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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 470.11 m 160.38 470.11 l S 0.001 w 1 1 1 RG 73.32 w 162.63 470.11 m 563.65 470.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 565.85 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w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F3 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm ( Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Regents House Rest Home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.62 Tm (206 Regents Park Road)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Southampton)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Hampshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (SO15 8NY)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 671.05 Tm (02380322101)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 625.39 Tm (sandra.regent@hotmail.co.uk)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 517.34 m 564.77 517.34 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 20.58 w 31.2 518.46 m 565.9 518.46 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 495.63 m 353.25 495.63 l S 0.001 w 1 1 1 RG 20.58 w 355.5 495.63 m 565.9 495.63 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 472.8 m 353.25 472.8 l S 0.001 w 1 1 1 RG 20.58 w 355.5 472.8 m 565.9 472.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 567.8 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 551.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.22 m 568.1 484.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 567.8 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.22 m 568.1 484.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.39 m 568.1 461.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 460.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 508.12 m 354.37 460.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 460.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Mrs Jean Newson,Mr Ian Newson)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Mrs )Tj ET /F3 12 Tf BT 1 0 0 1 59.76 513.69 Tm (Sandra Pearl )Tj ET /F3 12 Tf BT 1 0 0 1 141.05 513.69 Tm (Anaszko)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 490.86 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 490.86 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 468.03 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 468.03 Tm (17)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 449.09 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 432.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 389.77 m 564.47 389.77 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 401.18 m 567.8 401.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.01 m 567.8 424.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.18 m 567.8 401.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.77 m 567.8 357.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 425.09 m 30.07 356.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 402.26 m 298.32 356.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 425.09 m 566.72 356.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 407.83 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 385 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 385 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 364.42 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 364.42 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.98 m 297.3 342.98 l S 0.001 w 20.58 w 299.55 342.98 m 431.45 342.98 l S 0.001 w 20.58 w 433.7 342.98 m 565.6 342.98 l S 0.001 w 35.16 w 31.2 312.86 m 297.3 312.86 l S 0.001 w 35.16 w 299.55 312.86 m 431.45 312.86 l S 0.001 w 35.16 w 433.7 312.86 m 565.6 312.86 l S 0.001 w 35.16 w 31.2 275.45 m 297.3 275.45 l S 0.001 w 35.16 w 299.55 275.45 m 431.45 275.45 l S 0.001 w 35.16 w 433.7 275.45 m 565.6 275.45 l S 0.001 w 20.58 w 31.2 245.33 m 297.3 245.33 l S 0.001 w 20.58 w 299.55 245.33 m 431.45 245.33 l S 0.001 w 20.58 w 433.7 245.33 m 565.6 245.33 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 222.5 m 565.6 222.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 331.57 m 567.8 331.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 567.8 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.75 m 567.8 256.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.92 m 567.8 233.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.09 m 567.8 211.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 188.26 m 568.1 188.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 354.4 m 567.8 354.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 331.57 m 567.8 331.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 567.8 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.75 m 567.8 256.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.92 m 567.8 233.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 211.09 m 568.1 211.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 188.26 m 568.1 188.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 107.11 m 568.1 107.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 355.47 m 30.07 106.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 355.47 m 298.42 232.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 355.47 m 432.57 232.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 355.47 m 566.72 106.03 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 338.21 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 338.21 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 338.21 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 315.38 Tm (mental disorder, excluding learning )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 300.8 Tm (disability or dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 315.38 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 315.38 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 277.97 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 263.39 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 277.97 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 277.97 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 240.56 Tm (physical disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 240.56 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 240.56 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 217.73 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 194.9 Tm (The maximum number of service users to be accommodated is 17.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 172.07 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 157.49 Tm (home only - \(PC\) to service users of the following gender: Either Whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 142.91 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 128.33 Tm (falling within any other category \(OP\) Dementia \(DE\) Mental disorder, excluding )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 113.75 Tm (learning disability or dementia \(MD\) Physical disability \(PD\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 92.32 m 315.25 92.32 l S 0.001 w 1 1 1 RG 20.58 w 317.5 92.32 m 346.55 92.32 l S 0.001 w 20.58 w 348.8 92.32 m 377.9 92.32 l S 0.001 w 20.58 w 380.15 92.32 m 409.2 92.32 l S 0.001 w 20.58 w 411.45 92.32 m 440.55 92.32 l S 0.001 w 20.58 w 442.8 92.32 m 471.9 92.32 l S 0.001 w 20.58 w 474.15 92.32 m 503.2 92.32 l S 0.001 w 20.58 w 505.45 92.32 m 534.55 92.32 l S 0.001 w 20.58 w 536.8 92.32 m 565.9 92.32 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 103.73 m 568.1 103.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 80.9 m 568.1 80.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 104.81 m 30.07 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 104.81 m 316.37 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 104.81 m 347.67 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 104.81 m 379.02 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 104.81 m 410.32 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 104.81 m 441.67 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 104.81 m 473.02 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 104.81 m 504.32 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 104.81 m 535.67 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 104.81 m 567.02 79.82 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 87.55 Tm (Date of last inspection)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 689.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 690.15 m 568.1 690.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 781.22 Tm (Regents House is a large period property that has been adapted to provide residential )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 764.22 Tm (care for up to 17 older people. The accommodation is both single or shared bedrooms )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 747.22 Tm (available on the ground and first floors with a passenger lift to the first floor. None of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 730.22 Tm (the bedrooms have en-suite facilities but do have a wash hand basin. There is a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 713.22 Tm (lounge, dining room and garden with patio area for residents to use. The building is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 696.22 Tm (accessible. The home is close to local shops and amenities.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 530/Matrix [1 0 0 1 0 0]>>stream xMo0>eGJ%NrCnRVgJX*";kי~&l#jWFC +e2!c2 Xft=|愒%4j2R)n!UպE+I<Z׃s{efBkvkjO/l|%Y4 i(9ʴ"5qrXs1T1%,;UA6A$Iޅ&A;H RUfSI>@h<;{-ED^*qVif{JBU+LU6$ .vŞϤ} 8+辣\6;V]0UeFQk5{]Ћ[JEj˱[wsߍÛëi:Ojd'3n.*MV9|ŦGv!Tg k,xx8`Ȇ4Ь_oN,.8qli f}8Rg7-u94?> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 122.64 w 32.32 209.21 m 566.72 209.21 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 146.77 m 568.92 146.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 145.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 145.69 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This report represents a review of all the evidence and information gathered about the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (service since the previous inspection. This included a site visit that occurred on 29 )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm (January 2010 from 12:30pm until 5:30pm. During this time we looked around the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (premises, looked at the files of six service users and spoke with three people who live )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (in the home. We observed the support they were receiving. We also met the Manager, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (spoke with one member of staff and observed interaction between staff and service )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (users. All records and relevant documentation referred to in the report was seen on the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (day of the inspection visit. )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 20.58 w 32.32 763.53 m 566.72 763.53 l S 0.001 w 20.58 w 32.7 740.7 m 569.35 740.7 l S 0.001 w 93.48 w 33.82 681.42 m 568.22 681.42 l S 0.001 w 20.58 w 33.45 622.14 m 570.1 622.14 l S 0.001 w 108.06 w 34.57 555.57 m 568.97 555.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 752.12 m 568.92 752.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 751.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 752.12 m 569.35 752.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 729.29 m 569.35 729.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 729.29 m 570.42 729.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 633.56 m 570.42 633.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 610.73 m 570.1 610.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 633.56 m 570.1 633.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 610.73 m 571.17 610.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 500.42 m 571.17 500.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 730.37 m 32.7 632.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 611.81 m 33.45 499.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 751.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 730.37 m 569.35 632.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 611.81 m 570.1 499.34 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 761.98 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 738.59 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 735.93 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 739.15 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 679.87 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 713.1 Tm (Since the previous inspection the home had made progress in addressing requirements )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 698.52 Tm (relating to pre-admission assessments, care planning, risk assessments, responding to )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 683.94 Tm (people's healthcare needs, cleanliness, quality assurance and health and safety.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 669.36 Tm (Some progress had been made in activities, maintenance and the Manager's training.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 654.78 Tm (While these improvements are acknowledged, the home needs to demonstrate ongoing )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 640.2 Tm (and sustained improvment that becomes embedded in practice.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 679.87 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 620.59 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 617.37 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 554.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 594.54 Tm (The home needs to monitor buildings and maintenance issues more thoroughly and to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 579.96 Tm (further improve the activities available to people. The Manager needs to complete her )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 565.38 Tm (training. The odour in the building needs to be addressed. This was required at the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 550.8 Tm (previous inspection and people continue to live in a home with an unpleasant odour.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 536.22 Tm (The home needs to continue to monitor the staffing levels so that the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 521.64 Tm (people in the home are addressed fully. The Manager needs to ensure that staff )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 507.06 Tm (support and supervision occurs on a regular basis.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 484.73 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 464.74 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 464.74 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 464.74 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 447.24 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 427.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 407.25 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 407.25 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 387.25 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 387.25 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.26 Tm (order line 0870 240 7535.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 89.36 w 34.6 395.49 m 562.54 395.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 66.86 w 33.47 384.24 m 563.66 384.24 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 348.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 348.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 349.69 m 565.87 349.69 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (Service users benefit from having their needs assessed prior to moving into the home.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 334 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 241.79 w 34.6 202.92 m 562.54 202.92 l S 0.001 w 1 1 1 RG 22.5 w 32.35 314.82 m 564.79 314.82 l S 0.001 w 220.42 w 33.47 191.11 m 563.66 191.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 302.45 m 565.87 302.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 303.52 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 303.52 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 302.45 m 564.79 302.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 311.51 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 286.76 Tm (We looked at the files of six people who live in the home, including one person who )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 269.27 Tm (had recently moved in.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.77 Tm (The files showed that assessments were undertaken prior to people moving in so that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 234.27 Tm (the home could determine whether or not they could meet the person's needs. These )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (assessments were undertaken with input from the service user where possible and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm (from their relatives and relevant other professionals. The assessments were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm (comprehensive and covered all aspects of potential needs the person may have.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm (that the home must identify the social and the nutritional needs of people in the )Tj ET /F3 12 Tf BT 1 0 0 1 526.35 146.79 Tm (pre-)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm (admission)Tj ET /F3 12 Tf BT 1 0 0 1 96.89 129.3 Tm ( assessment in order to ensure that the needs of people using the service )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (are identified and addressed.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (In looking at the file of the person who had recently moved into the home we found )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 73.86 w 34.6 774.47 m 562.54 774.47 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 52.49 w 33.47 762.66 m 563.66 762.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 735.29 m 565.87 735.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (that attention had been paid to both their nutritional and social needs and this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (information had then been used in the care planning process.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (This requirement has been met.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 403.25 m 562.54 403.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 119.35 w 33.47 392 m 563.66 392 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.2 m 565.87 331.2 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (Service users benefit from having clear care plans and risk assessments in place and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (are protected by the home's medication policy and practices. There is no evidence yet )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (of these improvements being sustained.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.26 Tm (Service users' privacy and dignity is not fully protected and needs are not fully met.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 315.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.3 w 34.6 193.68 m 562.54 193.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.33 m 564.79 296.33 l S 0.001 w 201.93 w 33.47 181.87 m 563.66 181.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 283.96 m 565.87 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.96 m 564.79 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 293.02 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.27 Tm (We looked at the files of six people who live in the home. We also looked at )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm (medication records, observed staff administering medication, spoke with four people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (who live in the home, spoke with the Manager and observed how staff supported )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (people throughout the day. There had been a requirement from the previous Key )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (Inspection on 12 August 2009 that care plans must be kept up-to-date and must )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (reflect people's current needs in order to ensure that the current needs of people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (living in the home can be addressed. From looking at the care plans we saw they are )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (now being regularly reviewed and records are kept to demonstrate this.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (There had also been a requirement from the previous Key Inspection on 12 August )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (2009 that risk assessments must be kept up to date and must reflect people's current )Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (needs in order that people living in the home are safeguarded from potential harm. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Evidence from care plans showed that the risk assessments were being kept under )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (regular review and were reviewed at the same time as care plans.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Care plans and risk assessments were written clearly and explained to staff what they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (needed to do in order to meet people's needs. Staff spoken with on the day of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (inspection visit told us they understood people's care plans and had clear up-to-date )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (information on how to support them.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (We had made requirements relating to care plans at the previous four Key Inspections )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (and requirements relating to risk assessments at the previous five Key Inspections. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (While there is evidence that the home has met these requirements on this occasion, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (we will need to see sustained improvement in these areas over future inspections in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (order to demonstrate that any improvements have been embedded in practice.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (that the healthcare needs of people living in the home must be monitored and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (responded to appropriately in order to ensure that people remain healthy. At the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (previous inspection there were people living in the home who required a lot of support )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (with their healthcare needs, particularly their food and fluid intake. The home had not )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (been adequately addressing those needs. By the time of this current inspection people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (with those particular needs were no longer living in the home. Despite this there had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (been improvements in the home in relation to addressing the nutritional needs of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (people living in the home. There was improved identification of nutritional needs in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (initial assessment process and staff training in basic nutrition. In the day of this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (inspection we observed that drinks were available to people throughout the day. Tea )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (and coffee was taken around to people at specific times and jugs of squash were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (available in the lounge throughout the day. There was also evidence from one service )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (user's file that the home had had concerns about the person's diet and had sought the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (assistance of professionals in dealing with this.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (that facilities must be provided so that people living in the home are able to maintain )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (and protect their own privacy. This requirement related to the lack of a functioning )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (lock on one of the bathroom doors. We noted from the inspection that there was now )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (a lock on the door. We also noted that another toilet door in the building did not have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (a lock on it. While the home had responded to the original requirement regarding the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (lock, they had failed to ensure that the reason for the requirement had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (addressed. It is a significant breach of people's privacy and dignity if they are not able )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (to lock the door of the toilet while they are using it. A further potential breach of )Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 546.25 w 34.6 538.28 m 562.54 538.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 524.88 w 33.47 526.47 m 563.66 526.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 261.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 261.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 262.9 m 565.87 262.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (dignity occurred when one person living in the home had to wait ten to fifteen minutes )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (for a member of staff to help them to use a commode. As well as being a breach of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (dignity this also means the person was not having their needs met and may have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (been very uncomfortable having to wait this long to use the commode. The reason for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the wait was due to the availability of staff and this is dealt with further in the staffing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (section of this report. This example gave us concerns that, due to staffing availability, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (people's needs were not being met. The requirement concerning ensuring people's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (privacy and dignity had not been met.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (The service users we spoke with during this inspection told us they felt their privacy )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (and dignity was respected by staff working in the home and this was also evident from )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (our observation of staff on the day of the inspection. We observed that staff were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (discreet with people about providing personal care and also respected privacy by )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (knocking on service users' doors and waiting for a reply before entering.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The medication records we saw on the day of the inspection were clear, accurate and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (up to date. The records included what medication had come into the home, what and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (been administered and what had been returned to the pharmacy. The medication file )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (contained information for staff on the mediation used in the home and the home's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (medication policy.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (On the day of the inspection we observed a member of staff while they were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (administering the medication. They followed the process well and checked each item )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (of medication against the records before administering it. They recorded the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (medication as having been administered only after they had observed the person take )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (it. They also checked with each person whether or not they wanted their medication at )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (that time before giving it to them. The member of staff concentrated on the task of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (administering medication but also took time to talk to service users while they were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (doing it.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Staff involved in administering medication had received training and all medication in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (the home was stored securely.)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (Service users benefit from being offered a variety of nutritious meals and are able to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (exercise choice.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (Activities in the home do not take place as planned.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (We looked at the files of six people who live in the home and spoke with three people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (who live in the home. We looked at menus, spoke with the Manager and observed how )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (staff supported people throughout the day.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (that a programme of activities must be put in place to ensure that the social and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (stimulation needs of people living in the home are met. The home had made some )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (progress with this. An activities file was in place which listed some possible activities )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm (staff could arrange for people living in the home. It stated that activities would take )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm (place between 2.00pm and 3.00pm each day. However, no planned activities took )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (place on the day of the inspection visit. In the lounge there were newspapers and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (some books and games available for service users to use if they wanted to. We did not )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm (observe anyone making use of the games or books on the day of the inspection, but )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (we did see one person reading a newspaper. Records of which activities people had )Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (taken part in were kept in their individual files. These showed that people had watched )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (films and television and had spent time chatting with members of staff. Other )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (activities people had taken part in included singing and going to the shops.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Through consultation with service users the home had identified that some people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (were interested in learning computer skills and the home had said it would look into )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (organising this with an outside agency. Some people living in the home were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (supported to make use of the local church three times a year and there were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (occasional visits from external entertainers. The home's assessment process had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (improved and included asking people about their leisure interests.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Although there is now some planned activity in place in the home it is only for one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (hour a day, even when it occurs. People's need for stimulating activity extends beyond )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (this and the home needs to seek to increase the range and amount of activities on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (offer.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (We had made requirements relating to activities at the previous three inspections. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (There was evidence of some progress at this inspection but the home must continue )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (to expand the ways in which people at the home have adequate stimulation and must )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (ensure that activities take place as planned.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The home's visitors' policy states that people are able to visit friends and relatives who )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (live in the home at any time that is convenient to them both. The three service users )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (we spoke with during the inspection told us they were able to choose how they spent )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (their time at the home. Our observations throughout the day of the inspection showed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (that staff in the home were skilled in being able to offer choices to people, give them )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (time to choose and respect their decisions about what they wanted to do.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Menus in the home showed that a wide range of food was on offer to people and that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (different alternatives were always available. People we spoke with told us they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (thought the food in the home was of good quality and served in adequate portions. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (From observation on the day of the inspection we saw that people were able to choose )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (which room they sat in to eat their meals.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Service users were told what was on the menu for the day and we saw staff going )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (around asking people if they wanted what was on the menu or wanted an alternative. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (Alternatives were given to people who requested them. A record of the food people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (had was kept in the home's diary.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Staff served the meals to people living in the home and we observed staff asking )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (people if they wanted any support eating their meals.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (Drinks were available throughout the mealtime and afterwards staff took cakes and )Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 56.36 w 34.6 783.22 m 562.54 783.22 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 34.99 w 33.47 771.41 m 563.66 771.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (fresh fruit to people. These were left in the lounge so that people could help )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (themselves.)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 505.74 m 562.54 505.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 84.36 w 33.47 494.5 m 563.66 494.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 451.19 m 565.87 451.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People living in the home benefit from a clear complaints procedure and are protected )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (by the home's safeguarding procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 435.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 304.93 w 34.6 272.86 m 562.54 272.86 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.32 m 564.79 416.32 l S 0.001 w 282.44 w 33.47 261.61 m 563.66 261.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 403.95 m 565.87 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.03 m 32.35 118.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.03 m 564.79 118.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 403.95 m 564.79 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 119.26 m 565.87 119.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 413.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 388.27 Tm (We looked at the home's complaints procedure, spoke with the Manager, looked at )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (staff training records and referred to information given to us by other professionals.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (The home has a complaints procedure in place. Information on how to complain was )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm (given to service users and their families when they moved into the home and a copy )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (of the complaints procedure is available in the building. Three service users we spoke )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (with told us they were aware of how to make a complaint, but each said they had )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (never had the need to. The home has a process in place for recording and responding )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (to any complaints.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (In discussion with the Manager on the day of the inspection visit we found that she )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (was able to demonstrate an understanding of the local safeguarding reporting )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (procedures and how to use them. Staff had received training in protecting vulnerable )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm (adults. We asked one member of staff about their understanding of protection and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (safeguarding and they were able to explain the process to follow and the kinds of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm (situations that might cause them to do so.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The issue of the odour in the home has not been fully addressed and the privacy and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (dignity of people living in the home is compromised by the fact that there is no lock on )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (one of the toilets.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (We walked around the building and spoke with the Manager. We also referred to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (previous reports and our own observations on the day of the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (that the unpleasant odour in the home must be addressed in order to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (people living in the home have a pleasant environment in which to live. On the day of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (the inspection we noted there was still an odour in the home which appeared to be )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (caused by a mixture of the fact that there is a caged bird in the dining room and that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (the home has a smoking room that is well used by people living in the home. We were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (able to detect the smell of smoke in the hallway as well as in the lounge. None of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (people living in the home who we spoke with expressed any concern about the odour )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (in the building, yet it is still very obvious on entering the home. An extractor fan has )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (been placed in the smoking room and was functioning at the time of the inspection, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (but the amount of smoking in the home means that it is likely to continue to have an )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (odour. The home has not assessed each person living in the home as to whether or )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (not they are troubled by the odour in the home or whether or not their health is )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 563.75 w 34.6 529.53 m 562.54 529.53 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 542.38 w 33.47 517.72 m 563.66 517.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 244.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 244.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 245.41 m 565.87 245.41 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (affected by the smoke in the home. This needs to be done in order to identify whether )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (or not their needs are met by living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (that the home must be kept clean and free from the risk of infection in order to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (that people living in the home have a pleasant environment in which to live and are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (free from the risk of infection. On the day of the inspection visit the home appeared )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (clean throughout. Staff training records showed that staff had received training in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (infection control. Throughout the building there were paper towels and anti-bacterial )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (soap in order to contribute to good infection control. No further cleaning or infection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (control issues were highlighted on the day of the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (that facilities must be provided so that people living in the home are able to maintain )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and protect their own privacy. This requirement related to the lack of a functioning )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (lock on one of the bathroom doors. We noted from the inspection that there was now )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (a lock on the door. We also noted that another toilet door in the building did not have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (a lock on it. While the home had responded to the original requirement regarding the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (lock, they had failed to ensure that the reason for the requirement had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (addressed. This is also referred to in the Health and Personal Care section of this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (report.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (that maintenance issues must be identified and responded to in a timely manner in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (order to ensure that people living in the home are safe and have a pleasant )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (environment in which to live.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (On the day of the inspection visit we saw the maintenance plan that the home had in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (place and noted the improvements that had been made to the building.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (However, the fact that the Manager was unaware that there was not a lock on one of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (the toilets demonstrates that the process of identifying maintenance issues is not )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (thorough.)Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Service users benefit from being supported by trained staff and are protected by the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (home's recruitment policy and practices.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (Staffing numbers in the home need to be assessed and monitored in order to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.26 Tm (that people's needs are fully met.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (We looked at the files of four members of staff, the home's training plan and records, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (spoke with the Manager, staff and people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (that the Registered Person must ensure that no-one works in the home without )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (satisfactory pre-employment checks being in place in order to ensure the safety of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (people living in the home. We looked at the recruitment files of three members of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (staff, including one person who had been appointed since the previous inspection. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (records in the files demonstrated that the home is ensuring that all necessary )Tj ET /F3 12 Tf BT 1 0 0 1 511.78 196.31 Tm (pre-)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (employment)Tj ET /F3 12 Tf BT 1 0 0 1 111.7 178.81 Tm ( checks are undertaken prior to staff beginning to work in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (that Staffing in the home must be reviewed in order to ensure that at all times there )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (are sufficient staff to meet the needs of people living in the home. We looked at the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (home's staff rota and spoke with the Manager. Since the previous inspection the home )Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 633.73 w 34.6 494.54 m 562.54 494.54 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 612.36 w 33.47 482.73 m 563.66 482.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 175.42 m 565.87 175.42 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (had told us they had reviewed their staffing and were satisfied that the amount of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (staff they had was sufficient to meet the needs of the people who live there. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (home has two care staff working on each shift and the Manager works five days a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (week during the daytime. At the previous inspection the home had a number of people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (living there who had a high level of need and this was not the case this time. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (However, we did observe that one person living in the home at this inspection had to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (wait ten to fifteen minutes for a member of staff to help him to use a commode as one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (of the two care staff was administering medication and the other was busy in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (kitchen. The rota in the home is worked out so that one member of staff is mainly )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (responsible for providing care and the other is mainly responsible for cooking and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (cleaning. The reason for this person waiting so long to use the commode may have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (been either that there were insufficient staff or that the Manager was not able to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (prioritise work for staff so that the person's needs were met. We have made a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (requirement that the Manager carry out a formal and recorded assessment of staffing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (levels and staff deployment in the home to determine whether the current staffing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (levels and methods of deployment meet the needs of people living there.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (that the training provided must reflect current good practice and must inform care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (practices in the home in order to ensure that people living in the home receive the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (support they need and remain safe.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (Training records showed that there had been an improvement in the amount of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (training since the previous inspection. The training plan showed that the home is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (planning training for staff based on their needs and the needs of the people living in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (Staff told us they received regular training and that they thought it was relevant to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (their role.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (From observation on the day of the inspection we saw that staff interacted very well )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (with people living in the home, showing sensitivity and concern for their welfare. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (member of staff providing care and administering medication on the day of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (inspection demonstrated that she was skilled in undertaking her role and supported )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (people in a professional and friendly manner.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (The service users we spoke with on the day of the inspection told us they thought staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (were skilled and supported them well. They also told us they got on well with the staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (and felt comfortable whenever they needed to ask for any support.)Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 368.75 m 562.54 368.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 154.34 w 33.47 357.51 m 563.66 357.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 278.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 278.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 279.21 m 565.87 279.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (Service users benefit from being consulted about the running of the home and from )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (the home's management of health and safety issues.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (The Manager has not completed her training and staff in the home do not have regular )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.26 Tm (support.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.77 Tm (The home did not send us their Annual Quality Assurance Assessment when we asked )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 288.27 Tm (for it. The home is not managed and monitored effectively.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 263.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 171.31 w 34.6 167.68 m 562.54 167.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 244.34 m 564.79 244.34 l S 0.001 w 149.94 w 33.47 155.87 m 563.66 155.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 231.97 m 565.87 231.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 233.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 233.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 231.97 m 564.79 231.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 241.03 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (We looked at the management processes in the home and spoke with the Manager. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (We also looked at health and safety records, quality assurance records and staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (support and supervision records.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (that the Manager must have the skills and training to manage the service effectively in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (order to ensure that the home is managed so as to meet the needs of the people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (living there. At this inspection the Manager was able to show us evidence that she has )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (begun to undertake management training. We had made this requirement at the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (previous four inspections and will continue to monitor until the training is completed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The home had failed to provide us with the Annual Quality Assurance Assessment )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (\(AQAA\) after we wrote to them on 24 November 2009 asking for it to be returned to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (us by 22 December 2009. There is a legal requirement for registered services to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (provide an AQAA which the home failed to meet.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (There had been a requirement from the previous Key Inspection on 12 August 2009 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (that there must be an effective system of quality assurance that focuses on the views )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (of people living in the home and measures how well the service is meeting their needs )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (and that monitors compliance with the home's legal and statutory requirements. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (home has made progress on this. Survey questionnaires had gone out to people living )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (in the home and some had been returned by the time of the inspection. In addition to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (this the home had also used residents meetings to consult with people about the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (running of the home. They have developed an improvement plan for the service which )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (reflects the feedback they have had from people living in the home. Clear records )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (were kept of both the consultations and the plans for the service. The AQAA is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (fundamental to the quality assurance processes in the home and to ensuring that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (people's needs are met. The fact that the home had failed to provide us with this at )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the time we asked for it means that they are not meeting the standards for quality )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (assurance. We had made requirements relating to quality assurance at the previous )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (five Key Inspections. While there is evidence that the home has made progress with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (this at the time of this inspection, we will need to see sustained improvement in this )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (area over future inspections in order to demonstrate that any improvements have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (been embedded in practice.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The Manager informed us that the home does not look after any service users' money.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (We looked at the support and supervision records of three people who work in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (home. These showed that support and supervision sessions had been erratic. One )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (person who had been working in the home for four months had only had one formal )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (support and supervision session in that time. In discussion the Manager acknowledged )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (that support and supervision had not been occurring as often as it should have and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (said that she would now be aiming for it to occur at least every two months for each )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (member of staff.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Health and safety issues in the home were being monitored. The home has an )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (environmental risk assessment in place which is monitored and updated by the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (Manager. Staff had received training in health and safety issues and one member of )Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 353.8 w 34.6 634.51 m 562.54 634.51 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 332.42 w 33.47 622.7 m 563.66 622.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 455.36 m 565.87 455.36 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (staff we spoke with was clear about their responsibilities to maintain a safe working )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (environment.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The requirements we have needed to make throughout this inspection report reflect )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (on the way the service is managed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The home has begun to make progress with activities and with quality assurance, but )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (there is still further work to do in each of these areas in order ensure the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (people living in the home are met.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The home failed to send us their Annual Quality Assurance Assessment when we )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (asked for it and staff in the home are not receiving regular support and supervision.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (There is a system in place for identifying maintenance issues but it is not implemented )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (thoroughly enough to have identified the fact that one of the bathrooms has no lock )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (on it.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (The home informed us they believe there are sufficient staffing levels but there is no )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (evidence of how this was assessed and we still had concerns that staffing levels may )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (not be adequate to meet the needs of people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (If the service was being managed and monitored adequately then they would have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (identified and rectified these issues themselves rather than have to have them )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (highlighted through the inspection process.)Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 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requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F3 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 /F3 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 /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 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(Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 119 w 31.2 467.3 m 91.05 467.3 l S 0.001 w 119 w 93.3 467.3 m 197.4 467.3 l S 0.001 w 119 w 199.65 467.3 m 289.45 467.3 l S 0.001 w 119 w 291.7 467.3 m 473.8 467.3 l S 0.001 w 119 w 476.05 467.3 m 566.1 467.3 l S 0.001 w 119 w 31.2 346.05 m 91.05 346.05 l S 0.001 w 119 w 93.3 346.05 m 197.4 346.05 l S 0.001 w 119 w 199.65 346.05 m 289.45 346.05 l S 0.001 w 119 w 291.7 346.05 m 473.8 346.05 l S 0.001 w 119 w 476.05 346.05 m 566.1 346.05 l S 0.001 w 136 w 31.2 216.3 m 91.05 216.3 l S 0.001 w 136 w 93.3 216.3 m 197.4 216.3 l S 0.001 w 136 w 199.65 216.3 m 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w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 406.68 m 568.3 406.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 285.43 m 568.3 285.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 147.18 m 568.3 147.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 596.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 567.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 514.74 Tm (10)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 514.74 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 514.74 Tm (Facilities in the home must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 497.74 Tm (enable service users to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 480.74 Tm (maintain their own privacy )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 463.74 Tm (and dignity)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 446.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 429.74 Tm (So that people's privacy and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 412.74 Tm (dignity is maintained)Tj ET /F3 12 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BT 1 0 0 1 298.05 255.24 Tm (people living in the home )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 238.24 Tm (find the odour unpleasant to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 221.24 Tm (live with.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 204.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 187.24 Tm (So that people have a )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 170.24 Tm (pleasant environment to live )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 153.24 Tm (in.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 272.24 Tm (01/04/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 272.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 133.99 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 133.99 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 133.99 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 133.99 Tm (Maintenance issues in the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 116.99 Tm (home must be thoroughly )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 99.99 Tm (monitored and addressed)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 133.99 Tm (01/04/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 133.99 Tm ()Tj ET endstream endobj 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 701.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 295.8 684.18 Tm (So that the building is fit to )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 667.18 Tm (ensure people's privacy and )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 650.18 Tm (dignity is maintained.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 628.68 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 628.68 Tm (27)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 628.68 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 628.68 Tm (The home must make a )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 611.68 Tm (formal and recorded )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 594.68 Tm (assessment of the staffing )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 577.68 Tm (levels in the home and keep )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 560.68 Tm (staffing levels under review.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 543.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 526.68 Tm (To ensure that there are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 509.68 Tm (adequate numbers of staff a )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 492.68 Tm (all times to meet the needs )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 475.68 Tm (of the people who live there.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 628.68 Tm (01/04/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 628.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 456.43 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 456.43 Tm (31)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 456.43 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 456.43 Tm (The Manager must complete )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 439.43 Tm (her current training and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 422.43 Tm (keep her training up-to-date)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 405.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 388.43 Tm (So that the home may be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 371.43 Tm (managed in an effective way)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 456.43 Tm (31/12/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 456.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 352.18 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 352.18 Tm (36)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 352.18 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 352.18 Tm (Staff in the home must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 335.18 Tm (receive regular support and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 318.18 Tm (supervision)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 301.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 284.18 Tm (To ensure that they have )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 267.18 Tm (the assistance they need in )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 250.18 Tm (meeting the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 233.18 Tm (people who live in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 352.18 Tm (01/04/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 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d [] 0 d 2.25 w 567.32 210.07 m 567.32 119.07 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 192.8 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 175.22 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 160.64 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 146.06 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 125.24 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 125.24 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 125.24 Tm (Good Practice Recommendations)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. 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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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!k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 73 0 obj<> endobj 27 0 obj<> endobj 74 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 75 0 obj<> endobj 76 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 77 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 62 0 obj<> endobj 78 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 85 0 obj<> endobj 86 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 87 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 88 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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