughout the day and night.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (We were advised that the manager's hours are supernumerary to the above and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (additional ancillary staff are employed and these include chef, kitchen assistants, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (housekeepers and laundry assistants. The home also employs an administrator and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (receptionist, Monday to Friday between 09.00 a.m. and 17.00 p.m.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (On inspection of 4 weeks staff rosters these evidence that staffing levels as detailed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (above have not always been maintained. We have not received Regulation 37 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (notifications in all cases, advising us of the staffing shortfall and measures undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (to deploy staff to the home. Staff spoken with during the inspection confirmed that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (staffing levels as detailed above have not always been maintained. As stated at the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (previous key inspection to the home, we are aware that dependency profiles are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (completed for all residents, however it remains unclear as to how the rationale for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (above staffing levels has been calculated as at the time of the initial site visit, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (dependency levels had not been formulated to inform the staffing ratio determined. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (There was no evidence to suggest that specific factors had been considered in relation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (to the needs of people living within each unit e.g. layout of the premises, staff skills, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (variations throughout the day etc. Relatives spoken with confirmed that on occasions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (there is a lack of staff and their member of family does not always receive prompt )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (care and support from staff, however it was explained that it was not through a lack of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (staff wanting to provide a good level of service but decisions made by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (organisation, high levels of staff sickness, high usage of agency staff and other )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (factors. One person stated, "staff do their best but there are not enough staff and my )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (relative has not always received a regular bath".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (We observed on the first day of inspection on Westminster Unit that the morning shift )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (was short of one member of staff, as a result of a resident being accompanied to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (attend a healthcare appointment. We recognise this as good practice, however the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (main lounge was left unattended for long periods of time throughout the morning )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (period. Staff undertook personal care tasks for people and other routines and spent )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (little time with residents. At the time of our arrival on the unit \(10.20 a.m.\) no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (additional staff had been deployed to the unit and arrangements to get cover by )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (utilising an external agency were not made until our arrival. There were occasions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (whereby people who live on Westminster Unit were asking the inspector questions as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (to, "where should I go now" and "where do you want me", as a result not being able )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (to ask a member of staff. Evidence suggests that inadequate staffing levels at times )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (restricts the ability of the service to deliver person centred care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Out of 11 resident surveys returned to us, 5 surveys recorded there being sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (staff on duty and people receiving the care and support they required, however 6 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (surveys recorded "usually" and "sometimes" to the same questions. Prior to the site )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (visit we received the results of a 'Customer Satisfaction Survey' undertaken in April )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (and May 2009 by the management team of the home. The results showed these were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (sent to 72 residents and their families to complete and 25 were returned to Brentwood )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Care Centre. Comments relating to insufficient staffing levels were recorded and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (included, "main reason for complaints at times is shortage of staff at weekends", )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ("level of care not as good due to cutbacks in staff" and "weekends, when normal staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (are not on duty and replaced with agency staff, thats when it all falls down". Out of 9 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (staff surveys returned to us, 2 confirmed there were sufficient staff on duty for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (needs and numbers of existing residents, 1 survey made no comments and 6 surveys )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (recorded, "usually" and "sometimes" to there being enough staff on duty. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (from both residents and families were that staff are friendly, helpful and caring, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (however staff morale is low at times.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The staff files for 4 people who had been newly employed since the last key inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (were examined on the second day of inspection. Records showed the majority of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (records as required by regulation had been sought, however some shortfalls were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (highlighted. These relate to the employment history for one person not fully explored, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (start and finish dates of past employment not recorded for one person on their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (application form and although there was a POVA 1st and evidence of a completed CRB )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (\(Criminal Record Bureau\) application for one person, there was no evidence to suggest )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (that whilst confirmation of a satisfactory CRB was awaited they had been supervised. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Additionally no evidence was available for one member of staff as to their legal status )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (to work in the UK. The latter was forwarded to us the following day by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (administrator.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Out of 4 files examined, a record of induction was evident for 3 people and this was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (seen to be line with Skills for Care. No record of induction was available for one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (person, however we were advised by the Director of Nursing that this had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (undertaken. Profiles for 2 agency members of staff were requested at random, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (however initially only one profile confirming the employment agency had completed all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (necessary checks was available. The missing profile was forwarded to us the following )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (day by the administrator. No records of induction were available for either member of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (agency staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (The training matrix provided to us by the manager of the home showed that since the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (last key inspection much effort has been given to providing training for staff in core )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (subject areas. Records showed that some staff have received training relating to )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 423.78 w 34.6 599.52 m 562.54 599.52 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 402.41 w 33.47 587.7 m 563.66 587.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 384.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 384.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 385.38 m 565.87 385.38 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (manual handling, safeguarding, challenging behaviour, dementia awareness, mental )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (capacity act, medication, delivering care, fire awareness, care planning and risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (assessments. We recognise this as a positive step forward, however several members )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (of staff \(senior healthcare assistants/kitchen assistants and healthcare assistants\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (have not got up to date manual handling training or training relating to safeguarding. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Records also showed that 9 people who work on the 2 dementia units have not yet )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (received dementia awareness training and 14 people have not received training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (relating to dealing with challenging behaviour, yet the unit where they work has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (people who can display both verbal and physical aggression. This means that residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (may be at potential risk as staff may not have the skills and knowledge to proactively )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (deal with them. It is hoped that once staff have up to date training in core subject )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (areas, the emphasis will shift so as to ensure that staff receive training relating to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (those conditions associated with the specific needs of older people. For example this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (may include, pressure area care, sensory impairment, continence awareness, catheter )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (care, diabetes awareness, Parkinson's Disease, nutritional needs of older people etc. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (We were also advised that dates for further training are planned from May to July )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (2009 in relation to safeguarding, challenging behaviour, whistle blowing, fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (awareness, mental capacity act, DOL \(Deprivation of Liberty\), bereavement, dementia )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (awareness, supervision, health and safety, manual handling and medication.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (The training matrix showed that at the time of the inspection, 18 people have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (achieved NVQ Level 2, 3 people have achieved NVQ Level 3, 4 people are currently )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (undertaking NVQ Level 2 and 15 people are undertaking NVQ Level 3.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 403.74 m 562.54 403.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 84.36 w 33.47 392.5 m 563.66 392.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 349.19 m 565.87 349.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (Residents cannot expect the care home to be run in their best interests and shortfalls )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (and deficits identified could potentially affect positive outcomes for them. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 333.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 241.3 w 34.6 202.67 m 562.54 202.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 314.32 m 564.79 314.32 l S 0.001 w 219.93 w 33.47 190.86 m 563.66 190.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 301.95 m 565.87 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 303.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 303.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.95 m 564.79 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 311.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 286.27 Tm (The manager has been in post since 1st November 2008, however they have been )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.77 Tm (employed at Brentwood Care Centre since March 2007, initially as the deputy )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm (manager. The manager has experience of working with both older people and with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (adults who have a formal diagnosis of a mental disorder since 1996. The manager has )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (qualifications in mental health, has undertaken a diploma in palliative care for the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (elderly and completed and achieved the Registered Managers Award in September )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (2008. The majority of training in both core subject areas and the specialist needs of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (older people remains not up to date and has only undertaken training relating to fire )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (awareness. Residents, relatives and staff spoken with, confirmed that the manager is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (approachable and friendly. One staff survey recorded, "I think the manager does her )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (very best to run the home and work with her colleagues. If ever I have a problem, she )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (is always willing to help sort it out".)Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Since the last key inspection the manager has been formally registered with the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Quality Commission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (From discussions with the manager it remains that the ethos of the service is, "to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (provide the best possible care to the people living at the care home, to recognise their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (strengths and to recognise people's individuality". The manager is fully aware of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (need to improve the current quality of service provided and to raise the home's quality )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (rating, however she recognises that any significant progress will only be achieved over )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (a sustained period of time and not in the short term. The manager is aware there is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (pressure to meet both regulatory requirements and to achieve better occupancy levels )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (at the home, however she feels impassioned about wanting to sustain any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (improvement made so far and to continue to make improvements. Whilst we )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (recognise improvements made since the last key and random inspections in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (the management of complaints and safeguarding, medication practices and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (procedures, staff recruitment processes, some aspects of staff training and staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (supervision, there remain breaches of regulation which continue to evidence poor )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (outcomes for people who live at Brentwood Care Centre, potentially resulting in people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (not receiving care and support which meets their specific care needs. Both the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (manager and the Director of Nursing stated to us that they are "at a loss as to how to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (make further improvements and to sustain improvements made" and to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (staff working at the care home provide care and support to people in line with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (principles of person centred care. The manager confirmed that communication )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (systems within the home remains inconsistent and she is not always made aware of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (important issues, despite devising and implementing a daily 'manager's information )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (sheet' for each unit to complete. Concerns were expressed by staff in relation to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (manager's authority being undermined by the organisation, which could lead to a lack )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (of clarity and confusion for staff as to who to report to. One comment was, "Allow the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (manager to manage the care home effectively without the senior management team )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (refusing/changing her decisions made, therefore making her staff lose confidence in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (her".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (All sections of the AQAA were completed and the document returned to us when )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (requested. Information recorded was generally informative, however some sections )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (are brief and do not give an accurate account of the current situation within the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (service. As stated previously, some elements of the document as detailed within the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (main text of the report provide little or no evidence to support the claims made within )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (it.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (Following the last key inspection in November 2008, a requirement was made to )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (ensure that all staff receive regular supervision. On examination of the staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (supervision matrix at this inspection, records showed that since November 2008, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (majority of staff had received 1 or 2 supervisions. Records showed that 7 people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (\(senior healthcare assistant and healthcare assistants\) have still not received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (supervision or an appraisal. The matrix also evidences that supervisions only )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (commenced from 1st January 2009. While we recognise that a system is now in place )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (for supervision, the quality of the information recorded varied and it is unclear that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the frequency of supervisions as detailed within the National Minimum Standards for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Older People will be achieved. Records showed that the manager has only received 1 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (supervision since November 2008. Consideration needs to be provided to the manager )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (for opportunities to discuss their practice and personal development on a regular )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (basis. The training matrix shows that no staff have received formal training on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (supervision.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (The administrator manages residents' personal money held on their behalf. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (records of 3 people's monies held by the home were examined and seen to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (satisfactory with a clear audit depicting expenditure and monies received.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Since the last key inspection the manager has completed a quality assurance survey, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (seeking the views of residents and their families as to the quality of the service )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (provided at Brentwood Care Centre. We were advised that 72 surveys were sent out )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (and 25 were returned and the results collated. A summary of the comments were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (listed and these included both positive and negative comments. Statements included, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ("I have a very happy relative, thank you", "Excellent same staff that residents can )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (therefore get to know and feel safe with. They can also get to know the residents well )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (and can address their needs. Our relative has not looked as happy as they do for a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (long while. Great work everybody, thank you", "Whilst it is a nice home, with good )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (care and some lovely carers, it is unfortunate that owing to circumstances )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Sandringham seems to have lost some of its good senior staff and carers. How long )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (before the present good senior staff and carers decide to call it a day and seek )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (pastures new" and "The inspection report giving the home a 'poor' rating is very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (worrying and coupled with the fact that the statutory requirements from the previous )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (inspection were still not met, does not instil confidence that the home can be brought )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (back into a good rating. Health/personal care, staffing and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (management/administration all poor rated-these in my view are the most important )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (components for all good care homes and I hope every effort is being taken to improve )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (these areas as quickly as possible". Comments received on resident surveys were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (mixed and included, "Everything that I wish for", "very comfortable", "very good care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (and attention" and "the home presents a good facade to outsiders".)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 126.35 w 34.6 748.23 m 562.54 748.23 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 104.98 w 33.47 736.42 m 563.66 736.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 682.81 m 565.87 682.81 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Additionally the organisation monitor the quality of the service through regular )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (monthly visits by an external consultant. Since the last key inspection 4 visits and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (subsequent reports have been completed. Records show that residents, relatives and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (staff are spoken with at random and a number of care records are examined. There )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (was evidence to show that regular staff meetings, management meetings and relative )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (meetings are held at the care home. )Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 654.5 w 32.32 391.28 m 564.97 391.28 l S 0.001 w 1 1 1 RG 286.02 w 31.2 472.66 m 91.05 472.66 l S 0.001 w 286.02 w 93.3 472.66 m 197.4 472.66 l S 0.001 w 286.02 w 199.65 472.66 m 289.45 472.66 l S 0.001 w 286.02 w 291.7 472.66 m 473.8 472.66 l S 0.001 w 286.02 w 476.05 472.66 m 566.1 472.66 l S 0.001 w 264.5 w 31.2 195.15 m 91.05 195.15 l S 0.001 w 264.5 w 93.3 195.15 m 197.4 195.15 l S 0.001 w 264.5 w 199.65 195.15 m 289.45 195.15 l S 0.001 w 264.5 w 291.7 195.15 m 473.8 195.15 l S 0.001 w 264.5 w 476.05 195.15 m 566.1 195.15 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 328.53 m 568.3 328.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 617.88 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 617.88 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.35 m 568.4 649.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 616.8 m 568.3 616.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 617.88 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 617.88 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 617.88 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 617.88 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 720.78 m 568.4 720.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.35 m 568.4 649.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 616.8 m 568.4 616.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.53 m 568.3 328.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 721.86 m 30.07 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 650.43 m 92.12 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 650.43 m 198.52 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 650.43 m 290.62 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 650.43 m 475.02 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 721.86 m 567.32 615.72 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 703.57 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 685.15 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 670.57 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 670.57 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 670.57 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 655.99 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 638.17 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 635.17 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 635.17 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 635.17 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 635.17 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 623.02 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 603.61 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 600.61 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 600.61 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 600.61 Tm (Care planning at the home )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 586.03 Tm (must identify, and be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 571.45 Tm (effective in meeting all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 556.87 Tm (residents' assessed needs )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 542.29 Tm (and ensure these are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 527.71 Tm (regularly updated and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 513.13 Tm (reviewed to reflect the most )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 498.55 Tm (up to date information.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 483.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 469.39 Tm (Previous timescale of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 454.81 Tm (1/12/08 and 1/5/09 not met. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 440.23 Tm (We are now considering )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 425.65 Tm (further enforcement action.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 408.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 393.49 Tm (This will ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 378.91 Tm (have the most up to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 364.33 Tm (information and can provide )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 349.75 Tm (appropriate care to meet )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 335.17 Tm (their needs. )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 600.61 Tm (17/08/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 315.34 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 312.34 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 312.34 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 312.34 Tm (Risk assessments must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 297.76 Tm (devised for all areas of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 283.18 Tm (assessed risk so that risks to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 268.6 Tm (residents can be minimised. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 254.02 Tm (Records must be explicit, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 239.44 Tm (detailing the specific risk, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 224.86 Tm (how this impacts on the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 210.28 Tm (person and steps taken to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 195.7 Tm (reduce the risk.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 181.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 166.54 Tm (Previous timescale of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 151.96 Tm (1/12/08 and 1/5/09 not met.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 134.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 119.8 Tm (This will ensure that risk )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 105.22 Tm (areas are identified and staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 90.64 Tm (are aware of the associated )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 76.06 Tm (risks to residents health and )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 312.34 Tm (17/08/2009)Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 746.25 w 32.32 438.28 m 564.97 438.28 l S 0.001 w 1 1 1 RG 17.58 w 31.2 699.76 m 91.05 699.76 l S 0.001 w 17.58 w 93.3 699.76 m 197.4 699.76 l S 0.001 w 17.58 w 199.65 699.76 m 289.45 699.76 l S 0.001 w 17.58 w 291.7 699.76 m 473.8 699.76 l S 0.001 w 17.58 w 476.05 699.76 m 566.1 699.76 l S 0.001 w 329.76 w 31.2 523.84 m 91.05 523.84 l S 0.001 w 329.76 w 93.3 523.84 m 197.4 523.84 l S 0.001 w 329.76 w 199.65 523.84 m 289.45 523.84 l S 0.001 w 329.76 w 291.7 523.84 m 473.8 523.84 l S 0.001 w 329.76 w 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(their care needs will be met )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 189.85 Tm (by suitably trained staff.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 455.29 Tm (31/08/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 170.02 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 167.02 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 167.02 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 167.02 Tm (The home is managed )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 152.44 Tm (appropriately with skill and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 137.86 Tm (competence.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 123.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 108.7 Tm (Previous timescale of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 94.12 Tm (1/12/08 and 27/3/09 not )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 79.54 Tm (met.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 167.02 Tm (03/08/2009)Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 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0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 613.94 m 568.3 613.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 470.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 470.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 470.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 470.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 470.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 470.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 613.94 m 568.3 613.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 471.47 m 568.3 471.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 708.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 796.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 778.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 763.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 763.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 748.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 695.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 681.16 Tm (To ensure that the care )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 666.58 Tm (home is run in the best )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 652 Tm (interests of the people who )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 637.42 Tm (live at Brentwood Care )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 622.84 Tm (Centre. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.76 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 597.76 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 597.76 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 597.76 Tm (Ensure that staff, receive )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 583.18 Tm (regular supervision.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 568.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 554.02 Tm (Previous timescale of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 539.44 Tm (1/12/08 and 1/4/09 not met.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 521.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 507.28 Tm (So that staff feel supported )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 492.7 Tm (and residents know that staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 478.12 Tm (are appropriately managed.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 597.76 Tm (30/07/2009)Tj ET endstream endobj 86 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 87 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (36)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 170 w 31.2 441.8 m 91.05 441.8 l S 0.001 w 170 w 93.3 441.8 m 197.4 441.8 l S 0.001 w 170 w 199.65 441.8 m 289.45 441.8 l S 0.001 w 170 w 291.7 441.8 m 473.8 441.8 l S 0.001 w 170 w 476.05 441.8 m 566.1 441.8 l S 0.001 w 136 w 31.2 286.55 m 91.05 286.55 l S 0.001 w 136 w 93.3 286.55 m 197.4 286.55 l S 0.001 w 136 w 199.65 286.55 m 289.45 286.55 l S 0.001 w 136 w 291.7 286.55 m 473.8 286.55 l S 0.001 w 136 w 476.05 286.55 m 566.1 286.55 l S 0.001 w 153.4 w 31.2 139.6 m 91.05 139.6 l S 0.001 w 153.4 w 93.3 139.6 m 197.4 139.6 l S 0.001 w 153.4 w 199.65 139.6 m 289.45 139.6 l S 0.001 w 153.4 w 291.7 139.6 m 473.8 139.6 l S 0.001 w 153.4 w 476.05 139.6 m 566.1 139.6 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 355.68 m 568.3 355.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 217.43 m 568.3 217.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 355.68 m 568.3 355.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 217.43 m 568.3 217.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 596.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 567.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 514.74 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 514.74 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 514.74 Tm (Confirm in writing to the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 497.74 Tm (resident and/or their )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 480.74 Tm (representative that following )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 463.74 Tm (a full assessment, the needs )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 446.74 Tm (of the person can be met.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 429.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 412.74 Tm (To ensure that the person )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 395.74 Tm (being admitted to the care )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 378.74 Tm (home is assured the home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 361.74 Tm (can meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 514.74 Tm (01/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 342.49 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 342.49 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 342.49 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 342.49 Tm (Medication must only be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 325.49 Tm (given to people from )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 308.49 Tm (correctly labelled containers )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 291.49 Tm (where the medication can be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 274.49 Tm (clearly identified.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 257.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 240.49 Tm (This will protect residents )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 223.49 Tm (from harm.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 342.49 Tm (15/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 342.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 204.24 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 204.24 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 204.24 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 204.24 Tm (All people who live at the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 187.24 Tm (care home must be given )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 170.24 Tm (the opportunity to engage in )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 153.24 Tm (a varied programme of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 136.24 Tm (activities. This refers )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 119.24 Tm (specifically to those people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 102.24 Tm (who have poor cognitive )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 85.24 Tm (ability and who spend the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 68.24 Tm (majority of their day in bed.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 204.24 Tm (30/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 204.24 Tm ()Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 443.79 w 32.32 589.51 m 564.97 589.51 l S 0.001 w 1 1 1 RG 68 w 31.2 676.99 m 91.05 676.99 l S 0.001 w 68 w 93.3 676.99 m 197.4 676.99 l S 0.001 w 68 w 199.65 676.99 m 289.45 676.99 l S 0.001 w 68 w 291.7 676.99 m 473.8 676.99 l S 0.001 w 68 w 476.05 676.99 m 566.1 676.99 l S 0.001 w 136 w 31.2 572.74 m 91.05 572.74 l S 0.001 w 136 w 93.3 572.74 m 197.4 572.74 l S 0.001 w 136 w 199.65 572.74 m 289.45 572.74 l S 0.001 w 136 w 291.7 572.74 m 473.8 572.74 l S 0.001 w 136 w 476.05 572.74 m 566.1 572.74 l S 0.001 w 136 w 31.2 434.49 m 91.05 434.49 l S 0.001 w 136 w 93.3 434.49 m 197.4 434.49 l S 0.001 w 136 w 199.65 434.49 m 289.45 434.49 l S 0.001 w 136 w 291.7 434.49 m 473.8 434.49 l S 0.001 w 136 w 476.05 434.49 m 566.1 434.49 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 641.86 m 568.3 641.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.61 m 568.3 503.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 364.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 364.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 364.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 364.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 364.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 364.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.86 m 568.3 641.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.61 m 568.3 503.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 365.36 m 568.3 365.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 701.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 684.18 Tm (So as to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 667.18 Tm (are enabled to maximise )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 650.18 Tm (their potential.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 628.68 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 628.68 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 628.68 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 628.68 Tm (Adequate precautions must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 611.68 Tm (be undertaken against the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 594.68 Tm (risk of fire. This refers )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 577.68 Tm (specifically to residents )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 560.68 Tm (doors being wedged open. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.68 Tm (So as to ensure peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.68 Tm (safety and wellbeing.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 482.1 628.68 Tm (06/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 628.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 490.43 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 490.43 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 490.43 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 490.43 Tm (All who work at the care )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 473.43 Tm (home receive an induction. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 456.43 Tm (This includes agency staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 439.43 Tm (who work at the care home.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 422.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 405.43 Tm (This will ensure that staff, )Tj ET /F2 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0.001 w [] 0 d [] 0 d 2.25 w 567.32 349.44 m 567.32 258.44 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 332.18 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 314.6 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.02 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.44 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 264.62 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 264.62 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 264.62 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 243.33 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 243.33 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 243.33 Tm (Confidential information relating to individual residents )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 228.75 Tm (should be kept secure.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 205.92 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 205.92 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 205.92 Tm (The temperatures of all areas where medicines are stored )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 191.34 Tm (should be monitored and recorded regularly, including a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 176.76 Tm (record of action taken should the temperatures be outside )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 162.18 Tm (the recommended range.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 139.35 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 139.35 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 139.35 Tm (Consider devising the activity programme in larger print )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 124.77 Tm (print and/or pictorial format, so as to enable people to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 110.19 Tm (make an informed choice.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 87.36 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 87.36 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 87.36 Tm (Ensure that people living in the care home receive regular )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 72.78 Tm (drinks and/or access to drinks throughout the day.)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (38)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 138.59 w 32.32 742.11 m 564.97 742.11 l S 0.001 w 1 1 1 RG 49.74 w 31.2 698.81 m 91.05 698.81 l S 0.001 w 49.74 w 93.3 698.81 m 197.4 698.81 l S 0.001 w 49.74 w 199.65 698.81 m 566.1 698.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 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practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.31 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 750.73 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 708.62 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 708.62 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 708.62 Tm (Consider reviewing current practices whereby people who )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 694.04 Tm (have a poor cognitive ability and/or dementia choose their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 679.46 Tm (meal choices the day before.)Tj ET endstream endobj 92 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 93 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (39)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 94 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 95 0 obj[6 0 R/XYZ 0 301.29 0] endobj 96 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 105 0 obj<> endobj 106 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640]90[889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 107 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 108 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 109 0 obj<> endobj 110 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 111 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 78 0 obj<> endobj 112 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 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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