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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 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 (Wolston Grange)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 (Coalpit Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Lawford Heath)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Rugby)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (Warwickshire)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 374.52 Tm (CV23 9HJ)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 (Lesley Beadsworth)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 180.28 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 180.28 Tm (2)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 (2)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 Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)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 (Wolston Grange)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 (Coalpit Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Lawford Heath)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Rugby)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Warwickshire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (CV23 9HJ)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 (02476540482)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 (Pinnacle Care Ltd)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 (39)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 (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.29 Tm (39)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 39 )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 314.8 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.22 Tm (Only \(Code PC\) To service users of the following gender: Either Whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.64 Tm (needs on admission to the home are within the following categories: Dementia \(DE\) 39)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 (Wolston Grange is one of seven homes owned by Pinnacle Care Limited. It is a large )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 201.11 Tm (detached dwelling set in extensive grounds. The building was formerly a hunting lodge )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 184.11 Tm (and there are a number of small outbuildings surrounding the main courtyard. A new )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 167.11 Tm (Barn Annexe has been added to accommodate or five further people. The home is set )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 150.11 Tm (in a rural location, a short drive away from Rugby Town Centre and the villages of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 133.11 Tm (Dunchurch and Bilton. The home is located along a country lane with smaller domestic )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 116.11 Tm (dwellings as neighbours. There are no local facilities or public transport close to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 99.11 Tm (home. It is registered to care for up to 39 older persons with dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 82.11 Tm (The accommodation is over two floors. In the main home there are two lounges, a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 65.11 Tm (dining room, a large sun terrace and a conservatory. All bedrooms have ensuite )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 48.11 Tm (facilities and there are two communal toilets on the ground floor and one on the upper )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)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 30.07 655.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 655.08 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 28.99 656.15 m 568.1 656.15 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 (floor. There are two assisted bathrooms and three shower facilities \(one shower room )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (not being used\) within the building.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (Additional charges are made for chiropody, hairdressing and trips out in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (organisation's vehicle. The body of the Service User Guide also refers to charges for )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (the labelling of clothes and any requests for special newspapers and magazines not )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (provided by the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 644.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 627.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 534/Matrix [1 0 0 1 0 0]>>stream xT1 W;9 v`RǎjZ&ҲH}n籝TkW-Wwxu>|G,I.FV$ W֧s (Y#Z&{ R!SZ=#5O>;#5O'?;#֧^ҭf͟GiJ]/~CcPSUW. jQ)VRGfI"ɏC0ZbiPRG L2Ez9Xbi'^uԆ+zg2.wcy'uZMҚ1+z;YM{t&uhӹH6tyZnrix^^I.Ƚ09zyD=emS^lYfi|YU~X/-9TФn_oB}Vy*bx@7~:sѾ\*i։gJؤλ/; endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (37)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 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The inspection included a visit to Wolston Grange. As part of the inspection process the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (registered manager of the home completed and returned an Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (Assessment, \(AQAA\), which is a self assessment and a dataset that is filled in once a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (year by all providers. It informs us about how providers are meeting outcomes for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (people using their service. Ten surveys were sent to service users. Three were )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (completed and returned to us. Information contained within the AQAA, in surveys, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (from previous reports and any other information received about the home has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (used in assessing actions taken by the home to meet the care standards.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (Three residents were case tracked. This involves establishing an individual's experience )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (of living in the care home by meeting or observing them, talking to their families, )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 148.8 w 32.32 738.13 m 566.72 738.13 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 30.12 662.6 m 568.92 662.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 661.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 661.53 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (\(where possible\) about their experiences, looking at residents care files and focusing )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (on outcomes. Additional care records were viewed where issues relating to a residents )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (care needed to be confirmed.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (Other records examined during this inspection included, care files, staff recruitment, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (training, social activities, staff duty rotas, health and safety and medication records.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (The inspection process also consisted of a review of some policies and procedures, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (discussions with the manager, staff, visitors and residents. The inspection visit took )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (place between 11:30am and 10:30pm.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (37)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 647.52 w 32.32 467.06 m 566.72 467.06 l S 0.001 w 20.58 w 32.7 130.76 m 569.35 130.76 l S 0.001 w 27.25 w 33.82 104.6 m 568.22 104.6 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 30.12 142.18 m 568.92 142.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 141.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 142.18 m 569.35 142.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 119.35 m 569.35 119.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 119.35 m 570.42 119.35 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 32.7 120.43 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 141.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 120.43 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 (Each care file case tracked had a pre-admission assessment that had been carried out )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (in order for the home to decide if they could meet the needs of the prospective )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (resident or not. The care files also included a checklist for staff to complete for each )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (new resident to make sure that all important issues are addressed and to help the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (person settle in at Wolston Grange.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (Care plans for a person with mental health needs gave adequate instructions to staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (on how they should manage the person's behaviour.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (There were some positive comments made in the surveys returned to us regarding the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (care provided by people working at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (Assessments for the risk of the development of pressure sores \(a break in the skin due )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (to pressure, which reduces the blood supply to the area\) had been devised and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (preventative measures such as pressure relieving mattresses and cushions were in use )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (for those people at risk of developing sores.)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 (Residents' health care needs were being met by visits to or visits from health care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (professionals such as the district nurse, GP, optician and chiropodist.)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 (Whilst observing staff at work it was seen that the staff cared for residents with respect )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (thereby maintaining the dignity and self esteem of the residents. Their preferred )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm (names were included in their care plans and were heard to be used by staff during the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm (visit.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm (People told us in the surveys and in conversation, that they enjoyed the meals )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm (provided at Wolston Grange.)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 (In the surveys and in discussion residents, or their representatives, said that they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 352.94 Tm (knew who to speak to if they had any concerns and that they knew how to make a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 338.36 Tm (complaint. Records viewed indicated that people who raise concerns are listened to and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 323.78 Tm (taken seriously.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 309.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 294.62 Tm (The home offers comfortable and mainly well maintained, decorated and furnished )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 280.04 Tm (surroundings.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 265.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 250.88 Tm (The home had exceeded the required 50% of their care staff to have achieved the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 236.3 Tm (National Vocational Qualification in Care Level 2. This qualification shows that staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 221.72 Tm (competent in their role. The majority of staff had undertaken all mandatory training, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 207.14 Tm (giving them the knowledge and skills to make the home a safe place to live and work.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.98 Tm (All staff files looked at held the appropriate Criminal Records Bureau disclosure and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.4 Tm (Protection of Vulnerable Adults checks and two written references, thereby )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.82 Tm (safeguarding residents from the employment of unsuitable people.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 465.51 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 128.65 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 125.99 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 1 569.35 129.21 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 103.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 103.16 Tm (Appropriate risk assessments were in place with information on what action was )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 103.05 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 294.6 w 33.82 665.23 m 568.22 665.23 l S 0.001 w 20.58 w 33.45 505.39 m 570.1 505.39 l S 0.001 w 401.87 w 34.57 291.91 m 568.97 291.91 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 31.62 516.8 m 570.42 516.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 515.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 493.97 m 570.1 493.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 516.8 m 570.1 516.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 493.97 m 571.17 493.97 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 32.7 515.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 495.05 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 495.05 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 (needed to minimise any assessed risk.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 773.56 Tm (Medication keys were now kept by the person in charge of the shift in order to )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 758.98 Tm (safeguard the residents' medication.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 729.82 Tm (Steps had been taken to assist the prevention of cross infection when residents or )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 715.24 Tm (visitors entered the kitchen. An alarm had been fitted to the kitchen door to alert staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 700.66 Tm (if had been opened and the hatch flap was placed down when the kitchen was )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 686.08 Tm (unoccupied to act as a barrier to discourage people from entering unsupervised.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 671.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 656.92 Tm (A detached annexe had been developed in the courtyard of the home to accommodate )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 642.34 Tm (younger adults with dementia. This had been decorated and furnished to a good )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 627.76 Tm (standard.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 598.6 Tm (A summer house had been built in the grounds of the home for the benefit of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 584.02 Tm (residents.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 569.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 554.86 Tm (The organisation had purchased a larger vehicle which meant that more people could )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 540.28 Tm (be taken out on the weekly trips than previously. This gives more residents the )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 525.7 Tm (opportunity for social needs to be met.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 503.84 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 500.62 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 31.2 290.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 477.79 Tm (Not all care plans had been reviewed regularly. They should be reviewed at a minimum )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 463.21 Tm (of monthly intervals and when circumstances change, to ensure that all needs are met.)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 (Daily records were sometimes too brief and they were a kept in a disorganised )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 419.47 Tm (manner, making it difficult to look back in records and to be able to glean what the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 404.89 Tm (person's day had been like.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 390.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 375.73 Tm (Although the residents were mainly well groomed several of the female residents would )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 361.15 Tm (have benefited from having their hair dressed/styled.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 346.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 331.99 Tm (There were several concerns related to the medication system, including the way in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 317.41 Tm (which the medication is stored, recorded, administered and the unsafe way in which it )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 302.83 Tm (is transported to the residents. The system does not safeguard the residents' health )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 288.25 Tm (and well being.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 273.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 259.09 Tm (Throughout the first four hours of the visit there was a strong smell of urine in the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 244.51 Tm (dining room but staff spoken with did not know where this was coming from. This was )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 229.93 Tm (eventually addressed and a resident assisted with personal hygiene needs. In the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.35 Tm (meantime the person was at risk of developing sore skin, being uncomfortable and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.77 Tm (there being loss of dignity. Other residents had to experience unpleasant surroundings )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.19 Tm (for a long period including during lunch. Staff need to develop and practice skills in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.61 Tm (order to manage continence appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.03 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.45 Tm (There were several choices for lunch but one of these choices was too cool to serve )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.87 Tm (and also ran the chance of being a food hygiene concern because food temperatures )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.29 Tm (had not been maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.71 Tm ()Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 440.4 w 34.57 592.33 m 568.97 592.33 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 32.37 371 m 571.17 371 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 369.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 369.93 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (The behaviour of the dogs living in the annexe needs to be monitored to ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (safety of anyone using the premises.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (Some window frames in communal areas were in need of repainting or repairing.)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 (Doors that act as fire doors should not be wedged open. Advice should be sought from )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (the Fire Service in order to safeguard the people living and working at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm (Some of the bed linen looked at was thin and in need of being replaced in order to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (maintain the comfort of people living there.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (The management must ensure that there are systems in place that prevent the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.76 Tm (contamination by insects in the kitchen.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.6 Tm (Hand washing facilities must be managed in a way that maintains infection control in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 584.02 Tm (order to safeguard people living and working at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.86 Tm (The laundry area was very untidy, with large amounts of dirty laundry on the floor and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.28 Tm (in bags and no obvious dirty or clean areas. This creates the possibility of cross )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.7 Tm (infection occurring.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 511.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.54 Tm (The registered persons need to monitor that there are sufficient staff available to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.96 Tm (enable care staff to spend time with residents in order to meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.8 Tm (Fire alarm checks had not been carried out each week, as is recommended, in either )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438.22 Tm (the main home or the new annexe. This is necessary to ensure that the equipment is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.64 Tm (working in the event of a fire.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 409.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 394.48 Tm (The new manager had not yet had the opportunity to be registered with us but an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 379.9 Tm (application needs to be made promptly.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 336.45 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 336.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 336.45 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 318.95 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 28.35 298.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 278.96 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 278.96 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 278.96 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 261.46 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 261.46 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 261.46 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 243.97 Tm (7535.)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 Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 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 (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 360 m 563.65 360 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 290.14 m 566.98 290.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Information required to make a decision about choice of home is available when )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (needed. Preadmission assessments are carried out to assess if the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (prospective residents can be met. )Tj ET 0.99608 0.9451 0.76078 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 0.001 w 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.89 m 566.98 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.89 m 565.9 242.89 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 31.2 251.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (Two of the three surveys said that they had enough information about the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (before moving in, with one not answering the question. The following comments were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (added.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm ("I inspected the home prior to \(relatives\) coming to live here. The home meets all )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (\(relatives\)\) needs, pleasant decor, flexible visiting times and excellent staff.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm ("I visited a number of homes before making a decision for my \(relative\). There was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (plenty of information available but visiting and absorbing layout, type of rooms, )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 426.28 w 33.45 598.27 m 563.65 598.27 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 404.91 w 32.32 586.45 m 564.78 586.45 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 31.2 381.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 381.8 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 30.12 382.88 m 566.98 382.88 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 (atmosphere, friendliness, organisation etc is more important than documents.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (The home had a Statement of Purpose and Service User Guide in place but will need )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (updating following the appointment of the new manager and to include details about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (the new annexe. The AQAA told us that each service user is provided with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Statement of Purpose, Service User Guide and a statement of terms and conditions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (and copies of the Statement of Purpose and Service User Guide were seen in some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (bedrooms viewed.)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 (Three care files were looked at as part of the case tracking process. Each had a pre - )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (admission assessment that had been carried out in order to assess if the home could )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (meet the person's needs prior to offering them a place at the home. All the appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (heading were included in the assessment and all medical conditions and needs were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (identified. There was sufficient detail to decide if the home could meet the person's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (needs or not. The files also included a 'Reception of New Resident Checklist' which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (assisted in monitoring that all the important issues were addressed for a new person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (coming to live at the home, which should help the person in settling in to the home.)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 (A copy of the letter held on file showed that people had been informed in writing about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (the outcome of their pre-admission assessments.)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 (There was evidence of further assessment being carried out soon after admission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (thereby maintaining up to date information.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 385.25 m 563.65 385.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 132.47 w 32.32 374 m 564.78 374 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 306.64 m 566.98 306.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (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 (Shortfalls in the reviewing of care plans carry the risk of residents needs not being )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (met. Residents have access to health care professionals. There was a shortfall in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (maintaining a resident's dignity. There are concerns around the medication process )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (that do not safeguard the well being of the people living at the home.)Tj ET 0.99608 0.9451 0.76078 RG 212.54 w 33.45 174.5 m 563.65 174.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.77 m 565.9 271.77 l S 0.001 w 191.17 w 32.32 162.69 m 564.78 162.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.4 m 566.98 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.4 m 565.9 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 268.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (Three care files were looked as part of the case tracking process. Each contained care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (plans related to the needs identified in the assessments by means of a number to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (cross-reference against. They each set out the care required in sufficient detail so that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (all aspects of the health and personal health needs of residents were known to staff. A )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (care plan related to personal care needs was kept in each resident's bedroom so that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (the information was easily accessible to care staff when assisting the resident.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (The behavioural patterns of a person with mental health needs had been recorded and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (staff were given instructions on how to manage the behaviour, enabling the person's )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (needs to be met.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Daily records were completed by both day and night care staff and related to the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (plans. However on occasions the records were brief and each one looked at was kept )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (in a disorganised manner making it difficult to look back in the records.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (One of the care plans looked at had no record of having been reviewed since June )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (2008. This creates the possibility of the plan not being up to date and needs not being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (met as a result. All care plans should be reviewed at a minimum of monthly and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (revised as circumstances change.)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 (Two people answered "Always" and one answered "Usually" to the surveys' question, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ("Do you receive the care and support you need" and the following comments were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (added,)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ("The care is very good. \(Relative\) is included when discussing his care.")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 person who answered "Usually" also added,)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 ("Yes the care and support is very good but 'Always' is a strong word. There are 20-30 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (other residents, changes in staff, changes in our needs. No one is perfect.")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 (Two people answered "Yes" to the question "Do the staff listen and act on what you )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (say" One person failed to answer. The following comments were added,)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 ("Usually")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ("Yes but of course individuals needs have to be balanced with the needs of the whole )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (community.")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 (Records for falls, pressure areas, weight and bathing nail checks were in place within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (the files looked at. Completed risk assessments for tissue viability in relation to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (development of pressure sores, \(a break in the skin due to pressure, which reduces )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (the blood supply to the area\) manual handling nutrition and nutritional screening were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (also in place. These would help to minimise any risk in these areas. Individual risks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (were also assessed, for example suitable assessments were in place for a head wound )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (and behaviour that may cause injury to other people living at the home. Preventative )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (measures such as pressure relieving mattresses and cushions were in use for those )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (people at risk of developing pressure sores.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (Residents on going health care needs were being met with evidence of visits to or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (visits by the GP, District Nurse, optician and chiropodist being identified in the care )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)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 (files looked at.)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 (Residents spoken to confirmed they could see the doctor if they wished and that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (had visits from the chiropodist, optician, district nurses and other health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (professionals when necessary. The responses in the surveys when asked if residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (received the medical support needed were "Always" or "Usually". One survey told us of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the patience and attention shown by staff regarding a relative's medical care.)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 (Residents were mainly well groomed and appropriately dressed but several of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (female residents were in need of hairdressing. On our arrival and for four hours )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (afterwards there was a strong smell of urine pervading the room and the adjoining )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (areas. Staff were asked several times if they knew the source of the odour but to no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (affect. We eventually identified the source of the odour and on telling a member of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (staff this was addressed by a person living at the home being encouraged to accept )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (assistance with their personal hygiene.)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 medication system was inspected. The pharmacist supplies most of the medicines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (in a 'monitored dosage system' where each medicine is dispensed in a blister pack )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (from which to administer on a daily basis.)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 (We looked at stored medication, and it was found that they are storing some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (medicines that are no longer needed. All medicines that are no longer prescribed must )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (be returned to the pharmacy.)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 (One medicine was found to have a different name to the one it was prescribed for. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (is poor practice and breaches regulations. The manager must ensure that proper )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (management of medication occurs at all times.)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 (Some external medication was stored in the same trays as the internal medication. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Internal and external medications need to be stored separately.)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 (As the AQAA told us the home had acquired a maximum-minimum thermometer but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (the medication fridge temperature records showed only the current temperature. To )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (ensure that the correct temperature is constantly being maintained the minimum and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (maximum temperatures should also be recorded. The medication cupboard was also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (very warm. The home needs to demonstrate that this room is kept at a temperature of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (25 degrees Centigrade or less. These steps will assist in ensuring that the medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (is stored at the manufacturer's recommended temperatures and their stability )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (maintained.)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 (Eye drops had been dated when opened as they need to be disposed of within 28 days )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 618.73 w 33.45 502.04 m 563.65 502.04 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 597.36 w 32.32 490.23 m 564.78 490.23 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 31.2 189.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 189.34 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 30.12 190.42 m 566.98 190.42 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 (of opening but one of these had not been appropriately disposed of and was still in use )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (a week later. Two emollient creams and one ointment in a resident's bedroom had not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (been dated on opening. All creams should be dated once opened and discarded after )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (28 days if they contain an active ingredient or three months if they are used as an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (emollient.)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 (Medication administration is carried out by taking each person's medicines individually )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (from the medication cupboard in open medicine pots. This is not safe practice and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (management must consider alternative systems to address this.)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 (Due to the temporary merge of two services the recording of the control drugs was not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (safe as two books were being used and several errors had been made. This was found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (by the newly appointed manager during monitoring and actions had been put into )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (place to rectify this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The Medication Administration Records \(MARS\) were not completed properly and when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (we assessed some peoples' medicines we found that in two out of five cases there was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (more medication than there should have been and in one case there was less. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (implies that either staff are recording that medicines are given when not, the person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (has refused their medication and the appropriate code had not been used or one more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (tablet than signed for had been given or disposed of. The manager must ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (accurate records are maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The manager had identified that there were concerns with the medication process and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (had already begun to address them. This improvement must be maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (The AQAA told us that the home "promoted privacy and dignity at all times" and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (during the visit general observations showed that residents were cared for in a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (respectful manner, which ensures that their dignity and self esteem are maintained. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (However the incident of a person whose continence was not managed appropriately )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (detracted from that person's dignity.)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 (The residents' preferred name was recorded on care plans and heard to be used by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (staff. A telephone was available for residents to use in private. )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 428 m 563.65 428 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 114.98 w 32.32 416.75 m 564.78 416.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.14 m 566.98 358.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Activity and occupation relies on care staff and external entertainers. Visitors are made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (welcome and their needs considered. Residents have choices and control over their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (daily lives. Residents enjoyed the meals provided.)Tj ET 0.99608 0.9451 0.76078 RG 264.04 w 33.45 200.24 m 563.65 200.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.27 m 565.9 323.27 l S 0.001 w 242.67 w 32.32 188.43 m 564.78 188.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.89 m 566.98 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.89 m 565.9 310.89 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 31.2 319.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (The home does not employ a designated activity organiser and this was commented )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (upon in one of the surveys returned to us.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (" At one time the home had an activities person with 25 hours allocated. She left and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (has not been replaced - recruitment problems I think. This is a pity - involvement is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (important.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (Further comments were,)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm ("\(relative\) doesn't seem interested in taking part in othere activities though will watch. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (I wish there were more.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm ("\(relative\) is a loner and did enjoy walks in the grounds. Watches DVD of opera and )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 Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)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 (ballet when able to do so.")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 (Care staff were responsible for providing occupation to the residents. In addition to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (this there were organised activities provided by outside contractors, including )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (movement to music, reminiscence sessions and entertainers. The activities provided )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (were evidenced in daily records but those looked at did not show that people living at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the home are provided with regular occupation and stimulation. During the visit staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (were seen to be chatting with residents but no other activity was observed. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (manager told us that some had taken place whilst we were looking at records in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (another area of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (The organisation has its own vehicle and is used to take residents on trips. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (told us that it had been " replaced for a bigger one ". Although the AQAA told us "we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (have found more places to go on outings ", other information told us that an outing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (was usually a drive and a pub lunch at one of two local pubs. The residents pay for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (trip and the meal in addition to the accommodation charges. One relative told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (this outing was too expensive but another relative said,)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 (" There is a weekly bus outing for a drive and a meal out which my \(relatives\) seems )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (to enjoy.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The manager must ensure that the person going on the outing or their representative )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (are clear about what the cost covers and agree with this.)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 (Visiting was at any reasonable time and in one survey a person said that " flexible )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (visiting " met their relative's needs.)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 (Observations made and discussion with residents showed that people living and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (staying at the home have the opportunity to make choices in their daily lives, such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (when to get up and go to bed, what to eat and where to spend their time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (The menu offered a nutritionally balanced choice over a four- week cycle. The meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (being served for lunch had been changed from fish to gammon. The chef said that this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (was because the freezer had malfunctioned and the gammon had begun to defrost. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (The chef had thought it appropriate to use this. When asked about the other food in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (the freezer we were given assurances that nothing else still in the freezer had begun )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (to defrost, but no evidence that the temperature of the food had been maintained as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (cold enough was provided.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (The alternative main courses were chicken pie or pasties and the meals were brought )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (to the dining room in a heated trolley. Although the food looked appetising some of it )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 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 352.42 w 32.32 612.7 m 564.78 612.7 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 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 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 (was not of a high enough temperature for either reasons of health or enjoyment. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (chef attended to this as soon as informed of these findings. However people spoken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (with after lunch had been taken said that they had enjoyed what they had eaten. One )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (of the desserts was meant to be melon in port but the melon was served without the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (port as the chef said that they had run out of this.)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 (During lunch there were two members of staff assisting people to eat and one serving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (food to the other residents. The manager was assisting other residents but there were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (no other care staff available to deal with any other incidents that occurred. At tea time )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (a member of the care staff needed to finish the meal that had been prepared earlier by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the cook.)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 (People answered in the surveys that they liked the meals at the home, although one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (relative said,)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ("\(Relative\) does not always like the menu but usually manages a balanced diet.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (This comment was also made to us by another relative who said that pastas were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (enjoyed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 496.49 m 563.65 496.49 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 79.98 w 32.32 485.24 m 564.78 485.24 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 31.2 443.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 443.05 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 30.12 444.13 m 566.98 444.13 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 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 (The home has appropriate policies and procedures to safeguard residents.)Tj ET 0.99608 0.9451 0.76078 RG 350.03 w 33.45 243.24 m 563.65 243.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 409.26 m 565.9 409.26 l S 0.001 w 328.66 w 32.32 231.43 m 564.78 231.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 396.89 m 566.98 396.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 397.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 397.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 396.89 m 565.9 396.89 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 31.2 405.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 381.2 Tm (The complaint procedure was displayed in the home in order that people living and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (visiting the home knew how to make a complaint.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (All three people who answered the surveys said that they knew who to speak to if they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (were not happy and how to make a complaint. They added the following comments,)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm ("All staff are aware of \(relative's\) needs and any problems are sorted at once.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm ("The manager of the home and the directors of the company are usually available. I )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (may be referred from one to the other but that's no problem.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm ("Manager available when we meet to discuss \(relative's\) needs.")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 ("There is a complaints procedure document.")Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (A complaints log was maintained by the home and this showed that complaints had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (been appropriately addressed and managed. This gives people the confidence that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (their concerns will be listened to. A complaint regarding a person's care was being )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 286.31 w 33.45 668.25 m 563.65 668.25 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 264.94 w 32.32 656.44 m 564.78 656.44 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 31.2 521.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 521.77 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 30.12 522.84 m 566.98 522.84 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 (addressed at the time of this report.)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 (Training records and with staff showed that the majority of staff had undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (training related to safeguarding adults in order that they were able to identify abuse )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (and what to do if they suspected or witnessed abuse in the home. Discussion with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (manager showed that she had an awareness of safeguarding issues in order to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (safeguard residents.)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 (All recruitment practices safeguard residents from the employment of unsuitable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (people.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Financial interests of residents are taken out of the hands of staff at the home and any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (purchases made on residents' behalf such as hairdressing, chiropody, outings or meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (out are invoiced by head office to the person responsible for their financial affairs. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (records for these are not held in the home and were not available for inspection.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The home offers the people living there comfortable surroundings, which are clean and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (generally safe and well maintained but with some shortfalls. It was not free of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (offensive odour.)Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (Wolston Grange is a converted hunting lodge set in extensive grounds in a rural )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (location surrounded by farmland and countryside. It is accessed along a country lane )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (but sign posted from the main road.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (A new annexe had been opened in the courtyard that was registered with us and was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (to care for five younger people with dementia, but occupied by only one person at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (time of the visit. The communal living space was open plan, with a small kitchenette )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (and dining area and a large living/activity area, which housed a snooker table. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (Bedrooms had en-suite facilities and there was an assisted bathroom on the ground )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (floor. The building had been decorated and furnished to a good standard. Two )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (Labrador dogs were also living in the annexe, one of which had been brought form a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (home that was closed for refurbishment. They were excitable, jumping up at us as we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (entered the building and later when sitting with a service user, and could pose a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (problem to anyone either visiting or living in the annexe, particularly if they had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (problems with balance. This needs to be monitored to ensure the safety of anyone )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)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 (using the annexe.)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 (A caravan was also in the grounds, which we were told was used by a building )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (contractor working for the organisation. Areas of garden for residents' use were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (accessible and well maintained.)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 (A summerhouse had been built in the gardens providing an attractive outdoor space )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (for the people living at the home. There had been no major changes in the main part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (of the home, with the two lounges being divided by the dining room and reception )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (area. The areas are decorated and furnished to a good standard, looking comfortable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (and attractive. The floor covering was in good condition but as before was of a busy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (pattern that research has shown can be confusing for people with dementia. There )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (were residents sitting in the dining room throughout the visit. The home also has an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (attractive conservatory but was only used that day by staff for report writing.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Bedrooms belonging to the people case tracked were also viewed and all were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (personalised by belongings, such as photos, pictures and ornaments, of the occupants )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (and were comfortable and well presented. Bed linen in some of the rooms was thin and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (in need of replacing. Curtains were good quality and matched the rooms well. All )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (rooms had en-suite facilities.)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 (A bathroom by the kitchen was being used as a storeroom. The manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (this was to be redesigned and refurbished in the near future. All communal areas were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (well decorated and furnished with many of the original features such as wooden wall )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (panels and traditional fireplaces. Most of the windows were also original but some of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (the frames were in need of repainting or repair. A window in the lounge known as the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (library had recently been repaired but a complaint to us received after the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (said that this had been broken for some time and had been left unsafe. Continence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (aids had been delivered that day and had been stored in the library, which would have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (prevented the room being comfortably used by people living at the home or by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (visitors.)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 (A comment made in one of the surveys said,)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ("The home's layout and decor are excellent for \(relative's\) needs.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (The surveys showed that people found the home "Always" or "Usually" fresh and clean )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (and commented,)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (" Excellent cleaning lady.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ()Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)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 ("There are 20-30 residents here. Many are incontinent. Perfection isn't possible but the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (staff do very well in the circumstances.")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 (Whilst the dining was a pleasant area for people to take their meals, and as previously )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (mentioned, there was a strong smell of urine in the room and adjoining areas for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (several hours.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The kitchen door was found to be wedged open by a bag of grit. The door in this high )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (risk area should only be held open only by a device linked to the fire alarm and of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (which the fire service approves, or kept closed, to prevent the passage of smoke or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (flames into the home in the event of a fire.)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 (Substances hazardous to health were stored on an open shelf by the kitchen door and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (these were easily accessible to residents, posing a hazard to those people with limited )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (mental capacity. The items were said to have been delivered that day. They were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (stored safely once we pointed out the concern of health and safety.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Steps had been taken to assist the prevention of cross infection when residents or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (visitors entered the kitchen. An alarm had been fitted to the kitchen door to alert staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (if had been opened and a the hatch flap was placed down when the kitchen was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (unoccupied to act as a barrier to discourage people from entering unsupervised.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (There were no fly screens in the kitchen and this had been approved by Environmental )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Health, providing that food is protected from contamination by insects. The windows in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (the kitchen were open and uncovered food was left out on the worktop. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (must ensure that food is stored in a way to prevent contamination.)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 (Soap dispensers were in use and alcohol hand gel dispensers were available in a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (cupboard for infection control purposes in all hand washing areas viewed. However the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (alcohol gel dispensers were empty in some areas. The organisation does not use )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (disposable towels and provide single-use fabric towels which are intended to be sent to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (the laundry after each use. The ones available at the time of the visit were small )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (pieces of faded towelling stored on the toilet cistern in some areas as there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (other storage for them. One area was without any towels. The laundry bins in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (bathrooms and toilets for used towels were without lids. However the manager told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (that she had ordered a supply of new small towels and had new bins that had not yet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (been put in place.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (In each toilet and bathroom and some bedrooms viewed there was an open clinical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (waste bag tied to a towel rail or doorknobs. When discussed with the manager we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (were told that this had been done to cater for more waste to dispose of during the )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 592.83 m 566.98 592.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (recent viral infection outbreak. As they were open they could be a source of cross )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (infection and need to be kept in container with a lid. The manager advised us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (these had been removed before the end of the visit as they were no longer needed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (The laundry area was very untidy with dirty laundry on the floor and no obvious )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (separation of clean and dirty laundry, creating the chances of cross infection. Colour )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (coded bags had been provided so that laundry could be appropriately sorted but were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (not being used properly. There was a large build up of spilt soap powder on top of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (washing machine. There are no designated laundry assistants with domestic and day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (and night care staff being responsible for this. By 10pm there was a large amount of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (dirty laundry waiting to be done.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (There are sufficient care staff available to meet the needs of the residents but the low )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (numbers of ancillary staff may have an impact on this. Satisfactory recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (practice protects residents from the employment of unsuitable people. The importance )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (of training is recognised.)Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 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 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (The manager said that the usual complement of care staff was four on each day shift, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (which would also include the senior member of staff, and two during the night. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (senior person working the evening shift is on call during the night. A further member )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (of staff works in the new annexe at each shift, including night duty, whilst there was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (only one person staying there.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (On the day of the visit a care assistant had accompanied a resident to an unplanned )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (visit to hospital and therefore there were only two care assistants and a deputy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (manager on duty. The manager was attending a training course but chose to return to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (the home when she was informed that the inspection visit was taking place. There )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (were thirty five hours a week of housekeeping over a five days a week, but the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (manager advised that she was about to recruit to a further 14 hours at weekends. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (care staff need to assist with providing the teatime meal as the catering staff only )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (work 8am to 2pm. The home does not employ designated laundry assistants and the )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)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 (laundry tasks are carried out mainly by the night staff, although day staff also do )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (some laundry between other tasks. Time taken to carry out laundry and catering tasks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (is time taken away from residents, which could impact on their needs being met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (The head office carries out the majority of the administration and therefore there are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (no administrative staff at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The following comments were made in the surveys in relation to staff at the home,)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 ("I find the staff conversant with dementia.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ("There have been many staff changes and I am saddened by this but understand the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (problems. It is a very tough job with different shifts and poor pay. This place is also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (awkward to access. Never the less I've seen very few who aren't utterly dedicated, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (patient and kind. It would help if there were higher staff ratios.")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 (In answer to the question, "Are staff available when you need them " surveys said, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ("Always" or "Usually" and the following comment was made in one of them,)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ("There are demands on staff. A higher staff ratio is always beneficial.")Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The home had exceeded the required fifty percent of care staff to have achieved )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (National Vocational Qualification \(NVQ\) Level 2 in Care. This qualification shows that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the person has been assessed as competent in their role.)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 (Three staff files were looked at. The AQAA told us that all staff had "the right )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (documents before being allowed to start work ", and this was confirmed in the files )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (looked at. All staff files contained the appropriate Criminal Records Bureau clearance, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (Protection of Vulnerable Adults clearance, two written references and an employment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (history. Two of the application forms showed gaps in employment. One of these had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (been checked and the validity of the gaps recorded but the second showed no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (evidence that this had been done.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Training records were examined. The majority of staff had undertaken all mandatory )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (training, such as Moving and Handling, Food Hygiene, First Aid and Safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (Adults. Not all staff had undertaken Fire Safety from a approved trainer in the last year )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (but the majority had undertaken in-house training. Several staff had undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (infection control. Most of the care staff had undertaken training related to dementia; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (six of them had attended the one day course since the last inspection with only one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (person attending the three day course in the past year. the training managing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (dementia seems insufficient given the category of su at the home. the owner is well )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 41.37 w 33.45 790.72 m 563.65 790.72 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 20 w 32.32 778.91 m 564.78 778.91 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 31.2 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 766.71 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 30.12 767.79 m 566.98 767.79 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 (trained on dementia.)Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 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 (A person with the appropriate qualifications and who has previous management )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (experience manages the home. Monitoring and auditing of the service and practices )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (assess that all services operate in the best interests of residents. There are concerns )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (about the security of receiving visitors that create a risk to confidentiality and safety of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.2 Tm (the residents. Shortfalls in health and safety practice do not protect residents and staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.71 Tm (at the home. )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 AQAA had been completed by the previous manager and our questions were not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (fully answered.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (The registered manager had resigned in January 2009 and the registered manager of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (another service belonging to the organisation had been acting manager. This service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (had been closed for refurbishment and several of the residents and staff had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (temporarily transferred to Wolston Grange.)Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (A new manager had been appointed to Wolston Grange two weeks before the visit. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (She had previously managed a nursing home, was a Registered General Nurse and had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (achieved the Registered Managers Award, giving her the appropriate training and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (experience to apply for registration with us. This should be done promptly. She had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (made progress in identifying the areas of improvement needed in the home and had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (taken steps to address some of them. She is supported in the senior team by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (deputy manager and two team leaders. The senior staff are included in the number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (care staff on duty.)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 organisation had a Quality Assurance programme and includes monthly visits by a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (representative of the company; surveys distributed to service users or their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (representatives for feedback on their views of the service; meetings with relatives. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (These systems indicate that the home is monitoring the service in order to enable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (growth and improvement.)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 home does not hold any monies for any of the people living at the home. Any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (purchases made, such as hairdressing, chiropody or for trips and meals out are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (invoiced monthly to the person responsible for the residents' finances. Records of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (these transactions were not available for inspection as they are dealt with by head )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (office.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Staff had undertaken mandatory training to give them the knowledge and skills )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (required regarding health and safety issues, including moving and handling, food )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (hygiene, infection control and first aid. The majority of staff had undertaken in house )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (fire training in the last year.)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 (There was evidence from a random check of records that equipment was regularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (serviced and maintained and health and safety checks were carried out. However the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (fire alarm tests had not been carried out each month as required. We were told that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (this was due to a fault but there was no written information to confirm this. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (systems must be tested weekly and if this is not possible this should be clearly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (recorded.)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 (There needs to be an effective system for recording who is visiting the home and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (establishing who the visitors are in order to protect the people living at the home. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (were not asked for our identity on arrival at the home and left unsupervised outside an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (unlocked office whilst the staff located the person in charge. There was confidential )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (service user information on full view to any one entering the office.)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 (As discussed in the Environment section of this report the management must monitor )Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 146.34 w 33.45 738.23 m 563.65 738.23 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 124.97 w 32.32 726.42 m 564.78 726.42 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 31.2 661.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 661.73 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 30.12 662.81 m 566.98 662.81 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (the behaviour of the dogs in the Barn Annexe to ensure that it does not pose a risk to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (people using or visiting the premises.)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 (As referred to in the Daily Life and Social Activities section of this report items of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (cleaning materials that were hazardous to health had been left on open shelving by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (the open kitchen door. These substances need to be locked away to avoid any risk to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (vulnerable people.)Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)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 (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)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 (37)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 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 136 w 31.2 481.63 m 91.05 481.63 l S 0.001 w 136 w 93.3 481.63 m 197.4 481.63 l S 0.001 w 136 w 199.65 481.63 m 289.45 481.63 l S 0.001 w 136 w 291.7 481.63 m 473.8 481.63 l S 0.001 w 136 w 476.05 481.63 m 566.1 481.63 l S 0.001 w 119 w 31.2 351.88 m 91.05 351.88 l S 0.001 w 119 w 93.3 351.88 m 197.4 351.88 l S 0.001 w 119 w 199.65 351.88 m 289.45 351.88 l S 0.001 w 119 w 291.7 351.88 m 473.8 351.88 l S 0.001 w 119 w 476.05 351.88 m 566.1 351.88 l S 0.001 w 187 w 31.2 196.63 m 91.05 196.63 l S 0.001 w 187 w 93.3 196.63 m 197.4 196.63 l S 0.001 w 187 w 199.65 196.63 m 289.45 196.63 l S 0.001 w 187 w 291.7 196.63 m 473.8 196.63 l S 0.001 w 187 w 476.05 196.63 m 566.1 196.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.4 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.39 m 92.12 411.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.39 m 290.62 411.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 584.39 m 475.02 411.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 412.51 m 568.3 412.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 291.26 m 568.3 291.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.3 m 568.4 652.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.3 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 412.51 m 568.3 412.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 291.26 m 568.3 291.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 102.01 m 568.3 102.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.38 m 30.07 100.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 551.84 m 92.17 100.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 584.39 m 198.52 100.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 551.84 m 290.57 100.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 551.84 m 474.92 100.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.38 m 567.32 100.93 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 639.11 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 34.05 619.11 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 34.05 604.53 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 604.53 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.95 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 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 537.57 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (Every effort must be made )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (to ensure that continence is )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (managed appropriately and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (respectfully.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (This will maintain the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (comfort and dignity of the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm (people living at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (11/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 399.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 399.32 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 399.32 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 399.32 Tm (Medication must only be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 382.32 Tm (used for the person to whom )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 365.32 Tm (it has been prescribed.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 348.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 331.32 Tm (This will ensure the health )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 314.32 Tm (and well being of the people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 297.32 Tm (at the home. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 399.32 Tm (11/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 399.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 278.07 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 278.07 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 278.07 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 278.07 Tm (The management must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 261.07 Tm (ensure that the person going )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 244.07 Tm (on an outing or their )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 227.07 Tm (representative are clear )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 210.07 Tm (about what the cost covers )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 193.07 Tm (and agree with this.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 176.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 159.07 Tm (This will ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 142.07 Tm (residents have the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 125.07 Tm (information they need to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 108.07 Tm (make a choice. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 278.07 Tm (11/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 278.07 Tm ()Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (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 (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 136 w 31.2 744.53 m 91.05 744.53 l S 0.001 w 136 w 93.3 744.53 m 197.4 744.53 l S 0.001 w 136 w 199.65 744.53 m 289.45 744.53 l S 0.001 w 136 w 291.7 744.53 m 473.8 744.53 l S 0.001 w 136 w 476.05 744.53 m 566.1 744.53 l S 0.001 w 170 w 31.2 589.28 m 91.05 589.28 l S 0.001 w 170 w 93.3 589.28 m 197.4 589.28 l S 0.001 w 170 w 199.65 589.28 m 289.45 589.28 l S 0.001 w 170 w 291.7 589.28 m 473.8 589.28 l S 0.001 w 170 w 476.05 589.28 m 566.1 589.28 l S 0.001 w 187 w 31.2 408.53 m 91.05 408.53 l S 0.001 w 187 w 93.3 408.53 m 197.4 408.53 l S 0.001 w 187 w 199.65 408.53 m 289.45 408.53 l S 0.001 w 187 w 291.7 408.53 m 473.8 408.53 l S 0.001 w 187 w 476.05 408.53 m 566.1 408.53 l S 0.001 w 102 w 31.2 261.78 m 91.05 261.78 l S 0.001 w 102 w 93.3 261.78 m 197.4 261.78 l S 0.001 w 102 w 199.65 261.78 m 289.45 261.78 l S 0.001 w 102 w 291.7 261.78 m 473.8 261.78 l S 0.001 w 102 w 476.05 261.78 m 566.1 261.78 l S 0.001 w 102 w 31.2 157.53 m 91.05 157.53 l S 0.001 w 102 w 93.3 157.53 m 197.4 157.53 l S 0.001 w 102 w 199.65 157.53 m 289.45 157.53 l S 0.001 w 102 w 291.7 157.53 m 473.8 157.53 l S 0.001 w 102 w 476.05 157.53 m 566.1 157.53 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 675.4 m 568.3 675.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.15 m 568.3 503.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.9 m 568.3 313.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 209.65 m 568.3 209.65 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 28.99 675.4 m 568.3 675.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.15 m 568.3 503.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.9 m 568.3 313.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 209.65 m 568.3 209.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 105.4 m 568.3 105.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 104.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 104.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 104.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 104.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 104.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 104.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 800.47 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 800.47 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 800.47 Tm (Food must be shown to be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 783.47 Tm (stored and served at )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 766.47 Tm (appropriate 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298.05 370.97 Tm (This will maintain infection )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 353.97 Tm (control and thereby )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 336.97 Tm (safeguard residents health )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 319.97 Tm (adn welfare.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 489.97 Tm (11/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 489.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 300.72 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 300.72 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 300.72 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 300.72 Tm (The laundry area must be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 283.72 Tm (properly managed to control )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 266.72 Tm (infection.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 249.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 232.72 Tm (This will safeguard residents )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 215.72 Tm (from cross infection. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 300.72 Tm (11/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 300.72 Tm ()Tj ET /F2 12 Tf BT 1 0 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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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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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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