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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 414.45 m 160.38 414.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 414.45 m 563.65 414.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.87 m 565.85 367.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 366.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Beechlawns)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (20 Wood Street )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Wollaston)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Stourbridge)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (West Midlands)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 374.52 Tm (DY8 4NW)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 355.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 338.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 319.08 m 358.95 319.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 319.08 m 565.9 319.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.5 m 568.1 330.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.67 m 568.1 307.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 331.57 m 30.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 331.57 m 360.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 331.57 m 567.02 306.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 314.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 314.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 386.8 314.31 Tm (one star adequate service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 295.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 259.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 259.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 242.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 242.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 225.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 207.88 m 315.25 207.88 l S 0.001 w 20.58 w 317.5 207.88 m 565.9 207.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 185.05 m 346.55 185.05 l S 0.001 w 20.58 w 348.8 185.05 m 377.9 185.05 l S 0.001 w 20.58 w 380.15 185.05 m 409.2 185.05 l S 0.001 w 20.58 w 411.45 185.05 m 440.55 185.05 l S 0.001 w 20.58 w 442.8 185.05 m 471.9 185.05 l S 0.001 w 20.58 w 474.15 185.05 m 503.2 185.05 l S 0.001 w 20.58 w 505.45 185.05 m 534.55 185.05 l S 0.001 w 20.58 w 536.8 185.05 m 565.9 185.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.29 m 568.1 219.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.63 m 568.1 173.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.37 m 30.07 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 220.37 m 316.37 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 197.54 m 347.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 197.54 m 379.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 197.54 m 410.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 197.54 m 441.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 197.54 m 473.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 197.54 m 504.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 197.54 m 535.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.37 m 567.02 172.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 203.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 180.28 Tm (Sally Seel)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 180.28 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 180.28 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 180.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 144.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 127.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 115.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 103.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 285.18 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.csci.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Beechlawns)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 (20 Wood Street)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Wollaston)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Stourbridge)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (West Midlands)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (DY8 4NW)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 (01384835050)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.71 m 353.25 523.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.71 m 565.9 523.71 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 500.88 m 353.25 500.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.88 m 565.9 500.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 488.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Select Health Care \(2006\) Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 518.94 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 496.11 Tm (7)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.17 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 457.68 m 565.6 457.68 l S 0.001 w 41.16 w 31.2 424.56 m 297.2 424.56 l S 0.001 w 20.58 w 299.45 434.85 m 565.6 434.85 l S 0.001 w 20.58 w 299.45 414.27 m 432.52 414.27 l S 0.001 w 20.58 w 432.52 414.27 m 565.6 414.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.09 m 567.8 469.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.85 m 567.8 402.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.17 m 30.07 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.34 m 298.32 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.17 m 566.72 401.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 452.91 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.08 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.08 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 409.5 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 409.5 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.06 m 297.3 388.06 l S 0.001 w 20.58 w 299.55 388.06 m 431.45 388.06 l S 0.001 w 20.58 w 433.7 388.06 m 565.6 388.06 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 365.23 m 565.6 365.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 376.65 m 567.8 376.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.82 m 567.8 353.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.99 m 568.1 330.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.48 m 567.8 399.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.65 m 567.8 376.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.82 m 568.1 353.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.99 m 568.1 330.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279 m 568.1 279 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 400.55 m 30.07 277.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 400.55 m 298.42 375.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 400.55 m 432.57 375.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 400.55 m 566.72 277.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.29 Tm (learning disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.29 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.29 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 360.46 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 337.63 Tm (The maximum number of service users to be accommodated is 7. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 314.8 Tm (The registered person may provide personal care and accommodation for service users )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.22 Tm (of both sexes whose primary care needs on admission to the home are within the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.64 Tm (following categories: Learning Disability \(LD 7\) )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 264.21 m 315.25 264.21 l S 0.001 w 1 1 1 RG 20.58 w 317.5 264.21 m 346.55 264.21 l S 0.001 w 20.58 w 348.8 264.21 m 377.9 264.21 l S 0.001 w 20.58 w 380.15 264.21 m 409.2 264.21 l S 0.001 w 20.58 w 411.45 264.21 m 440.55 264.21 l S 0.001 w 20.58 w 442.8 264.21 m 471.9 264.21 l S 0.001 w 20.58 w 474.15 264.21 m 503.2 264.21 l S 0.001 w 20.58 w 505.45 264.21 m 534.55 264.21 l S 0.001 w 20.58 w 536.8 264.21 m 565.9 264.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 275.62 m 568.1 275.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.79 m 568.1 252.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 276.7 m 30.07 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 276.7 m 316.37 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 276.7 m 347.67 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 276.7 m 379.02 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 276.7 m 410.32 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 276.7 m 441.67 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 276.7 m 473.02 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 276.7 m 504.32 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 276.7 m 535.67 251.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 276.7 m 567.02 251.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 259.44 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 240.92 m 565.9 240.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 231.29 m 568.1 231.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 232.37 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 232.37 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 250.54 m 568.1 250.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 231.29 m 568.1 231.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 251.62 m 30.07 230.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 251.62 m 567.02 230.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 237.36 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 237.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 218.11 Tm (Beechlawns is a large detached property located in the Wollaston area of Stourbridge. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 201.11 Tm (It is situated in a quiet residential area and is within walking distance of the local )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 184.11 Tm (village, which has numerous shops, public houses and other local amenities. The town )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 167.11 Tm (centre of Stourbridge can be accessed by public transport. There is a small car parking )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 150.11 Tm (area at the front of the property. The gardens are situated to the rear and side of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 133.11 Tm (property. There is a ramp leading to the front door and into the garden. The Home was )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 116.11 Tm (initially registered in 1993 to provide care for seven adults with learning disabilities. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 99.11 Tm (Resident accommodation is on the first and ground floor. The Home has a stair lift. All )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 82.11 Tm (users accommodated on the first floor are fully mobile. There are seven single )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 65.11 Tm (bedrooms. Residents' bedrooms are all decorated individually and reflect residents' )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 48.11 Tm (differing tastes and personality. Residents can bring some of their own furniture if they )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 690.15 m 568.1 690.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (wish. The Home has two bathrooms one with separate walk in shower. There are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (toilets located on the ground and first floors. There are two lounge areas and a dining )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (room. Beechlawns provides care for residents with a range of learning disabilities and )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (with complex communication, mental and health care needs. A statement of purpose )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (and service user guide are available to inform residents of their entitlements. To obtain )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (up to date fee information the home will need to be contacted.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 678.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 661.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 554/Matrix [1 0 0 1 0 0]>>stream x1 s ĎAZV℠7aXf)TEcq;-iLBO.F(\ ꧍>w~Vkę8Rl̞&WMà x<},OkKT [p tonK/^l)?4JDYWԂhIh !fKphd`@4k14qDesj5Kj3mD4k$/FkdHW:$Q13)Z6bU6[%ZfjW:;RNc t* Ω!cj>%vvZ}'u6EFƦyxI59s8ŋ䄵?(7RV^i;y^fx6]:AuV/UrvY{n_'#@58[N=#h:{׻vimuncZyN<:[_yk endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 398 715.45 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 145.27 572.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 503.92 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 469.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 435.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 400.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 366.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The focus of our inspections is upon outcomes for people who live in the home and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (their views of the service provided. This process considers the care homes capacity to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (meet regulatory requirements, minimum standards of practice and focuses on aspects )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (of service provisions that need further development.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (One inspector undertook this fieldwork visit to the home, over an eight hour period. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (The support manager and staff members assisted us throughout. The home did not )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (know that we were visiting on that day. There were four people living at the home on )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (the day of the visit and the inspector arrived before people living in the home had left )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (for the day.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm ()Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 352.92 w 32.32 636.07 m 566.72 636.07 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 458.48 m 568.92 458.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 457.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 457.41 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (Information was gathered from speaking to and observing people who lived at the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (home. Two people were 'case tracked' and this involved discovering their experiences )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (of living at the home. This was achieved by meeting people or observing them, looking )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (at medication and care records and reviewing areas of the home relevant to these )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (people, in order to focus upon outcomes. Case tracking helps us to understand the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (experiences of people who use the service. Staff files, training records, health and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (safety documentation and Regulation 37 reports about accidents and incidents in the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (home were reviewed in the planning of this visit.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (Also two staff surveys were completed and returned to the Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (Inspection, \(CSCI\). Information from both these sources was used when forming )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (judgements on the quality of service provided at the home. The people who live at this )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (home have a variety of needs. We took this into consideration when case tracking two )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (individuals care provided at the home. For example, the people chosen have differing )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (communication and care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm (The people who live at this home have communication needs that meant discussions )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm (with them could not take place and/or some people chose not to speak with the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (inspector. In view of this we spoke to staff on duty in order to find out about the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (support people receive.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm (The atmosphere within the home is inviting and warm and we would like to thank )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm (everyone for his or her assistance and co-operation.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 467.38 Tm ()Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 457.98 w 32.32 561.83 m 566.72 561.83 l S 0.001 w 20.58 w 32.7 320.3 m 569.35 320.3 l S 0.001 w 216.79 w 33.82 199.37 m 568.22 199.37 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 331.72 m 568.92 331.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 330.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 331.72 m 569.35 331.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 308.89 m 569.35 308.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 308.89 m 570.42 308.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 309.97 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 330.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 309.97 m 569.35 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (Staff are beginning to support people who live at Beechlawns in various activities, such )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (as, baking cakes, sowing seeds and going on holidays so that the practices in the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (become less institutionalised.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (All people living in the home were observed to be dressed appropriately for their age, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (gender and culture. Efforts had been made to ensure items of clothing were )Tj ET /F2 12 Tf BT 1 0 0 1 499.28 702.86 Tm (co-)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (ordinated,)Tj ET /F2 12 Tf BT 1 0 0 1 96.88 688.28 Tm ( promoting dignity and well-being.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (People have access to a range of health and social care professionals and this ensures )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (that health care needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (The registered manager has developed a key worker system whereby people can )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (express their individual feelings, wishes, concerns or issues on a one to one basis.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (People are cared for in a respectful manner by staff working at the home and this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (ensures that their self-esteem and dignity are maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (Medication practices within Beechlawns ensure that people living there are safeguarded )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (from any potential medication errors that could harm them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (Staff are committed to improve outcomes for the people who live at the home and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (have provided clear examples of trying to bring in activities that are more meaningful )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm (to individuals in a creative way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm (The home have demonstrated that 50% of care staff who are trained to Level 2 NVQ )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm (which exceeds the expectation and ensures the staff team is equipped to undertake )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm (their role in a skilled manner.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 382.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 367.52 Tm (Health and safety checks are completed regularly so that people living in the home can )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 352.94 Tm (be confident that the homes practices and procedures in this area will protect them )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 338.36 Tm (from risks.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 560.28 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 318.19 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 315.53 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 318.75 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 197.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm (Statement of purpose and service user guide have improved in relation to confirming )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (what fees the home charges for people to live there. Also these information guides are )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (in pictorial formats so that they can be accessed by all people.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm (Some staff have received training in developing communication passports so that )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (individuals in the home can be enabled to make their preferences known so that their )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (lives are meaningful to them.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (There is a more robust programme of training in safeguarding with all staff being given )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm (the opportunity of attending adult protection training with further dates for abuse )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm (awareness and protection of vulnerable adults taking place in March 2009. This means )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm (that people living at Beechlawns are protected by knowledgeable staff that have a good )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 117.74 Tm (understanding of issues arising out of differing types of abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 103.16 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 570.47 197.82 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 177.96 w 33.82 723.55 m 568.22 723.55 l S 0.001 w 20.58 w 33.45 622.03 m 570.1 622.03 l S 0.001 w 518.51 w 34.57 350.23 m 568.97 350.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 633.44 m 570.42 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 610.61 m 570.1 610.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 633.44 m 570.1 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 610.61 m 571.17 610.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 611.69 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 611.69 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (The homes environment is continually improving in relation to redecoration and new )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm (furniture that has been purchased in some areas so that people live in an environment )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 773.56 Tm (that is well maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 744.4 Tm (The home are no longer employing agency workers which means that people living at )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 729.82 Tm (Beechlawns will be consistently supported by trained staff who are familiar to them.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 715.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 700.66 Tm (At the random inspection undertaken on the 31 March 2008 we found that the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 686.08 Tm (had met their two outstanding requirements that had been made at their last key )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 671.5 Tm (inspection on the 28 January 2008. These were around fire risks and the management )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 656.92 Tm (of peoples finances. This shows that people are offered greater protection in both of )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 642.34 Tm (these areas.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 620.48 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 617.26 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 348.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 594.43 Tm (Statement of purpose and service user guide should be regularly maintained and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 579.85 Tm (updated, \(at least annually\), to ensure all services provided by Beechlawns can be )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 565.27 Tm (seen together with any changes.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 550.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 536.11 Tm (Care plans need to be easily linked to risk assessments to ensure that these are not )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 521.53 Tm (confusing for staff to follow and do not place individuals at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 506.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 492.37 Tm (Care plans need to be further developed to ensure that they are person centred so that )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 477.79 Tm (individuals are assured that they receive care and support in a way they prefer and at )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 463.21 Tm (times suited to them.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 448.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 434.05 Tm (Communication aids including communication passports need some further )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 419.47 Tm (development and these need to be put into practice by all staff so that people living at )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 404.89 Tm (Beechlawns are confident that staff will be able to interact with them ensuring choices, )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 390.31 Tm (respect and rights are upheld appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 375.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 361.15 Tm (Progression needs to be made in relation to ensuring that people at Beechlawns are )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 346.57 Tm (supported to participate in activities that are meaningful to them as individuals and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 331.99 Tm (enhance life skills, such as, making drinks, preparing meals and so forth.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 317.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 302.83 Tm (Staff need to record individuals fruit and vegetable portions to ensure that people are )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 288.25 Tm (being offered 'five a day' as per the recommended amount to sustain a healthy and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 273.67 Tm (nutritional diet.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 259.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 244.51 Tm (Individual health care plans must be developed and show that people's needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 229.93 Tm (and their health is promoted.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.77 Tm (The home must review its current practices in respect of checking on people through )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.19 Tm (the night time period and risk assessments must be in place that states the reasons for )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.61 Tm (these checks and for what purpose. This process needs to be completed in a )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.03 Tm (multidisciplinary forum so that decisions made are in the best interests of the individual )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.45 Tm (concerned.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.87 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.29 Tm (Regular weight checks need to be maintained so that any losses or gains in weight can )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.71 Tm (be observed as this could detect underlying health issues that may otherwise go )Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 629.94 w 34.57 497.56 m 568.97 497.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 181.46 m 571.17 181.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 180.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 180.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (undetected.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (All prescribed creams/lotions must be stored appropriately in lockable facilities to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (protect all individuals who live in the home from harm.)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 (The home must sensitively develop 'end of life' care plans for people living at )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (Beechlawns so that care and support received at this time is delivered to an individuals )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm (meets their preferences.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (To increase staff training in developing communication passports so that individuals )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (can be supported in enhancing their quality of lives with the help of a staff team who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (are able to interact and understand them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 613.18 Tm (A structure for capturing and recording both formal and informal )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.6 Tm (complaints/issues/compliments should be implemented that would promote a culture of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 584.02 Tm (openness within the home and a proactive approach to identifying and addressing )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.44 Tm (concerns.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.28 Tm (All complaints must be recorded appropriately so that people living at Beechlawns can )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.7 Tm (be confident that their views and concerns will be listened to and acted upon with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 511.12 Tm (clear audit trail that recognises this practices takes place.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.96 Tm (To take advice from an occupational therapist in relation to developing individuals )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.38 Tm (levels of independence particularly due to the physical layout of the home. This will )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.8 Tm (ensure that people living at Beechlawns are able to access all parts of the home if they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438.22 Tm (choose to participate in activities that relate to that area.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 409.06 Tm (Keyworker meetings now need to take place on a regular basis and these need to be )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 394.48 Tm (sustained so that individuals have the opportunity of sharing any concerns and/or )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 379.9 Tm (issues they may have on a 'one to one' basis.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 365.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 350.74 Tm (The home must review its key holding practices in relation to having access to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 336.16 Tm (individuals monies at all times so that peoples choices and rights are maintained in this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 321.58 Tm (area.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 307 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 292.42 Tm (All information in the AQAA must be accurate with clear examples of practices so that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 277.84 Tm (the home can be seen to be open and transparent to ensure that it is run in the best )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 263.26 Tm (interests of people who live at Beechlawns.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 248.68 Tm (The home must continue to develop their quality assurance systems to provide an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 234.1 Tm (analysis of the views of people who live there together with their family members and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 219.52 Tm (stakeholders. This will ensure that the home are listening and acting upon any )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 204.94 Tm (improvements that can be made to its procedures and practices to achieve good )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 190.36 Tm (outcomes enriching the lives of the people who live at Beechlawns.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 166.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 146.91 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 146.91 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 146.91 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 129.41 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 109.42 Tm ()Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 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 (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 799.09 Tm (www.csci.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 492.84 799.09 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 781.6 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 781.6 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 513.83 781.6 Tm (0870 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 764.1 Tm (240 7535.)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 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 (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 5\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Individual needs and choices \(standards 6-10\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Personal and healthcare support \(standards 18 - 21\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Concerns, complaints and protection \(standards 22 - 23\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 541.96 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 521.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 102 w 31.2 576.29 m 563.65 576.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them, what they hope for and want to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (achieve, and the support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (that includes how much they will pay and what the home provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 376.5 m 563.65 376.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 149.97 w 32.32 365.25 m 564.78 365.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 288.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 288.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 289.14 m 566.98 289.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (The home needs to ensure that the information provided to people considering living )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (there is updated and therefore individual's decisions are based upon factual )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (information that has been provided by the home. Individuals care needs are assessed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (and risks identified but these are not necessarily linked so that personalised care is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (promoted in the way people prefer and at times that suit them.)Tj ET 0.99608 0.9451 0.76078 RG 195.05 w 33.45 165.75 m 563.65 165.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 254.27 m 565.9 254.27 l S 0.001 w 173.68 w 32.32 153.94 m 564.78 153.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 241.9 m 566.98 241.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 242.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 241.9 m 565.9 241.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 250.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (The home has a statement of purpose and service user guide. However, when we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (asked two members of staff to show us these they did not know where to find them. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (Therefore we recommend that all staff are aware of where both the statement of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (purpose and service user guide can be located in the home so that this information can )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (be accessed at all times. It was positive to see that the statement of purpose and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (service user guide have been improved since the homes last inspection. They are now )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (provided in written word and pictures used so that the information provided is able to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (be read and shared by all people considering living at Beechlawns. The information )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (within both of these guides, tells people what the home's environment is like, what the )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 636.23 w 33.45 493.29 m 563.65 493.29 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 614.86 w 32.32 481.48 m 564.78 481.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 172.92 m 566.98 172.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (home can offer together with details regarding the complaints procedure and the fees )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (charged.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (We found that some of the information was not correct both in the statement of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (purpose and service user guide. For example, the previous manager's name is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (documented and the fees charged by the home in the pictorial statement of purpose )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (has another homes name linked to them. Therefore the home must review their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (statement of purpose and service user guide to ensure that information is factually )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (correct so that people considering living there are not mislead. Also the home has an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (old inspection report, dated 16th May 2007, held with their preadmission information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (which is situated by the homes front door. We now urge the home to replace this old )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (inspection report with their up to date report. It is recommended that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (reviews their statement of purpose and service user guide, at least annually; this will )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (ensure that individuals can see that they have updated information and staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (reminded of the aims and objectives that they are working to.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (There have been no new people admitted to the home since their last inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Therefore, the standard relating to assessment of new people was not fully assessed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (on this occasion.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (There are currently four people living at the home, three males and one female. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (sampled two individuals care plans which show what people need assistance with in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (their everyday lives together with the risks so that staff can ensure that individuals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (needs are met safely. However, care plans and risk assessments are not linked making )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (it difficult to gain a good understanding of meeting individual's needs and staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (acknowledged this. Therefore people living in the home may not have their individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (needs met in a preferred way or at a time they would like. Also care plans are not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (personalised so that recognition is given to each person's abilities and strengths. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (is looked at in more detail in the 'section on care planning'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (Staff surveys told us:-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ('Cares for individuals well, staff very caring'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ('The home is clean and tidy and the staff are caring'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ('Employ more staff'.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Individual needs and choices)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 85 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (information on which to base decisions.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (because the home has clear policies and procedures that staff follow.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 350.75 m 563.65 350.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 167.46 w 32.32 339.5 m 564.78 339.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 253.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 253.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 254.65 m 566.98 254.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Some improvements have been made in relation to developing aids to enable staff to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (communicate with people who live in Beechlawns but these need to be used )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (consistently by all staff. There is written information to guide staff in supporting )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (peoples' individual needs, although care plans and risk assessments need further )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.2 Tm (development to ensure they are personalised and are easy to follow by all staff so that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.71 Tm (individuals are supported in a safe manner.)Tj ET 0.99608 0.9451 0.76078 RG 160.55 w 33.45 148.5 m 563.65 148.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 219.78 m 565.9 219.78 l S 0.001 w 139.18 w 32.32 136.69 m 564.78 136.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 207.4 m 566.98 207.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 208.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 208.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.4 m 565.9 207.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 216.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (The care records of two people who live at Beechlawns were sampled. Records )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (included an individual care plan. These state how staff are to support the person to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (meet their needs and achieve their aspirations. Since the homes last inspection these )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (have not been further developed to ensure that they are easy for staff to follow and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (person centred. For example, we found no information within the two care records that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (we sampled of people living in the home and or their representatives being included in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (any of the care plans to ensure that individual's abilities and strengths are being )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (promoted. We were assured by the support manager that the home have made a start )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (on developing individual care plans which can be easily linked to risk assessments. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (However, we could not locate these in any of the care records we looked at. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (means that staff do not currently have access to these care plans so that they can be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (followed whilst providing support and care to people. We found that care plans have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (been reviewed but this needs to be done consistently and regularly with the individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (present and or their representative so that people are enabled to express their views )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (and preferences which may change over time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Care records sampled included individual risk assessments. These state how staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (to support individuals to minimise risks in relation to administration of medication, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (managing finances, behaviour, self help and independence, activities and outings. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (However, as already risk assessments could not be easily cross referenced to risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (assessments so that staff can be clear how to support each person safely. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (continues to be outstanding from the homes last inspection. Improvements must be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (made in this area to ensure staff are able to easily access these without any confusion )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (arising to ensure risks to individuals are not only identified but also managed safely.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Daily records are completed for each person living at the home. These give an insight )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (into a person's routine each day, their state of wellbeing and any appointments they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (have attended. Additional care should be taken to ensure these are completed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (providing enough information which should include reasons for individuals declining )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (any meals, activities offered and participated in so that staff on all shifts have this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (information.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (People living at Beechlawns have a range of needs including communication, behaviour )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (and sensory. We observed staff trying to establish what one individual wanted to do, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (whether they wanted to remain seated at the table or go to sit with others in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (lounge area of the home. Staff seemed to have to some difficulties in trying to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (establish this persons own preferences. Therefore it is recommended other forms of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (communication be explored, such as, the use of photographs, pictures and objects of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (reference in order that all individuals can be involved in decision-making processes. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (Positively, two staff members who came on shift in the afternoon confirmed that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (have recently been on training courses provided by the speech and language therapist, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (\(SALT\). However, this approach to understanding individuals communication and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (ensuring barriers are broken down was not evident in staff practices in the morning. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (The two staff members are in the process of developing communication passports for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (individuals living in the home and this is an improvement since the homes last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (inspection. Staff showed us the two books that they had started work on for people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (that they provide care and support to. These were detailed and told a story about the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (person's life, likes and dislikes with photographs included. These will enable staff to )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 128.85 w 33.45 746.98 m 563.65 746.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 107.48 w 32.32 735.17 m 564.78 735.17 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 679.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 679.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 680.31 m 566.98 680.31 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (interact with the individual and communicate in a way they will understand. Also some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (of the information can be placed in care plans that are being developed so that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (are able to meet individuals cultural needs relating to communication, diet, music, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (contact with family and their religion. People living in the home will eventually be able )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (to carry their own books on their person when in the home and community which will )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (enable them to make choices and decisions about their lives.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Lifestyle)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.25 w 32.32 584.79 m 562.53 584.79 l S 0.001 w 1 1 1 RG 51 w 31.2 499.79 m 563.65 499.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 473.17 m 565.85 473.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 472.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 472.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They can take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 566.48 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 549.48 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 532.48 Tm (place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 479.23 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 432.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 432.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 432.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 432.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 415.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 325.5 m 563.65 325.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 402.73 m 565.9 402.73 l S 0.001 w 149.97 w 32.32 314.25 m 564.78 314.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 390.36 m 566.98 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 391.44 m 31.2 237.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 391.44 m 565.9 237.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.36 m 565.9 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 238.14 m 566.98 238.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 399.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 374.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 374.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 357.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 337.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 317.19 Tm (Generally, people living at Beechlawns are supported to participate in activities and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.69 Tm (social occasions but these are not always meaningful to the individual or promote life )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 282.2 Tm (skills. Generally meals are varied but to fully support nutritional needs are met, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.7 Tm (records should be more detailed particularly in relation to portions of fruit and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 247.2 Tm (vegetables that are offered daily.)Tj ET 0.99608 0.9451 0.76078 RG 144.05 w 33.45 140.25 m 563.65 140.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 203.27 m 565.9 203.27 l S 0.001 w 122.68 w 32.32 128.44 m 564.78 128.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 190.9 m 566.98 190.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 191.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 191.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 190.9 m 565.9 190.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 199.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 175.22 Tm (We spoke to staff and examined care records and found efforts are being made to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.72 Tm (support people with activities in the home and community. For example, since the last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 140.22 Tm (inspection we were told that people living in the home have been on holiday to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.73 Tm (Blackpool in October 2008 and a further holiday is to be planned this year. We also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 105.23 Tm (found that people were supported to go shopping, rides in the minibus, fetes at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.74 Tm (home and social gatherings at pubs. We were told that the home also encourages )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (people to take part in celebrations throughout the year, such as, birthdays', Valentines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Day, Easter and Christmas. Staff spoken with confirmed that they give up alot of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (own time to support and arrange activities. This year staff are planning to support and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (encourage people to be involved in seed growing and tending the raised beds in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (homes garden area. However, there needs to be some improvement in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (people having the opportunity to undertake activities and or follow interests )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (individually. We did not find any information in people's care records that would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (support this apart from one individual going to a day centre three times a week.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Staff told us:- 'We celebrate occasions, Easter with bonnets, summer fetes with stalls )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (and barbecues'. 'We visit local shopping centres and have our own minibus'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (On the day we visited we were told that no activities were planned for the day as one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (person was unwell and staff were awaiting a doctor. However, the support manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (came to the home to assist with the inspection and this enabled staff on duty to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (support two individuals to go to the shops which they seemed to enjoy. The home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (forms for recording activities but we could not find these completed on the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (records that we sampled. We were shown one of these which was in the office area but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (was generalised and not individualised. We also found a tick box form completed which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (highlighted a persons activity preferences but this had not been reviewed since 2007. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Therefore it is recommended these be used for recording and evaluating activities in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (order that the home can monitor that activities meet individuals' expectations.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (There have been some improvements made in relation to the homes environment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (which has been redecorated and new furniture bought in certain areas which are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (discussed further in the 'environment' section of this report. However, the layout of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (the home does not always promote individuals independence due to the style of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (building. For example, there are steps down to the kitchen area and the laundry room )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (is located in the cellar with steps down to it. We spoke with staff and they have been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (trying to encourage more participation from individuals in relation to gaining important )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (life skills, such as, people being supported to bake cakes and placing their laundry in a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (basket ready for washing. It was concerning to observe the step to the kitchen area )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (but staff have reassured us that people living in the home are able to access the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (kitchen area without support and a grab rail has now been placed by the kitchen door )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (as an aid. It is acknowledged that people living in the home would not be able to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (access the laundry room to participate in washing their clothes. The home will now )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (build on promoting individuals independence within the home by gaining advice from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (an occupational therapist for any suggestions and or ideas in relation to the outlay of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (the building. This is a recommendation that remains outstanding from the homes last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ()Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 321.3 w 33.45 650.75 m 563.65 650.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 299.93 w 32.32 638.94 m 564.78 638.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 486.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 486.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 487.85 m 566.98 487.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We sampled the menus and found that meals were varied. The home have improved )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (access to choices for people by ensuring that all menus are in pictorial format so that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (people can make choices and decisions around their meals. As recommended at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (homes last inspection we found no evidence that people living in the home are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (supported to shop for their meals so that this life skill is developed. Two meal choices )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (are offered at each meal throughout the day and we were told that individuals can be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (spontaneous with their meals if they do not like the two choices on offer they are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (supported in relation to alternatives. This is also confirmed in the AQAA, 'Service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (have more choice each mealtime and if what is available to them is refused they can )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (then request what they would like to eat'. Also we were told that the home have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (introduced a variety of new meals to people living there, such as, curries and chillies )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (so that individuals can try to new foods to see if they like them which was a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (recommendation made at the last inspection. The home does keep a record of what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (people eat throughout the day but this needs to be improved to incorporate what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (portions of fruit and vegetables individuals have each day together with a note if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (people decline. This will ensure that people's diets contain their recommended five )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (portions per day to maintain healthy diets. )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Personal and healthcare support)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 155.25 w 32.32 618.79 m 562.53 618.79 l S 0.001 w 1 1 1 RG 68 w 31.2 576.29 m 563.65 576.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.17 m 565.85 541.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 540.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 540.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 500.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 500.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 500.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 483.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 402.25 m 563.65 402.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 470.73 m 565.9 470.73 l S 0.001 w 132.47 w 32.32 391 m 564.78 391 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 458.36 m 566.98 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 459.44 m 31.2 322.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 459.44 m 565.9 322.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.36 m 565.9 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 323.64 m 566.98 323.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 467.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 442.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 442.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 405.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 385.19 Tm (People have access to health care within the home and the local community. Efforts )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.69 Tm (now need to be made in completing health action plans ensuring individuals health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.2 Tm (needs are monitored and met effectively. The management of medication is good )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.7 Tm (which ensures people get the right medication at the right time.)Tj ET 0.99608 0.9451 0.76078 RG 229.54 w 33.45 183 m 563.65 183 l S 0.001 w 1 1 1 RG 22.5 w 31.2 288.77 m 565.9 288.77 l S 0.001 w 208.17 w 32.32 171.19 m 564.78 171.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 276.4 m 566.98 276.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 277.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.4 m 565.9 276.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 285.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.71 Tm (We observed that staff had paid attention to each person's personal care; people were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.22 Tm (wearing clothes in good condition suitable to their age and gender. We were told that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.72 Tm (people living in the home are able to choose whether they prefer assistance with their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.22 Tm (personal care tasks from either a female or male. This positive practice promotes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.73 Tm (individuals choices and dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.74 Tm (People living in the home have key workers and they assist people with choices, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.24 Tm (outings and any health issues that come to light. However, there needs to be more )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.74 Tm (work undertaken in respect of the knowledge to be gained in respect of meeting the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.25 Tm (needs of people who are growing older. Improvements in this area will ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.75 Tm (staff are confident in age related illnesses and the changing physical needs of people. )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (This should also include 'end of life' care plans so that individuals can be reassured )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (that their practical, physical, emotional and spiritual needs will be managed in a way )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (that people prefer at this time in their lives. These care plans will be particularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (important as one person who lived at the home died recently and we only found one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (care record that confirmed a person's funeral wishes in picture format.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (As mentioned earlier in this report care plans and risk management systems must be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (improved. This also applies to care planning for health needs. For example, the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (must complete health action plans for people so that their health needs are promoted )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (together with any actions required from any medical professional. We were shown that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the home have now obtained health screening documentation which are going to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (photocopied for every person who lives at Beechlawns. These will then be completed in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (all sections so that when read they will tell staff and other professionals any health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (conditions that individuals experience together with how these are met. It is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (recommended as with care plans and risk assessments the home completes these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (health plans with individuals and or their representative and appropriate medical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (professionals. This will ensure accurate plans are developed, individuals health needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (are managed and individuals are able to be part of any decision making processes. For )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (example, one person who lives in the home is checked through the night. However, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (staff could not fully explain the reasons why this individuals needs to be checked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (through the night other than they have a catheter. We were also told that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (complete regular checks during the night for all individuals who live in the home but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (we could not find any documentation to confirm exactly why this practice needs to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (ongoing or when it was reviewed. Therefore as at the previous inspection we urge the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (home to review this practice within a multi-disciplinary forum to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (individuals rights to privacy is not encroached upon.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (In the care records we looked at we found that individuals had been supported to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (attend general practitioner appointments, and on the day of our visit one individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (was poorly and their doctor was contacted.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (Weight records showed that people had not been weighed regularly. It is important )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (that this is maintained. If a person declines then the home should make a decision as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (to whether they need advice from the individual's doctor, as we noted that on one of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (the care records we looked at, this had been the case. If someone loses or gains a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (significant amount of weight this could be an indicator of an underlying health need )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (and so it is important that their weight is regularly monitored. This is particularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (essential for people who have limited communication and would not be able to express )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (if they are unwell.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Medication is stored in a locked cabinet. The medication is supplied by the pharmacist )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 583.74 w 33.45 519.53 m 563.65 519.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 562.37 w 32.32 507.72 m 564.78 507.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 225.41 m 566.98 225.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (in blister packs using the monitored dosage system, which makes it easier for staff to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (know what medication to give to the person and when. Medication Administration )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Records \(MARS\) had been signed appropriately and these cross referenced with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (amount in the blister packs indicating that medication had been given as prescribed. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (We were told that one person is prescribed cream on occasions and we found this in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (the locked cabinet which was not opened. However, this person's cream is also kept in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (their bedroom on show. The home must ensure that all prescribed medication creams )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (and or lotions are kept in the locked cabinet as people do not have lockable facilities in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (their rooms. This will ensure that individuals are not placed at risk by the homes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (medication procedures. Also the cream must be dated when opened with a description )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (of the part of the body that the cream should be applied to for all staff to follow.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Some people are prescribed PRN \('as required'\) medication and individual protocols )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (were in place that stated when, why and how much of the medication should be given )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (to ensure that it is given only when needed. For example, in one care record it stated, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ('if complains of pain talk with X and offer a drink, if complains after 10 minutes, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (administer 2 tabs, monitor and observe and if pain continues report to GP'. We also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (found a PRN protocol for managing behaviour that may challenge and it was positive to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (see that prior to any medications being given guidelines were in place for staff to try. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (For example, 'assess X behaviour, try to divert X by chatting or cup of tea/squash, if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (behaviour continues allow X 10 mins to their self and tell X you'll come back in 10 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (mins'. It was unclear from the care records when this PRN medication was last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (reviewed we could only find one date in 2007. We therefore recommend that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (clearly documents all reviews of PRN medications and that these are easy to retrieve )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (for checking and monitoring purposes. Positively, PRN protocols are also stored with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (MARS so that staff have easy access to these.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (The homes training matrix indicates that three senior staff and the deputy manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (have received training in safe medicine handling and this means that people who live )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (in the home are protected from unsafe medication practices by staff who have the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (necessary understanding. We were told that competency assessments are currently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (being introduced.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Concerns, complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them, know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Their concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse, neglect and self-harm and takes action to follow )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (up any allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 470.25 m 563.65 470.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 132.47 w 32.32 459 m 564.78 459 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 390.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 390.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 391.64 m 566.98 391.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (A proactive approach to documenting complaints needs to improve to reflect how the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (home manages complaints. Staff have the skills necessary to protect people from )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm (abuse and know when incidents need to be reported. There are positive attitudes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 400.7 Tm (amongst the staff team towards protection matters. )Tj ET 0.99608 0.9451 0.76078 RG 297.54 w 33.45 217 m 563.65 217 l S 0.001 w 1 1 1 RG 22.5 w 31.2 356.77 m 565.9 356.77 l S 0.001 w 276.17 w 32.32 205.19 m 564.78 205.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.4 m 566.98 344.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.4 m 565.9 344.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (An easy read complaints procedure is available to each person who lives at Beechlawns )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (making it more accessible for people with communication support needs. This included )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (the relevant and required information so it was clear how people could make a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (complaint if they are unhappy with the service provided at the home. The levels of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (learning disability of most of the people living in this home indicate that they would )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (require a great deal of support or advocacy to ensure their rights are protected. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (Therefore the 'one to one' time that people have with their keyworkers must be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (sustained so importantly individuals are able to comfortably raise any concerns and or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (complaints knowing these will be listened to and action is taken appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (The AQAA stated, 'We have not received any complaints requiring investigation within )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (the last 12 months any small issues have been dealt with efficiently by staff to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (them escalating'. Although, in the data collection of the AQAA it is confirmed that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (home have received two complaints in the last twelve months. We were shown the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (book that the home uses to record any complaints and were told there were none )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (logged but the AQAA confirms that, 'All complaints are logged on a complaints log', but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (we could not find this evidence. Positively, staff spoken to on the day of our visit were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (able to confidently explain how they would deal with any complaint and how to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (people had the support to do this. However, the recording of all complaints must )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (become common practice in the home. This will ensure that an audit trail can be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (maintained and outcomes for people who live at Beechlawns can be further improved )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (where people's views and rights are fully protected by the homes recording )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (procedures.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (In the AQAA it is confirmed that there have been no incidents of alleged or actual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (abuse reported. Staff members spoken to on the day of our visit were able to describe )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the actions that they would take if they witnessed any form of abuse. The training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (matrix highlights that all staff have received adult protection training and we were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (shown a further schedule of dates for abuse awareness including Protection of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Vulnerable Adults, \(POVA\), in March 2009. Also all staff have received training in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Deprivation of Liberty Safeguards, \(DOLS\), which is linked to the Mental Capacity and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (is to be implemented in April 2009. This shows that management and staff are now )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (being proactive within this area as at the homes last inspection this was made a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (recommendation to ensure staff are trained appropriately to be able to be confident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (when protecting people from the risk of harm.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (We were unable to examine individual's monies that are held on their behalf by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (home due to the key not being available. In view of this the home will ensure that an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (audit of monies is now completed and a copy of this is submitted to the Commission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (for Social Care and Inspection, \(CSCI\). Also it was unclear how individuals would have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (obtained any monies they required for that day and therefore the home must review )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (its procedures around the key holding facilities with regards to obtaining individuals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (monies at all times.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (At the homes last inspection agency staff were being employed by the home without )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (the necessary recruitment checks in place. Positively this practice has now stopped as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (we were assured by the support manager that the home no longer employs agency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (staff.)Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 85 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, comfortable, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (pleasant and hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 445 m 563.65 445 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 114.98 w 32.32 433.75 m 564.78 433.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.14 m 566.98 375.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (Beechlawns provides an improved environment that is a well maintained, comfortable )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (and a safe place to live. Further improvements in terms of ensuring that it meets the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (needs of the people who live there will enhance this home further.)Tj ET 0.99608 0.9451 0.76078 RG 281.04 w 33.45 208.74 m 563.65 208.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.27 m 565.9 340.27 l S 0.001 w 259.67 w 32.32 196.93 m 564.78 196.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.89 m 566.98 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.89 m 565.9 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.21 Tm (The home is kept clean, hygienic and tidy and provides a homely and welcoming )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (environment to live in. The AQAA echoes, 'All staff receive infection control training )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (and measures are in place. The homes refurbishment has improved and housekeeping )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (programmes are in place for staff to follow'. However, the staff training matrix does )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (not highlight that all staff have received training in infection control as discussed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (further in the 'staffing' section.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (Beechlawns is situated in a residential area and is a large detached house which is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (spread over two floors and a cellar. There is off road parking located at the front of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (home. It is an old style building which has resulted in rooms such as the kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (having a step down into it and the cellar where the laundry room is located by steps )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (down to it. This physical environment brings a challenge to the people who live at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (Beechlawns as they maintain their own levels of independence and progress through )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (the ageing process. It was also a concern voiced at the homes last inspection. )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (However, the home does have a stairlift to all first floor bedrooms and a bathroom for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (individuals who are unable to climb stairs. Also as mentioned in the 'lifestyle section' of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (this report staff have assured us that all of the people who live at Beechlawns are able )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (to access the kitchen area without any difficulties. The home has installed a grab rail )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (by the kitchen area for people to use. We observed one person in the kitchen area )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (when we visited.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (There are bedrooms located on the ground and first floor of the home. We were given )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (permission by one individual to look in their bedroom. We found this to be decorated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (and furnished to a high standard with the individuals own personal items to reflect )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (their tastes and personality. There are no en-suite facilities in any of the bedrooms but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (there is easy access to toilets. We were told that there are now appropriate locks and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (door handles to all bathing and toilet facilities. This ensures the dignity and privacy is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (maintained for all who live at Beechlawns which is an improvement that has been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (made since the homes last inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The kitchen area is bright and clean having been redecorated. At the time of our visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (there was a leak coming from the ceiling area which is going to be repaired now that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (the problem has been located. Off the kitchen area is a built on side room where one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (of the people living at the home used to spend time as it was close to an outside door )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (where they smoked. However, this person has now died and we were told that this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (room may become a sensory space to provide stimulation and relaxation to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We did not assess the cellar area where the laundry is completed but we were told that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (there is no mould or damp odour now as was found at the homes last inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Therefore walls must have been redecorated as the home has an ongoing redecoration )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (programme at the present time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (There is a pleasant garden to the rear of the premises mostly laid to patio. There are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (raised flower beds and this year the staff are planning to support and encourage )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (people to grow some seeds for these areas. The garden has suitable perimeter fencing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (to provide privacy. )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 34 w 31.2 593.29 m 563.65 593.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 445 m 563.65 445 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 114.98 w 32.32 433.75 m 564.78 433.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.14 m 566.98 375.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (Overall the home is continuing to improve in respect of providing suitably trained staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (on duty in sufficient numbers so that people's needs are met and their wellbeing and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (safety is maintained. )Tj ET 0.99608 0.9451 0.76078 RG 281.04 w 33.45 208.74 m 563.65 208.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.27 m 565.9 340.27 l S 0.001 w 259.67 w 32.32 196.93 m 564.78 196.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.89 m 566.98 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.89 m 565.9 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.21 Tm (There were two staff on duty on the day we visited. The support manager came into )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (the home especially to assist with the homes inspection due to the acting manager not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (being on duty. We were told that there are two members of staff in the mornings, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (afternoons and evenings. Through the night there are also two staff on duty but one is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (awake and the other sleeps but is on hand should assistance be required. We sampled )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (the staffing rotas and found that these confirmed what we were told. The rotas do not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (show any staffing levels falling below what the home confirmed with us. We observed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (staff interacting with individuals in an unhurried manner and any tasks were completed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (which further confirms that staffing levels seem to be appropriate for the four )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (individuals living in the home at this time. We were told that the home have stopped )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (using agency workers and this means that people who live in this home have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (consistency in the support they receive due to building familiar relationships with staff, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (some of whom have worked at the home for many years.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm ()Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (Staff told us:- 'We think a lot of them, treat them as a family'. 'Quite a happy home'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Two staff records were sampled and we found appropriate recruitment documentation, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (such as, Criminal Record Bureau \(CRB\) checks, and completed application forms. In )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (one of the files we only found one reference and the other was missing from the staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (member's last employer. Records included two written references for each person and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (a copy of an application form. This demonstrates that the home has carried out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (appropriate checks to make sure staff employed by them are suitable to work with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (vulnerable adults.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The AQAA confirms that seven members of staff out of eleven indicated to us have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (achieved their National Vocational Qualification, \(NVQ\), Level 2 in Care. This exceeds )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (the standard of 50%. The AQAA confirms, 'Aim to have the whole staff team NVQ 2 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (trained and encourage staff to go on to higher levels of training and access course )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (specific to the homes service users through colleges and training providers'. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (matrix also confirms that generally staff have been maintaining their mandatory )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (training in health and safety, moving and handling, food hygiene, safe handling of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (medications and fire training. However, there are some gaps in training as some staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (members have not completed infection control training but this should be rectified as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (we were shown that some further training in this subject area is planned for the end of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (January 2009. In addition to this only four staff have completed communication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (passport training together with only five staff completing person centred planning )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (courses. We found no indication on the training programme that any further courses in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (these subject areas are planned. We therefore urge the home to obtain some more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (training dates in communication passport and person centred planning courses as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (these are important in relation to understanding individuals preferences and areas of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (concern as discussed previously in the section on 'individual needs'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (The home needs to ensure that their staff training matrix is continually updated to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (reflect the courses that staff have attended as COSHH \(Control Of Substances )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (Hazardous to Health\) is not indicated on the matrix at all but the training schedule )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (shows that staff attended this course on the 15 January 2009. This will ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (training and refresher courses are planned appropriately and are not missed due to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (homes recording practices.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (It was positive to find that some staff have received specialist training in order to meet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (individuals needs, such as, learning disability qualification, diabetes, epilepsy and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (challenging behaviour. We also found an ongoing training programme which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (highlighted dates for staff to attend courses in the Mental Capacity Act, nutritional )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (screening and equality and diversity. This shows that the home are now being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (proactive in providing staff with appropriate training. This goes some way to ensuring )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 58.86 w 33.45 781.97 m 563.65 781.97 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 37.49 w 32.32 770.16 m 564.78 770.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 749.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 749.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 750.29 m 566.98 750.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (that people living at Beechlawns can feel confident that the care and support they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (receive is provided by a skilled and knowledgeable staff group.)Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Conduct and management of the home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 85 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately, with an open approach that makes them feel valued and respected. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (things should be done. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 394 m 563.65 394 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 114.98 w 32.32 382.75 m 564.78 382.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 323.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 323.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.14 m 566.98 324.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (Further work with regards to care planning, risk assessments, staff training, quality )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (assurance and completing regular practice audits is needed to ensure the health and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (welfare of people is fully met.)Tj ET 0.99608 0.9451 0.76078 RG 230.04 w 33.45 183.24 m 563.65 183.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.27 m 565.9 289.27 l S 0.001 w 208.67 w 32.32 171.43 m 564.78 171.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 276.89 m 566.98 276.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 277.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.89 m 565.9 276.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 285.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (The acting manager was not on duty during this inspection but we were given full )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (assistance by the support manager for the organisation, Teresa Owen, who came to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (the home especially to assist with the homes inspection. We were told that the acting )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (manager holds a NVQ Level 2 and 4 in care. Staff told us that a new manager who )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (worked at one of the organisations other homes would be commencing at the home on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (Wednesday 28 January.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (A random inspection was undertaken on the 31 March 2008 to look at what actions )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (had been taken to address the two requirements that had been made at the homes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (last key inspection on the 28th January 2008. The outcome of the random inspection )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (was that the home had improved its practices in relation to managing individual's )Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (monies and its management of fire safety. Therefore ensuring people who live at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Beechlawns are better protected in these two specific areas. However, the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (continues to have some areas that require improvements. These have been reflected )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (throughout this report and are highlighted at the end of this report as good practice )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (recommendations. The home should now give some serious consideration to these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (recommendations to improve the outcomes for people who live at Beechlawns together )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (with ensuring their health and welfare is not placed at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Prior to the inspection the acting manager had completed an Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Assessment \(AQAA\) and returned it to us. This gave us some information about the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (home, staff and people who live there, improvements and plans for further )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (improvements, was taken into consideration. However, we did find that some of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (information supplied was not accurate and examples of this can be found throughout )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (this report. Therefore we strongly recommend that the homes AQAA does hold )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (accurate information with examples of practices and procedures. This provides )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (confidence that the home is open and transparent and has the best interests of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (people living at Beechlawns at heart.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (We found that the area manager had recently visited the home to complete an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Regulation 26 visit, these report on the quality of service being offered to the people at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the home. For example, any complaints or compliments, staffing issues, maintenance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (issues in the home and so on. These are now completed on a regular basis by the area )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (manager. We found that people and staff members are involved during these visits in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (order to seek their views about the services provided. Therefore we can be confident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (that there is a systematic system in place to review and improve outcomes for people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (living in the home. The reports demonstrate that the service is able to identify and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (make improvements as necessary. This process now needs to be analysed within the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (homes quality assurance systems to ensure that this is now developed and expanded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (to ensure that the home is run in the best interests of the people who live at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Beechlawns.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (We found that a residents meeting had been held on the 6 January 2009 and family )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (members had also attended this. It was positive to note that all people who attended )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (were able to have their say in relation to further outings and interests that could be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (pursued. For example, some individuals would like to go to, the sealife centre, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (Stratford and Blackpool. Also people received explanations from the homes staff about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (the decoration and refurbishment of the home which suggests that people's views are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (valued and listened to. However, there is now room for improvement in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (keyworkers meetings as mentioned earlier in this report in 'concerns, complaints and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (protection' section. We could not find any documentation that these are being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (consistently held and staff could not confirm when the last meeting was held. These )Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 706.22 w 33.45 458.3 m 563.65 458.3 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 684.84 w 32.32 446.49 m 564.78 446.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 101.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 101.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 102.94 m 566.98 102.94 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (meetings are important as they provide 'one to one' time for individuals to discuss the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (support they are receiving together with empowering people to make choices around )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (their daily lives.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (We found that health and safety checks were completed. For example, staff test the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (water temperatures weekly to make sure they are not too hot or cold. Records showed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (that they were within the recommended safe limits so that people were not at risk of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (being scalded. The water had been tested for Legionnella in the year 2007 but we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (could not find any certificates of confirmation that the water had been tested after this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (time. However, the homes provider was contacted who confirmed that the water had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (been tested and a certificate would now be sent to the home for their records. A Corgi )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (registered engineer completed the annual test of the gas equipment and stated that it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (was in a satisfactory condition. An electrician completed the five yearly test of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (electrical wiring and stated that it was in a satisfactory condition. The fire risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (assessment detailed what action needs to be taken to ensure that the risks of there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (being a fire are minimised as much as possible. We also found fire safety assessment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (in pictorial format which is positive to see. Fire records showed that staff test the fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (equipment regularly to make sure it is working and it was confirmed that a test is due )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (to be completed. An engineer regularly services the fire equipment to ensure it is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (maintained in good working order. Regular fire drills are held so that staff and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (people living there know what to do if there is a fire. These records show that people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (are protected from any risks to their health or care needs within peoples living )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (environment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We viewed accident records and found one accident which had a description of what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (happened together with what action had been taken and this looked appropriate. It )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (was signed and dated. However, in the accident book used for staffing accidents we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (found that in 2007 staff were also recording accidents in relation to individuals living at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (the home. The support manager has now removed these so that staff are not confused )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (where they should be recording accidents to ensure data protection procedures are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (followed. We could not find any analysis that takes place in relation to accidents. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (Therefore it is strongly recommended this takes place and where necessary action )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (taken to reduce risks to people who live in the home and staff alike.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (The support manager acknowledged the shortfalls that have been documented )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (throughout this report particularly in the areas of care planning and risk assessments. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (However, the support manager assured us that these would now be put in place so )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (that individuals are not placed at risk and or their care does not meet their needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (appropriately.)Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 82 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 83 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (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 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 169.38 w 31.2 529.86 m 91.05 529.86 l S 0.001 w 169.38 w 93.3 529.86 m 197.4 529.86 l S 0.001 w 169.38 w 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444.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 199.51 m 568.3 199.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 198.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 198.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 198.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 198.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 198.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 198.44 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (13\(6\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (That the practice of residents )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (funding their own and care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (staffs meals when out in the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm (community cease until )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.17 Tm (written confirmation is in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.59 Tm (place that the funding )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 512.01 Tm (authority agrees with these )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.43 Tm (practices - Immediate )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 482.85 Tm (Requirement Form issued )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 468.27 Tm (during inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 450.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (29/01/2008)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 430.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 427.86 Tm (42)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 427.86 Tm (17\(2\) 23\(4\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 427.86 Tm (Action must be taken to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 413.28 Tm (reduce the risk of harm to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 398.7 Tm (residents in the event of a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 384.12 Tm (fire. This must include -)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 369.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 354.96 Tm (Complying with the contents )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 340.38 Tm (of West Midlands Fire Service )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 325.8 Tm (report dated 22 May 2007;)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 311.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 296.64 Tm (Ceasing the practice of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 282.06 Tm (wedging a fire door and;)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 267.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 252.9 Tm (Ensuring all staff participate )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 238.32 Tm (in a dire drill at least every 6 )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 223.74 Tm (months.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 206.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 427.86 Tm (04/02/2008)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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (36)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 478.6 m 566.2 478.6 l S 0.001 w 18.15 w 31.2 433.61 m 91 433.61 l S 0.001 w 18.15 w 93.25 433.61 m 197.4 433.61 l S 0.001 w 18.15 w 199.65 433.61 m 566.2 433.61 l S 0.001 w 1 1 1 RG 64.32 w 31.2 390.13 m 91.05 390.13 l S 0.001 w 64.32 w 93.3 390.13 m 197.4 390.13 l S 0.001 w 64.32 w 199.65 390.13 m 566.1 390.13 l S 0.001 w 64.32 w 31.2 323.56 m 91.05 323.56 l S 0.001 w 64.32 w 93.3 323.56 m 197.4 323.56 l S 0.001 w 64.32 w 199.65 323.56 m 566.1 323.56 l S 0.001 w 49.74 w 31.2 264.28 m 91.05 264.28 l S 0.001 w 49.74 w 93.3 264.28 m 197.4 264.28 l S 0.001 w 49.74 w 199.65 264.28 m 566.1 264.28 l S 0.001 w 49.74 w 31.2 212.29 m 91.05 212.29 l S 0.001 w 49.74 w 93.3 212.29 m 197.4 212.29 l S 0.001 w 49.74 w 199.65 212.29 m 566.1 212.29 l S 0.001 w 35.16 w 31.2 167.59 m 91.05 167.59 l S 0.001 w 35.16 w 93.3 167.59 m 197.4 167.59 l S 0.001 w 35.16 w 199.65 167.59 m 566.1 167.59 l S 0.001 w 35.16 w 31.2 130.18 m 91.05 130.18 l S 0.001 w 35.16 w 93.3 130.18 m 197.4 130.18 l S 0.001 w 35.16 w 199.65 130.18 m 566.1 130.18 l S 0.001 w 48.57 w 31.2 86.06 m 91.05 86.06 l S 0.001 w 48.57 w 93.3 86.06 m 197.4 86.06 l S 0.001 w 48.57 w 199.65 86.06 m 566.1 86.06 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 443.81 m 568.4 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.41 m 568.4 423.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 444.89 m 92.12 355.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.84 m 568.3 356.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.27 m 568.3 290.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.28 m 568.3 238.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.29 m 568.3 186.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.88 m 568.3 148.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 111.47 m 568.3 111.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.38 m 568.4 513.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.81 m 568.4 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.41 m 568.3 423.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.84 m 568.3 356.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.27 m 568.3 290.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.28 m 568.3 238.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 186.29 m 568.3 186.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.88 m 568.3 148.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 111.47 m 568.3 111.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.46 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 424.49 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 444.89 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 514.46 m 567.32 59.57 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 497.2 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 479.62 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 465.04 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 34.05 450.46 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 432.64 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 429.64 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 429.64 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 407.23 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 407.23 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 407.23 Tm (The statement of purpose and service user gudie require )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 392.65 Tm (reviewing to ensure that all information is factually )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 378.07 Tm (accurate so people who are considering living there are not )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 363.49 Tm (mislead.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.66 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 340.66 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 340.66 Tm (The Home should continue to introduce and complete a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 326.08 Tm (person centred approach \(such as essential life style )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 311.5 Tm (planning\) and reproduce care plans in formats suitable for )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 296.92 Tm (service users. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 274.09 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 274.09 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 274.09 Tm (Further work should be undertaken to ensure routines are )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 259.51 Tm (flexible to meet residents needs and choices and not solely )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 244.93 Tm (for the smooth running of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 222.1 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 222.1 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 222.1 Tm (That staff receive guidance regarding the contents of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 207.52 Tm (communication plans and that these are used as working )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 192.94 Tm (documents to ensure residents' needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 170.11 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 170.11 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.11 Tm (That greater efforts are made to support residents to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 155.53 Tm (develop life skills.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 132.7 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 132.7 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 132.7 Tm (To consider referrals to specialists for support with )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 118.12 Tm (introducing activities such as O.T.s)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 95.29 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 95.29 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 95.29 Tm (That an assessment of the premises is undertaken by a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 80.71 Tm (qualified person such as an Occupational Therapist to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 66.13 Tm (ensure every effort is made by the home to ensure )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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 32.16 w 31.2 796.45 m 91.05 796.45 l S 0.001 w 32.16 w 93.3 796.45 m 197.4 796.45 l S 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provded for inspection and can )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 667.33 Tm (reflect what stimulation has been provided together with )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 652.75 Tm (the individuals own thoughts and choices for monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 638.17 Tm (purposes.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 615.34 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 615.34 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 615.34 Tm (That residents be given the opportunity to be involved in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 600.76 Tm (food shopping and that this is recorded within individuals )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 586.18 Tm (activity schedules in care records to enable this to be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 571.6 Tm (monitored and provides development of life skill for people )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 557.02 Tm (who live at Beechlawns.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 542.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 519.61 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 519.61 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 519.61 Tm (To liaise with the district nurse to determine whether one )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 505.03 Tm (person requires one and half hourly checks during the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 490.45 Tm (nighttime for catheter care so that privacy and dignity are )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 475.87 Tm (maintained. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 453.04 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 453.04 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 453.04 Tm (Care plans and risk assessments must be in pace to reflect )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 438.46 Tm (the reasons for checking on all individuals through the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 423.88 Tm (night time period with clear dates for reviews in place so )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 409.3 Tm (that peoples privacy is not encroached upon.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 386.47 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 386.47 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 386.47 Tm (Weight recording sheets should be completed on a regular )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 371.89 Tm (basis so that any loses and gains can be quantified )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 357.31 Tm (appropriately so that any detection of underlying health )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 342.73 Tm (conditions do not go undetected.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 319.9 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 319.9 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 319.9 Tm (To continue to pursue other professionals to assist in the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 305.32 Tm (completion of Priority for Health screening tool \(and for )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 290.74 Tm (support staff to complete relevant sections of the booklet )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 276.16 Tm (where required\). The Primary Care Trust should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 261.58 Tm (contacted if the home has difficulty obtaining support from )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 247 Tm (health professional in order that residents living at the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 232.42 Tm (home are not disadvantaged.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 209.59 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 209.59 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 209.59 Tm (All prescribed creams and lotions should be dated when )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 195.01 Tm (opened and state which part of the body they should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 180.43 Tm (applied to so that peole are protected by the homes )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 165.85 Tm (medication administration practices.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 143.02 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 143.02 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 143.02 Tm (All prescribed creams and lotions should be kept in lockable )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 128.44 Tm (facilities so that people are protected from harm.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 105.61 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 105.61 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 105.61 Tm (That medication competency assessments be completed on )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 91.03 Tm (a regular basis for all staff that administer medication to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 76.45 Tm (ensure staffs practices comply with good practice.)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 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814.73 m 567.22 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 797.47 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 797.47 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 797.47 Tm (End of life care plans should now be sensitively sought so )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 782.89 Tm (that individuals can be reassured that when the time comes )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 768.31 Tm (they will receive the care and support which takes into )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 753.73 Tm (account peoles preferences.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 730.9 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 730.9 Tm (22)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 730.9 Tm (All complaints and concerns need to be formally recorded )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 716.32 Tm (so that there is a clear audit trail of how the home have )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 701.74 Tm (acted upon this ensuring that peoples rights and views are )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 687.16 Tm (listened to.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 664.33 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 664.33 Tm (22)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 664.33 Tm (That systems are introduced such as regular key worker )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 649.75 Tm (meetings and introducing as a set item on the staff meeting )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 635.17 Tm (agenda 'concerns to be raised by staff on behalf of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 620.59 Tm (residents' in order to promote residents rights to complain.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 597.76 Tm (21)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 597.76 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 597.76 Tm (The home must review its procedures in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 583.18 Tm (accessing individuals monies at all times so that peoples )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 568.6 Tm (rights are upheld.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 545.77 Tm (22)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 545.77 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 545.77 Tm (It is suggested that the manager seeks the advice of the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 531.19 Tm (Local Authority commissioners with regard to bedroom )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 516.61 Tm (furniture which as been paid for by individual residents )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 502.03 Tm (when the home was run by the former owners. Written )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 487.45 Tm (records must be maintained of the outcomes from these )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 472.87 Tm (discussions and any action taken.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 458.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 443.71 Tm (Staff could not state which furniture and or any evidence to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 429.13 Tm (suggest that individuals paid for their own furniture. )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 414.55 Tm (Therefore not able to fully assess at this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 391.72 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 391.72 Tm (32)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 391.72 Tm (To ensure all staff have undertaken person centred )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 377.14 Tm (planning training so that individuals can be reassured that )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 362.56 Tm (their needs are met in the way they prefer and at times )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 347.98 Tm (suitable to them.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 325.15 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 325.15 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 325.15 Tm (Staffing levels should be reviewed in order that individuals )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 310.57 Tm (can participate in one to one activities.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 295.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 281.41 Tm (Not fully assessed at this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 258.58 Tm (25)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 258.58 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 258.58 Tm (To review the training matrix in order that it details all )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 244 Tm (training staff have participated in so that refresher courses )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 229.42 Tm (are not overlooked and happen in a timely manner to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 214.84 Tm (ensure staff have the knowledge and skills to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 200.26 Tm (needs of people who live at Beechalwns.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 177.43 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 177.43 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 177.43 Tm (To continue to ensure that all staff have had an annual )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 162.85 Tm (appraisal and to ensure this is completed in full.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 148.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 133.69 Tm (Not fully assessed at this inspection)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 110.86 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 110.86 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 110.86 Tm (That the frequency of staff meetings increase to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 96.28 Tm (staff receive further support in order to carry out their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 81.7 Tm (roles.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 67.12 Tm ()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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (39)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 31.2 803.74 m 91.05 803.74 l S 0.001 w 17.58 w 93.3 803.74 m 197.4 803.74 l S 0.001 w 17.58 w 199.65 803.74 m 566.1 803.74 l S 0.001 w 64.32 w 31.2 760.54 m 91.05 760.54 l S 0.001 w 64.32 w 93.3 760.54 m 197.4 760.54 l S 0.001 w 64.32 w 199.65 760.54 m 566.1 760.54 l S 0.001 w 64.32 w 31.2 693.97 m 91.05 693.97 l S 0.001 w 64.32 w 93.3 693.97 m 197.4 693.97 l S 0.001 w 64.32 w 199.65 693.97 m 566.1 693.97 l S 0.001 w 49.74 w 31.2 634.69 m 91.05 634.69 l S 0.001 w 49.74 w 93.3 634.69 m 197.4 634.69 l S 0.001 w 49.74 w 199.65 634.69 m 566.1 634.69 l S 0.001 w 35.16 w 31.2 589.99 m 91.05 589.99 l S 0.001 w 35.16 w 93.3 589.99 m 197.4 589.99 l S 0.001 w 35.16 w 199.65 589.99 m 566.1 589.99 l S 0.001 w 35.16 w 31.2 552.58 m 91.05 552.58 l S 0.001 w 35.16 w 93.3 552.58 m 197.4 552.58 l S 0.001 w 35.16 w 199.65 552.58 m 566.1 552.58 l S 0.001 w 64.32 w 31.2 500.59 m 91.05 500.59 l S 0.001 w 64.32 w 93.3 500.59 m 197.4 500.59 l S 0.001 w 64.32 w 199.65 500.59 m 566.1 500.59 l S 0.001 w 35.16 w 31.2 448.6 m 91.05 448.6 l S 0.001 w 35.16 w 93.3 448.6 m 197.4 448.6 l S 0.001 w 35.16 w 199.65 448.6 m 566.1 448.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 793.82 m 568.3 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 727.25 m 568.3 727.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 660.68 m 568.3 660.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.69 m 568.3 608.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 571.28 m 568.3 571.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.87 m 568.3 533.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.3 m 568.3 467.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 793.82 m 568.3 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 727.25 m 568.3 727.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 660.68 m 568.3 660.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.69 m 568.3 608.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 571.28 m 568.3 571.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.87 m 568.3 533.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 467.3 m 568.3 467.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.89 m 568.3 429.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 428.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 428.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 428.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 428.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 200.25 802.72 Tm (Not fully assessed at this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 777.64 Tm (28)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 777.64 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 777.64 Tm (That all staff receive regular, formal supervision in order to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 763.06 Tm (support them to fulfil their roles.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 748.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 733.9 Tm (Not fully assessed at this inspection)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 711.07 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 711.07 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 711.07 Tm (The registered person must ensure that the information )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 696.49 Tm (provided in the Annual Quality Assurance Assessment, )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 681.91 Tm (\(AQAA\), submitted to the CSCI is accurate and up to date, )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 667.33 Tm (as this will be verified at inspection visits.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 644.5 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 644.5 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 644.5 Tm (To continue to fully implement effective quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 629.92 Tm (and quality monitoring systems based on seeking the views )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 615.34 Tm (of service users, stakeholders, families and advocates.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 592.51 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 592.51 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 592.51 Tm (There should be an annual development plan for the home )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 577.93 Tm (based on a systematic cycle of planning-action-review. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 555.1 Tm (32)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 555.1 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 555.1 Tm (That staff surveys be implemented as further aids to quality )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 540.52 Tm (monitoring.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 517.69 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 517.69 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 517.69 Tm (Further improvements should be made to residents' )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 503.11 Tm (surveys for example with the use of colour and large print. )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 488.53 Tm (The use of independent advocates to support residents to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 473.95 Tm (complete these would also enhance the process further.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 451.12 Tm (34)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 451.12 Tm (42)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 451.12 Tm (Accidents recorded appropriately to maintain data )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 436.54 Tm (protection is followed.)Tj ET endstream endobj 94 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 95 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (40)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (0845 015 0120 or )Tj ET /F2 12 Tf BT 1 0 0 1 213.36 759.6 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (0845 015 2255 )Tj ET /F2 12 Tf BT 1 0 0 1 198.12 739.6 Tm (or )Tj ET /F2 12 Tf BT 1 0 0 1 214.75 739.6 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.csci.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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/guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 109 0 obj<> endobj 110 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/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 <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 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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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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