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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 414.45 m 160.38 414.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 414.45 m 563.65 414.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 367.87 m 565.85 367.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 366.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Southmead)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (159 York Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Broadstone)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Poole)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (Dorset)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 374.52 Tm (BH18 8ES)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 355.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 338.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 319.08 m 358.95 319.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 319.08 m 565.9 319.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.5 m 568.1 330.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 307.67 m 568.1 307.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 331.57 m 30.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 331.57 m 360.07 306.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 331.57 m 567.02 306.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 314.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 314.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 314.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 314.31 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 295.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 259.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 259.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 242.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 242.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 225.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 207.88 m 315.25 207.88 l S 0.001 w 20.58 w 317.5 207.88 m 565.9 207.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 185.05 m 346.55 185.05 l S 0.001 w 20.58 w 348.8 185.05 m 377.9 185.05 l S 0.001 w 20.58 w 380.15 185.05 m 409.2 185.05 l S 0.001 w 20.58 w 411.45 185.05 m 440.55 185.05 l S 0.001 w 20.58 w 442.8 185.05 m 471.9 185.05 l S 0.001 w 20.58 w 474.15 185.05 m 503.2 185.05 l S 0.001 w 20.58 w 505.45 185.05 m 534.55 185.05 l S 0.001 w 20.58 w 536.8 185.05 m 565.9 185.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.29 m 568.1 219.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.46 m 568.1 196.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 173.63 m 568.1 173.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.37 m 30.07 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 220.37 m 316.37 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 197.54 m 347.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 197.54 m 379.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 197.54 m 410.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 197.54 m 441.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 197.54 m 473.02 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 197.54 m 504.32 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 197.54 m 535.67 172.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.37 m 567.02 172.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 203.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 203.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 180.28 Tm (Peter Still)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 180.28 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 180.28 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 180.28 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 180.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 180.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 180.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 144.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 127.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 115.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 103.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.csci.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Southmead)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (159 York Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Broadstone)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Poole)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Dorset)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (BH18 8ES)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01202694726)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01202659495)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (robert@southmead.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.71 m 353.25 523.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.71 m 565.9 523.71 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 500.88 m 353.25 500.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.88 m 565.9 500.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 488.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 381.21 541.77 Tm (Penelope Anne )Tj ET /F2 12 Tf BT 1 0 0 1 474.55 541.77 Tm (Fletcher)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 518.94 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 496.11 Tm (16)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.17 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 457.68 m 565.6 457.68 l S 0.001 w 41.16 w 31.2 424.56 m 297.2 424.56 l S 0.001 w 20.58 w 299.45 434.85 m 565.6 434.85 l S 0.001 w 20.58 w 299.45 414.27 m 432.52 414.27 l S 0.001 w 20.58 w 432.52 414.27 m 565.6 414.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.09 m 567.8 469.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.26 m 567.8 446.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.85 m 567.8 402.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.17 m 30.07 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.34 m 298.32 401.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.17 m 566.72 401.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 452.91 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.08 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.08 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 409.5 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 409.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 380.77 m 297.3 380.77 l S 0.001 w 35.16 w 299.55 380.77 m 431.45 380.77 l S 0.001 w 35.16 w 433.7 380.77 m 565.6 380.77 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 350.65 m 565.6 350.65 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 362.07 m 567.8 362.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 399.48 m 567.8 399.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.07 m 567.8 362.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.24 m 567.8 339.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 400.55 m 30.07 338.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 400.55 m 298.42 360.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 400.55 m 432.57 360.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 400.55 m 566.72 338.16 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.29 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 368.71 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.29 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.29 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 345.88 Tm (Additional conditions: )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 324.45 m 315.25 324.45 l S 0.001 w 1 1 1 RG 20.58 w 317.5 324.45 m 346.55 324.45 l S 0.001 w 20.58 w 348.8 324.45 m 377.9 324.45 l S 0.001 w 20.58 w 380.15 324.45 m 409.2 324.45 l S 0.001 w 20.58 w 411.45 324.45 m 440.55 324.45 l S 0.001 w 20.58 w 442.8 324.45 m 471.9 324.45 l S 0.001 w 20.58 w 474.15 324.45 m 503.2 324.45 l S 0.001 w 20.58 w 505.45 324.45 m 534.55 324.45 l S 0.001 w 20.58 w 536.8 324.45 m 565.9 324.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 335.86 m 568.1 335.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.03 m 568.1 313.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 336.94 m 30.07 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 336.94 m 316.37 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 336.94 m 347.67 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 336.94 m 379.02 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 336.94 m 410.32 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 336.94 m 441.67 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 336.94 m 473.02 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 336.94 m 504.32 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 336.94 m 535.67 311.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 336.94 m 567.02 311.95 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 319.68 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 300.03 m 565.9 300.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 290.41 m 568.1 290.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 291.48 m 30.07 100.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 291.48 m 567.02 100.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 309.66 m 568.1 309.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.41 m 568.1 290.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 101.16 m 568.1 101.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 310.73 m 30.07 289.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 310.73 m 567.02 289.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 296.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 296.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 277.22 Tm (Southmead is registered with the Commission for Social Care Inspection to provide )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 260.22 Tm (accommodation and personal care for a maximum of 16 older people. The home is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 243.22 Tm (owned by Mr and Mrs Fletcher and Mrs Fletcher is in day-to-day charge of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 226.22 Tm (Mr and Mrs Fletcher live on the premises. The home is in a quiet, residential area of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 209.22 Tm (Broadstone, which has a wide range of shops and local amenities. The premises consist )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 192.22 Tm (of a lounge and dining room and 4 bedrooms on the ground floor, and 8 bedrooms on )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 175.22 Tm (the first floor. 3 of the bedrooms are double rooms. Not all areas on the first floor can )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 158.22 Tm (be reached by the stair lift. The home is very well maintained and has a particularly )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 141.22 Tm (attractive garden.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 124.22 Tm (At the time of the inspection fees ranged from three hundred and sixty nine pounds to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 107.22 Tm (five hundred and forty pounds per week.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 86.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 69.85 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 19 0 obj<> endobj 20 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (This inspection was carried out by one inspector but throughout the report the term )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm ('we' is used, to show that the report is the view of the Commission for Social care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (Inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (Prior to the inspection, we considered information, which had been sent to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (Commission. We spoke with one health care professional and we read the responses to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (surveys we had sent out; we received responses from ten residents, ten staff and four )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (healthcare professionals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (The inspection was unannounced and we spoke with residents, and staff. We examined )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (files, including care plans and used three files in particular to track the care of )Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 1 1 1 RG 61.32 w 32.32 781.87 m 566.72 781.87 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 750.08 m 568.92 750.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 749.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 749.01 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (residents.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (We made a tour of the building and garden.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm ()Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 166.38 w 32.32 707.63 m 566.72 707.63 l S 0.001 w 20.58 w 32.7 611.9 m 569.35 611.9 l S 0.001 w 166.38 w 33.82 516.17 m 568.22 516.17 l S 0.001 w 20.58 w 33.45 420.44 m 570.1 420.44 l S 0.001 w 180.96 w 34.57 317.42 m 568.97 317.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 623.32 m 568.92 623.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 622.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 623.32 m 569.35 623.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 600.49 m 569.35 600.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 600.49 m 570.42 600.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 431.86 m 570.42 431.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 409.03 m 570.1 409.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 431.86 m 570.1 431.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 409.03 m 571.17 409.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 225.82 m 571.17 225.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 601.57 m 32.7 430.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 410.11 m 33.45 224.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 622.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 601.57 m 569.35 430.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 410.11 m 570.1 224.74 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (We found Southmead to be a relaxed and friendly home. The home is small and there )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (is a homely atmosphere, where residents and staff know each other well. Mrs Fletcher )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (is experienced and provides a hands on management approach shows great )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (commitment to residents, which was acknowledged by them. The supportive staff team )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (were seen to be happy and alert to residents needs. Residents made it very clear that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (they feel well supported by staff and their company enhances their lives. One member )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (of staff said that in other homes, where they have worked, there is little or no time to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (talk to residents and that at Southmead, this is a very important part of the life of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (The home has a beautiful garden, which is used and enjoyed by residents.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 706.08 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 609.79 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 607.13 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 610.35 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 514.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 584.3 Tm (The environment has been improved with decoration, the upgrading of two bathrooms )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 569.72 Tm (and installation of specialist baths.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 555.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 540.56 Tm (Staff have worked hard to gain national Vocational Qualifications and further training )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 525.98 Tm (has been undertaken.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 511.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 496.82 Tm (Improvements to the medication system have been made.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 482.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 467.66 Tm (The importance of notifying the Commission for Social Inspection of any occurrence, )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm (which may affect the well being of a resident has been understood and notifications )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm (have been made.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 514.62 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 418.89 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 415.67 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 315.87 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 392.84 Tm (The formal care plan file and recording system could be improved so that there is a )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 378.26 Tm (clear and straightforward care plan for each resident, providing immediate information )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 363.68 Tm (on all aspects important to residents.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 349.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 334.52 Tm (A key worker system could support improvements for residents.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 319.94 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 305.36 Tm (An activities coordinator could help to ensure all residents and those with differing )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 290.78 Tm (needs can achieve a more fulfilled lifestyle and that their wishes can be explored with )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 276.2 Tm (increased opportunities.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 261.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 247.04 Tm (There should be a review of the environment to check that it remains a good and safe )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 232.46 Tm (place for residents to live.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 210.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 190.14 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 190.14 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 190.14 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 172.64 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 152.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 132.65 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 132.65 Tm (www.csci.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 492.84 132.65 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 115.15 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 115.15 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 513.83 115.15 Tm (0870 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 97.66 Tm (240 7535.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.46 w 33.45 325 m 563.65 325 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 184.96 w 32.32 313.76 m 564.78 313.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 219.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 219.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 220.15 m 566.98 220.15 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (People considering living at the home are provided with information to assist their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (decision making.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.7 Tm (A pre admission process including assessment, ensures the home can meet people's )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.2 Tm (needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 246.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 229.21 Tm (The home does not provide intermediate care.)Tj ET 0.99608 0.9451 0.76078 RG 126.06 w 33.45 131.25 m 563.65 131.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 185.28 m 565.9 185.28 l S 0.001 w 104.68 w 32.32 119.44 m 564.78 119.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 172.91 m 566.98 172.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 173.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 173.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 172.91 m 565.9 172.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 181.97 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (We reviewed the Statement of Purpose and Service User Guide, which gave detail )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (concerning all key aspects about the home. We noted that the section concerning how )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (to make a complaint, had been revised with the new contact details of the Commission )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (for Social Care Inspection. These documents had been recently updated and were well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (laid out, easy to read and contained pictures. The Annual Quality Assurance )Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 251.32 w 33.45 685.74 m 563.65 685.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 229.95 w 32.32 673.93 m 564.78 673.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 556.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 556.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 557.84 m 566.98 557.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (Assessment document produced by the home said that there are plans to produce the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Service User Guide in large print and to enhance their current web site with additional )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (pre-placement information.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (We reviewed the care files of three people as part of our case tracking approach to this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (inspection. We found that each file contained a local authority single assessment, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (setting out the needs for the individual and including risk areas. One file also included )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (a personal history, which provided carers with important background information. Files )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (contained an admission plan and there was evidence of family involvement. A separate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (file contained detail about financial matters including up to date contracts of residency.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Southmead does not provide a specialist intermediate care service, solely to help )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (people to return home. )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 277.44 w 33.45 324.01 m 563.65 324.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 254.94 w 32.32 312.76 m 564.78 312.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 183.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 183.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 184.17 m 566.98 184.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (Care plan files include important information so that staff are aware of individual )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (needs. Improvement to the file system, which the provider is aware of, will make )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (access easier for staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (Healthcare professionals provide support when required.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm (Input from external agencies supports good administration of medication.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 245.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 228.22 Tm (People living at the home are treated with respect and dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 210.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 193.23 Tm (Staff are respectful and sensitive during end of life care.)Tj ET 0.99608 0.9451 0.76078 RG 90.07 w 33.45 113.26 m 563.65 113.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 149.3 m 565.9 149.3 l S 0.001 w 68.7 w 32.32 101.45 m 564.78 101.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 136.93 m 566.98 136.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 138 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 138 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 136.93 m 565.9 136.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 145.99 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (We examined the files of four residents and found information to show that their needs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (were known and reviewed. Each file contained a photograph of the resident, which also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (made it clear who the information related to. The files we examined had recent review )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (dates and detail was found on the files.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Whilst the care plan files we examined contained key information, it was not easy to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (find. Some information was set out as an account of an incident or points that had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (occurred. It will be helpful for the format to be revised so that the formal care plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (includes the key areas of need, such as: personal care and physical well being; diet; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (communication; oral health and foot care; mobility; history of falls; continence; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (medication mental state and cognition; interests and activities; risk assessments; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (detail about those people important to the individual. The care plan should include a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (daily living plan with goals. Where people share a bedroom, detail concerning residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (agreements, should also be set out and reviewed along with all the other points within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Only one of the four files we examined contained risk assessments, which had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (completed where necessary and using headings, which represented good practice. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (other files did contain abuse and vulnerability assessments. Risks had been outlined )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (within the single assessments, when people had been admitted.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (We spoke with a member of staff about care plans and were told that because staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (know residents so well, it was felt the current system was satisfactory. However we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (consider it would be helpful to review the current system and in discussion with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (provider/manager, it was agreed it is an important task to respond to. An index and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (headings to care files would be also be helpful.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We considered the responses to surveys we had sent out to healthcare professionals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (and spoke directly to one professional. The four responses were positive and one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (professional spoken with, said: "It is a valuable local service and I would be happy for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (my relative to live at the home". Positive points were also made about the hands on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (approach of the provider manager, her commitment and that of her staff team. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Another professional said, in terms of whether individuals health care needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (by the care service: "Carers are careful to follow instructions" and "Staff are always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (kind and support the wishes of the patients".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (We spoke with seven residents who were all very positive in relation to their comments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (about the way staff provide care, show commitment and kindness. One resident said )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (that if a resident calls out from the lounge, staff immediately respond, using the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (residents name, since staff know residents so well. The resident added that the way )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (staff respond, gives reassurance.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (We considered the use of double rooms at the home and found that one was being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (used as a single bedroom. A survey response we received from staff had said: "We )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 741.21 w 33.45 440.8 m 563.65 440.8 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 719.84 w 32.32 428.99 m 564.78 428.99 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.95 m 566.98 67.95 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (have problems with shared rooms because some clients are very noisy at night", which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (also raised a staffing issue. We spoke with residents about this and one person said )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (they really did hope they could move into a single room soon. We talked with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (providers about this and the difficulty was understood and options would be consider.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The home does not use a 'key worker' system to support residents and the merits of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (this approach were discussed. If introduced, it would mean that each resident would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (have a named member of staff who would have a specific responsibility for one or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (more residents to ensure their needs and wishes are supported to improve their lives. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (This task does not take away responsibility from the provider/manager but it supports )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (good communication and helps to ensure agreed action is undertaken. A 'key worker' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (will spend time regularly talking to the resident and will usually produce a monthly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (report, which will be linked to changes and review of the care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Policies and procedures were in place concerning medication and we examined a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (recent review undertaken by the Primary Care Team of the Southmead medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (administration system. A form following the visit had been completed and given to Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Fletcher. A number of points were made and Mrs Fletcher confirmed that she had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (addressed the issues. A senior member of staff is now supporting the medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (process and also checks and double signs medication delivered to the home each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (month. The form given to the home had a section called 'Action Plan' and this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (contained one point, which read: "Update homely remedies and audit".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The home uses the services of a large pharmacy, who provide a blister pack )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (medication system. This was checked for the day of inspection and it was seen that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (medication had been given and signed for. The Annual Quality Assurance Assessment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (also noted that the pharmacy undertakes annual audits of the home's medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (system. The home had needed to provided a secure medication cabinet, which was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (seen at the home, it had not been securely fixed to a wall, however this task was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (completed immediately following the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (Staff were observed to be respectful of residents during the day and maintaining )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (privacy and dignity. One person was being supported in bed during the inspection and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (we observed staff being with this person frequently. One member of staff was seen to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (be gently helping the person with their food at lunch time. We were shown a sign, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (which is put onto the door of a residents room, when staff are engaged in giving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (personal care to promote privacy and dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (Care files reviewed, included information important for staff to be aware of, during end )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (of life care. The provider is considering the introduction of the palliative care 'Gold )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Standards Framework'. )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 410.5 m 563.65 410.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 149.97 w 32.32 399.25 m 564.78 399.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 322.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 322.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 323.14 m 566.98 323.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Residents are offered choices of activity to enhance daily life.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (Families and friends are encouraged to visit.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 349.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.2 Tm (Balanced meals and choice is offered to meet resident's tastes and needs.)Tj ET 0.99608 0.9451 0.76078 RG 229.05 w 33.45 182.75 m 563.65 182.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 288.27 m 565.9 288.27 l S 0.001 w 207.68 w 32.32 170.94 m 564.78 170.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 275.9 m 566.98 275.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 276.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 275.9 m 565.9 275.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 284.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (Residents are provided with opportunities for activity. Trips out are arranged and some )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (people choose to go out frequently. Residents enjoy the activities of the local church )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (and local community. One resident spoken with said that Mrs Fletcher often takes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (residents out shopping.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (Entertainers visit the home regularly, including a violinist and shows are performed. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (The home has a 'memory box', though recently this has not been used much. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (weather was good on the day of inspection and staff spent time in the attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (garden with residents. Two staff spoken with said that residents really enjoy having )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (conversation and said they do have time to chat to residents. Surveys and discussion )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (with staff found that whilst there was activity provided, there could be more emphasis, )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 513.76 w 33.45 554.53 m 563.65 554.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 492.39 w 32.32 542.71 m 564.78 542.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 295.39 m 566.98 295.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (in particular because the home has residents with distinctly differing needs. This was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (discussed with the provider manager, who agreed this was an area that needed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (renewed effort; staff had already raised it with her. We discussed the merits of having )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (one member of staff with delegated responsibility to coordinate activities and provide )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (an overview to promote all residents wishes for a fulfilling life. We spoke with one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (resident who enjoys their 'Talking Book' service and a resident who said they enjoy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (listening to classical music. We shared information about the 'British Wireless for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Blind Fund', which is a registered charity and may be of some interest.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Three residents spoken with talked particularly about their relatives and how they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (enjoy their visits and this showed that the home encourages and helps families and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (friends with their visits to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (One relative, within their survey response to us, gave the following list of activities: )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ("Good variety of visiting musicians and singers; gentle exercises class fortnightly; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (occasional special trips out: panto, river trip, garden centre; summer garden party; )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (monthly communion and monthly service".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (One resident who answered our survey question about activities they could take part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (in said: "Sometimes". This indicated there could be more emphasis on activity.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (The home has their own chef,who was enthusiastic about their work and was aware of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the importance of diet and good food for residents. The menu was discussed and there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (was evidence of choices. Likes and dislikes were recorded as well as specific dietary )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (needs. The main meal of the day was roast lamb and residents, both on the day of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (inspection and in their survey responses, gave high praise for their food. One resident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (in their survey response said they could eat another roast potato, but only because )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (they were so tasty and another said: " Food is plentiful and there is always a choice. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Chef is a very good cook". We asked the chef where food was sourced and found that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (local butchers were used, with suppliers from: Bridport, Scotland and the New Forest. )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.63 m 566.98 426.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (The home has a complaints and adult protection system to ensure residents can be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (protected and supported if there are concerns.)Tj ET 0.99608 0.9451 0.76078 RG 237.45 w 33.45 282.04 m 563.65 282.04 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 214.95 w 32.32 270.79 m 564.78 270.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 161.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 161.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 162.19 m 566.98 162.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (Since the last inspection, anonymous concerns had been raised about medication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (points concerning residents. These were looked into by the Local Authority and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (home was informed the matters were unfounded.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (We spoke with three staff about adult protection training and abuse. They knew the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (steps to take if they had a concern, which included 'whistle blowing'. Staff also knew )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (they could contact the Commission for Social Care Inspection or other agencies if they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (wished. Staff talked about their National Vocational Qualification training and that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (adult protection was covered in their learning programme.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (One resident in their survey response to us about who they would talk to if they had a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (concern, said: "Mrs Fletcher or any member of her staff".)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 242.45 w 33.45 409.51 m 563.65 409.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 219.95 w 32.32 398.26 m 564.78 398.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 286.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 286.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 287.16 m 566.98 287.16 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Residents live in a home, which is generally well-maintained, decorated and furnished, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (however some areas are tired and in need of up-grading.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (Residents enjoy a homely atmosphere and have access to a pleasant garden area.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 348.71 Tm (Specialist bath equipment helps people to maintain dignity, whilst supporting their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 331.21 Tm (personal care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 313.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 296.22 Tm (The home was fresh and clean. )Tj ET 0.99608 0.9451 0.76078 RG 193.06 w 33.45 164.76 m 563.65 164.76 l S 0.001 w 1 1 1 RG 22.5 w 31.2 252.29 m 565.9 252.29 l S 0.001 w 171.69 w 32.32 152.95 m 564.78 152.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 239.92 m 566.98 239.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 240.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 240.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 239.92 m 565.9 239.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 248.98 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (Whilst much of the home was in good decorative order, the kitchen in particular )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (requires up-grading. A part of the floor was stained and work surfaces needed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (replacing. A recent Environmental Health report also found that upgrading was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (needed. The providers said they have plans to carry out this work.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (The providers have a maintenance programme for the home and some redecoration )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (had taken place since the last inspection. Extensive works had also been completed to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (upgrade two bathrooms, providing specialist baths. The bathrooms were tiled in a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (homely way and were pleasant for residents to use. A new specialist washer unit had )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (also been installed in the laundry. Windows in the home have been replaced and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (window restrictors were in place; a member of staff demonstrated how they work.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Some furniture in bedrooms was seen to be worn and needed replacement, for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (example a table and a chest of drawers. One carpet was also seen to be rucked slightly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and may cause a tripping hazard. The provider manager said furniture and carpets )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (would be replaced or attended to where necessary. A section of ceiling paper had come )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (away in a bedroom and needed attention.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (Staff in their survey response had drawn attention to the difficulties posed by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (building and lack of space to care for people as they become more dependant. Concern )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (was also raised about a step in the downstairs toilet, where residents had fallen. It was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (said that a "standing hoist" should be used but this was not enforced by the manager. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (We viewed the hoist and the provider manager said that currently it was not needed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (for residents. Residents were seen visiting the toilet and no difficulties were observed. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (However it is clearly necessary to continue to risk assess this potential hazard for each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (resident. Two healthcare professionals also made reference to the building. One said: )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ("constrained by way out of building", another said: " The building is adapted and not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (purpose built. However the staff manage well within the constraints of the building". )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Seven residents spoken with about the building, were all positive in their responses. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Some talked about having been at the home for a long time and feel it is very much )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (their home and are happy with the way it is for them. One said that because the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (is quite small, staff are never far away.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The home was seen to be fresh, clean and tidy and we found no unpleasant odours. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (Antibacterial hand gel was available for staff to use.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (The garden area was considered to be excellent, it was attractively planted and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (included water features. There was a variety of places for people to sit and shade was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (provided. A resident was sitting in the garden as we arrived and during the day, many )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (residents enjoyed the garden environment. One resident talked about how the owners )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (are seen tending the garden "they are out there every evening". There was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (appreciation for the way the garden is kept for residents to enjoy.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.95 w 33.45 418.26 m 563.65 418.26 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 202.46 w 32.32 407.01 m 564.78 407.01 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 303.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 303.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 304.65 m 566.98 304.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Residents can be confident that they are supported by competent staff, in sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (numbers to meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (Recruitment practice, including policies and procedures, ensures residents are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.2 Tm (protected.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 348.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 331.21 Tm (The staff team take advantage of training opportunities to ensure they have the skills )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 313.72 Tm (to care for residents.)Tj ET 0.99608 0.9451 0.76078 RG 210.56 w 33.45 173.51 m 563.65 173.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 269.79 m 565.9 269.79 l S 0.001 w 189.19 w 32.32 161.69 m 564.78 161.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 257.41 m 566.98 257.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 258.49 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 258.49 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 257.41 m 565.9 257.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 266.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (As we arrived at the home, the staff team were being provided with a training event )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (by an external trainer in fire prevention and procedures. Staff were engaged in fire )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (scenarios and were observed to be a happy team of staff, used to working together )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (and enjoying their training. It was noted that extra staff were available during the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (training to care for residents.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (We spoke with a number of staff during the day, they were experienced and highly )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (motivated, clearly enjoying their work and knew the needs of residents well. One )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (member of staff commented that they like to work at Southmead because they enjoy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (caring for residents they have known for a long time and working with the staff and )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 583.74 w 33.45 519.53 m 563.65 519.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 562.37 w 32.32 507.72 m 564.78 507.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 225.41 m 566.98 225.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (the owner/manager. Commitment and positive feedback was given by all staff spoken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (with and residents spoken with too, emphasised the importance of the caring staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (team to their happiness. Other comments from staff included: "Because it is a small )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (home you get to know the residents very well"; The owner manager "is very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (approachable"; "The last staff meeting was on 09/03/09 and I can make any points I )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (want and am listened to"; I have regular supervision, it is supportive"; "Staff all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (support each other"; "Further training concerning dementia and individual needs could )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (be helpful". We were told that all staff have been provided with training in relation to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (dementia, recently, however this importantly remains a key point for staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (Other comments made by staff within their survey responses to us included: "The staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (are very friendly both to one another and to residents. The residents are treated to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (highest standards and all their needs are met. It is a really lovely place to work, as an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (employee, I put my heart and sole into my work because I really do enjoy the work )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and the workplace". One member of staff responding to our survey about staffing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (levels, said: "There are enough staff, unless somebody is ill. The manager always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (steps in and helps anyway so we are never without help".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Concerning communication between staff, survey responses included: "There could be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (better communication". The home's Annual Quality Assurance Assessment drew some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (attention to this by stating that there would be consideration of team building )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (exercises to encourage employees to work together. We reviewed well recorded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (minutes of the recent staff meeting.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The home employed fourteen staff and seventy three percent had achieved National )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (Vocational Qualification at level two or higher; there are five senior staff, who all have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (the level three award.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (We examined the personal files for two staff and found good recruitment practice, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (which included: Application with career history; Criminal Records Bureau checks; two )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (references; and photograph of the individual. We reviewed staff supervision notes and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (found them to be well recorded and with evidence of regular supervision.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 350.75 m 563.65 350.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 167.46 w 32.32 339.5 m 564.78 339.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 253.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 253.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 254.65 m 566.98 254.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Residents can be assured the home is run by an experienced and competent person, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (who residents and staff find is approachable and provides supportive leadership.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (The home has financial procedures in place to safeguard residents.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.71 Tm (Resident's health and safety is promoted and protected by policies and procedures.)Tj ET 0.99608 0.9451 0.76078 RG 160.55 w 33.45 148.5 m 563.65 148.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 219.78 m 565.9 219.78 l S 0.001 w 139.18 w 32.32 136.69 m 564.78 136.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 207.4 m 566.98 207.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 208.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 208.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.4 m 565.9 207.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 216.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (Mrs Fletcher owns and runs the home with her husband and provides a very 'hands on' )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (approach, working at the home on a daily basis. They have run the home for many )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (years and have significant experience. Mrs Fletcher has completed the National )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (Vocational Qualification at level four in management of care.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (Resident's gave high praise for the care provided by Mrs Fletcher and one resident said )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm ("It is wonderful that the Fletcher's live here". This gave an indication that residents )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.88 m 566.98 347.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (feel well supported by owners who show commitment to their care and needs. One )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (resident said: "Any little query, we can put to Mrs Fletcher and it is responded to". )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Another resident said: "It is homely - a first class home - nothing could be better and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the staff are kindly". One relative said in their survey response to us: "Southmead is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (quite simply an excellent care home. Its small size and friendly caring atmosphere )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (make it feel as close to a 'family' as is possible for such establishments. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (environment is enhanced by fresh flowers and a lovely garden. They deserve to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (highly commended!". Many other residents or relatives made similar references. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Another relative said: "Very nice and friendly home and I feel my relative is very lucky )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (to be here - we rate Southmead very highly and would recommend it to anyone".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (One health care professional responding to our survey said: The home is a "small well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (managed residential care home meeting individual needs, friendly staff - a very well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (run home".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Annual quality assurance had been undertaken by the providers, with analysis and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (points emerging responded to. Questionnaires are sent out to residents, staff and to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (external agencies and families. The survey in relation to food was seen and responses )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (were positive. It was noted that the chef had worked hard to produce a thorough )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (analysis of the surveys.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (A resident's meeting was due to take place the week after this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The home has policies and procedures in place to protect the health and safety of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (residents and risk assessments support practice.)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 67.32 w 31.2 580.89 m 91.05 580.89 l S 0.001 w 67.32 w 93.3 580.89 m 197.4 580.89 l S 0.001 w 67.32 w 199.65 580.89 m 289.45 580.89 l S 0.001 w 67.32 w 291.7 580.89 m 473.8 580.89 l S 0.001 w 67.32 w 476.05 580.89 m 566.1 580.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 546.1 m 568.3 546.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 545.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 545.03 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (Schedule 4 12 )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 584.91 Tm (\(a\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (You are required to record )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (any accidents that occur in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 552.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (04/07/2008)Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 477.47 m 566.2 477.47 l S 0.001 w 18.15 w 31.2 432.49 m 91 432.49 l S 0.001 w 18.15 w 93.25 432.49 m 197.4 432.49 l S 0.001 w 18.15 w 199.65 432.49 m 566.2 432.49 l S 0.001 w 1 1 1 RG 78.9 w 31.2 381.71 m 91.05 381.71 l S 0.001 w 78.9 w 93.3 381.71 m 197.4 381.71 l S 0.001 w 78.9 w 199.65 381.71 m 566.1 381.71 l S 0.001 w 64.32 w 31.2 307.85 m 91.05 307.85 l S 0.001 w 64.32 w 93.3 307.85 m 197.4 307.85 l S 0.001 w 64.32 w 199.65 307.85 m 566.1 307.85 l S 0.001 w 122.64 w 31.2 212.12 m 91.05 212.12 l S 0.001 w 122.64 w 93.3 212.12 m 197.4 212.12 l S 0.001 w 122.64 w 199.65 212.12 m 566.1 212.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 442.69 m 568.4 442.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 422.29 m 568.4 422.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 443.77 m 92.12 340.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.14 m 568.3 341.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.57 m 568.3 274.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 568.4 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.69 m 568.4 442.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 422.29 m 568.3 422.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.14 m 568.3 341.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 274.57 m 568.3 274.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 149.68 m 568.3 149.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 513.34 m 30.07 148.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 423.37 m 92.17 148.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 443.77 m 198.52 148.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 513.34 m 567.32 148.6 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 496.07 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 478.49 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 449.33 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 431.51 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 428.51 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 428.51 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 406.1 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 406.1 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 406.1 Tm (A review of the care plan file system and introduction of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 391.52 Tm (headings and an index to the files would help staff to find )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 376.94 Tm (necessary information swiftly. This would also ensure )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 362.36 Tm (greater clarity for the monthly review of care plans, )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 347.78 Tm (including risk assessments.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 324.95 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 324.95 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 324.95 Tm (Further consideration of ways of encouraging activity could )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 310.37 Tm (improve the lives of residents. A member of staff with )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 295.79 Tm (specific responsibility to coordinate and provide an )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 281.21 Tm (overview, may be helpful. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 258.38 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 258.38 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 258.38 Tm (The providers should undertake work to upgrade the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 243.8 Tm (kitchen as directed by the local Environmental Health )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 229.22 Tm (Services, following their recent visit to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 214.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 200.06 Tm (There should be a review of furniture and fittings at the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 185.48 Tm (home to ensure items are repaired or replaced as )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.9 Tm (necessary. This particularly related to a rucked carpet and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 156.32 Tm (to a worn table and chest of drawers. )Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (0845 015 0120 or )Tj ET /F2 12 Tf BT 1 0 0 1 213.36 759.6 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (0845 015 2255 )Tj ET /F2 12 Tf BT 1 0 0 1 198.12 739.6 Tm (or )Tj ET /F2 12 Tf BT 1 0 0 1 214.75 739.6 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.csci.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj[6 0 R/XYZ 0 254.42 0] endobj 71 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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 ,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 78 0 obj<> endobj 79 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 80 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 63 0 obj<> endobj 81 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 84 0 obj<> endobj 85 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 86 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 87 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Online ordering from \ the )Tj 0 -17.49 TD (Stationery Office is also available: )Tj 0 0 1 rg (www.tso.co.uk/bookshop)Tj 0 0 0 rg 0 -39.99 TD (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 18 -20 Td (\267)Tj /T1_0 12 Tf 18 0 Td (Put the people who use social care first)Tj /T1_1 12 Tf -18 -17.64 Td (\267)Tj /T1_0 12 Tf 18 0 Td (Improve services and stamp out bad practice)Tj /T1_1 12 Tf -18 -17.64 Td (\267)Tj /T1_0 12 Tf 18 0 Td (Be an expert voice on social care)Tj /T1_1 12 Tf -18 -17.64 Td (\267)Tj /T1_0 12 Tf 18 0 Td (Practise what we preach in our own organisation)Tj -36 -40.14 Td (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 106 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.56 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 30.79 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 454.22 0 Td (Page)Tj /T1_0 12 Tf 2 Tr 30.53 0 Td (3)Tj /T1_0 11 Tf 0 Tr ( of )Tj /T1_0 12 Tf 2 Tr 25.93 0 Td (27)Tj /C2_0 14 Tf 0 Tr -513.53 764.86 Td <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.996 0.945 0.761 RG 20.58 w q 1 0 0 1 28.35 774.22 cm 0 0 m 195.7 0 l S Q 1 1 1 RG q 1 0 0 1 226.3 774.22 cm 0 0 m 340.7 0 l S Q 0.996 0.945 0.761 RG q 1 0 0 1 28.35 751.39 cm 0 0 m 195.7 0 l S Q 1 1 1 RG q 1 0 0 1 226.3 751.39 cm 0 0 m 340.7 0 l S Q 0.996 0.945 0.761 RG q 1 0 0 1 28.35 728.56 cm 0 0 m 195.7 0 l S Q 1 1 1 RG q 1 0 0 1 226.3 728.56 cm 0 0 m 340.7 0 l S Q 0.996 0.945 0.761 RG q 1 0 0 1 28.35 705.73 cm 0 0 m 195.7 0 l S Q 1 1 1 RG q 1 0 0 1 226.3 705.73 cm 0 0 m 340.7 0 l S Q 0.996 0.945 0.761 RG 151.8 w q 1 0 0 1 28.35 617.29 cm 0 0 m 195.7 0 l S Q 1 1 1 RG q 1 0 0 1 226.3 617.29 cm 0 0 m 340.7 0 l S Q 0.996 0.945 0.761 RG 20.58 w q 1 0 0 1 28.35 528.85 cm 0 0 m 195.7 0 l S Q 1 1 1 RG q 1 0 0 1 226.3 528.85 cm 0 0 m 340.7 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 26.14 762.8 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 739.97 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 717.14 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 694.31 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 540.26 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 785.63 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 762.8 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 739.97 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 717.14 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 694.31 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 540.26 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 26.14 517.43 cm 0 0 m 543.06 0 l S Q q 1 0 0 1 27.22 786.71 cm 0 0 m 0 -270.36 l S Q q 1 0 0 1 225.17 786.71 cm 0 0 m 0 -270.36 l S Q q 1 0 0 1 568.12 786.71 cm 0 0 m 0 -270.36 l S Q BT /T1_0 12 Tf 31.2 769.45 Td (Document Purpose)Tj 197.95 0 Td (Inspection report)Tj -197.95 -22.83 Td (Author)Tj 197.95 0 Td (CSCI)Tj -197.95 -22.83 Td (Audience)Tj 197.95 0 Td (General public)Tj -197.95 -22.83 Td (Further copies from)Tj 197.95 0 Td (0870 240 7535 \(telephone order line\))Tj -197.95 -22.83 Td (Copyright)Tj 197.95 0 Td [(Copyright \251 \()1(2009\) Commission for Social Care )]TJ 0 -14.58 TD (Inspection \(CSCI\). This publication may be reproduced )Tj T* (in whole or in part, free of charge, in any format or )Tj T* (medium provided that it is not used for commercial )Tj T* (gain. This consent is subject to the material being )Tj T* (reproduced accurately and on proviso that it is not )Tj T* (used in a derogatory manner or misleading context. )Tj T* (The material should be acknowledged as CSCI )Tj T* (copyright, with the title and date of publication of the )Tj T* (document specified.)Tj -197.95 -22.83 Td (Internet address)Tj 197.95 0 Td (www.csci.org.uk)Tj ET endstream endobj 107 0 obj <> endobj 108 0 obj <> endobj 109 0 obj <>stream HlVXTW{`W`fuMĮ*8 b1`%*`}^bl7%"Mq7&Q1|yܹ|)8`H붽eWBc藙 -4/4%Y) 4">2àf@%?^Pe ;hJp^{\TUzƐH< Oj ~/bS O795zlpLx3e^*CV|\Rr;xxO O PT!d jrC;н|9H*BTqҤAӄMkoɭ$g+V6\2-Uݚzc|(󦩤 N*V\j5krq]n ȭn4{۴Y-[n^v}:wڭ=zO>~׷_ 2tp#G#$4,<":&jltLl\|BbRi2&NRu O-8؊" a8p\9|.c"q WpVNWa6PJ _ ~TڎU_\5WP!ʰrKPڞ4t,߲TaFU<:trEeK JoU ,[8EDllQQ}=ԪVՠ O.ݽ`M6ūg^ ƀt;-'Z]:^]{zGEFʸ82CK,uUk*Yh JsVzoP1Xl6c؂9ugmG߾xon@;~ g^\W}pݽOmK-,IeaXGcC n]PSC'f2А$t& Ўh6 ӡ0$0eJf&: eGߝ!ۻ4Vf;lY t-tuo>fެ4g"h{JCzg!Ó'0ϬcaL-6†@u!jM)o8(S?!j 1X?w [VOhUl ҎJ3-8IVʅ\DSBYBjR5eU-LӉyf #Fw~%T+ID1)UiRsQ?5=5h2zan4uzJZ$ }5:b>~Wxߡ'ZȇIj>{ǯ? ;[X6+,PrCY(fIH;V-$&@@T % L R2ʭj,/܈jRQ%-'ePXlGn5Gk6DO޽0Ggձٻ - }hb=wĔ=%/se9>xSл zMz~ ~Ooķe$@]{ZR>k|2 ,-J[^+;*ƪwtu LHE%bca~[D͎E{cAOmhg%:8W9X5 P2n [(e}m* H&<("<)*L6<ɓm?8}#D{ P>ݪMUo[7n֍Bn MР3&'нч_ sQVAK1S mOܳ;ʭ[{Ef/JcmY:6=AW+t[4^,r+4,tl73A7ʊ`8'P4oژH {Krc]jVPAuR-]oB $C>w X @SA 3 miQrc(RÂ;ҒFgp1 w#жDS7_-Z?UmsW 6eGE/5G"T/ ֢QC׽T\յ-Rfc׽w^ߺȿbѾ;߼^>6{#Qw\EޭY0&HbUOĞTg:z56(~"nj. #?WKjZD19nZmE[qog9'F>JETh zW 1kv$e3tbxD=uLϗ-h@.Y2^Կ:|TU7qɴs KqEQUNMt/%K^ҫ0V\n'ŗ)҈g;el0dmDR݁Hp3ՌkQ}'.K>նa!8/Y:>-BG'-0X>GrzKr 5f[ oqEJ̊l^Jc"$) d@s5ZaXDl `eIF&$= V" SӀ Ij/Chv7mawshP} \쳡/ыϮ ]1<9UƜg [jr cCfCqfQ.Ps Pjf\j n:{z֒ŖV+Y!kaY~e"61R̤@ByO̔CۘGKc%d8igfNL 4@ tC&d$?Zg}mss>$ HcX^M'r`'`򠩨ⵡȏT7Ppx-bTm'd"D!wNd'-9Q\F|SG<S^FiTZAd$J.sβs !&܉To%I3 5%hD>uG)!RD Ǟ/QNRAb^O 7 Z TX:~̒U2ҊٻO{>n5-G@0*G9UE,I;/mA~7D;Z^Ng2/{mƫ^EŨ#J \. ǚنTW }[6EY;OmLZn,Qp Ƌ%Э[ٛu!˛D[|Q';Zs@Й?O: u twRmJH5f܃w I VA˜QS$DUO_CbdV^=:C?d>hҸNC^'s\s*S1@yAY.ܳ mdGaWd^$\o]䪟n./+;]io ]Ү6.\^5oieWY?+e/F Cyy|%x3";%Nt IdH2a[&ռ8U٣8zQ'^t^;)2 ^|szXeWo\}y[1 n8c}2v$ԊMUj𙟂ֶLRs!3J\2>S폖,/Uyサvqbs6IJ/ $$4%iJ (QèmԲ"ꤎAQZjB]a4ik72Zֵ/{޳39}~q?Q ۞^iD;rFZӼZTpd 4'a">UV\Dȕdƭ24IQ9KDBGi2RkW L5m_φֺܾ?L:׾~fW@7*T^2ei+3j:u3q}a.kGh ЦB[fsX)?(|&1ͅk‡QPQ0ϡcO1DgV{0[-eAk/kSq|q>'&mBR)kIGCfjTd:O cͻJ%|9HQE@ł",UPZ$g(ԎW(:614sVu02#wN=쫧(&uD`"Vp8e)"*G'ɶ:9> g(| 1(h,{S83a0&=74oz ^@{މ LroRjvpv4%kqS&vSzwv,;E$rVb Yi.y1eG:+!PA4HȔAVd?&.+_y@#U*UOu5vEe݁O|w?4<4{;UR )V%Qr䈬Xh6G)qDnpqy@EdY\ cOkf'mP zbeEgƚbX~5ӲqFo3FtH'75L=E<&$}&M j~ 4>wz4BO' đ Y&c%d&72,hH)¯h\.=oV;Xߊm--k;m_Cͧ:l=^2sw,} G~<Q>W~"V?ExOZ!}GXWzԻ=-ؖaTY=:8*4;goIh Z&:n)O${9&xH=,bMQn-)cK4(1(q z #,zvzEAڬ$ q=^{nxUha粈G`{jJ^p!O: '>%g݇˴ zvݐ^nQbzޣ_M7p _N)mv;,fOrnp~O!´4N 26SzS􋉤)0=A"?) 5JL<{0=A `:28m`' :$ $|Oj}M>:d W$Lv9ަ_Gԭ_smkn`;n9~t5<wsP1J9Dm^h2 -R-mniʃL2EE!NPC! |߀&Y}כ)r-"KtD`gKuG:{Qڱmwzfi_?(+َϠ e埽tVM]MWp SKW ʌMtok̂J!LIZqZnМ Ɏd}Ѳ-pY4?HYMK$ˁaIω_d(1B?}7Omoys:0@z-)iW/WKx)*Ĉ=1Q/!`84#R49 q iQ 5E4(PK 5hQU-ev^s`M{fdrE X+Y,y^iVj׭u`bY6 @!(^W+Ie Kg2'}4vkǃx#OuEYă \ijQbXV PAIO #mQ~z<3*d~2;=ߦ22~JFMFG BE#yZ(.]b[ Q^(@"_KWHPM>u{}_Ǿvl'vRǹ$'&K@4&P4$CͣS6 +&m DKZi[+VUaSJik%!T6c,}ސie_?rsw~]ri a\䃲ԅ߸t1m{7FO@K7w=3ګdƴq88 :_Ay|-itݒS’+" r*c$šRsk,֕$dJϥMSiܴT{H:;+[NN<oQ[\PNF; C(W'/Bb@=^r#\*l ֢xXTh2_vtvrZe]sUL $k`rJ5/Io#cc!nxhf٫xzݳ}ԈE[TmnXN[N[~Lz1Ğt5 4>фG=D.)$<)O^u2[ު]q#w~J9*X 3~/oDm\.#eț T!jQ\mkCq[/Orb~ 4FOc &*EQL1$83@XJOxQ5M /ҭnb%ϛlU$Ms>:ܟO4$RPl܇7 7W}YY滅kAH8K|Π>xpW΁39/EAlLO6F^lk76ӝ,FKyqfԋ`}t>/k-%A˖ УT<, jWAM# 4oԮ䂧±5pn7-՛4 3$CZ;:7f[Z:ۚ>@[Q㓎N}mmҵ#сycDL2+pGK'd?YXYslP2SĢ( +K԰˛l 7;ҕbJ e|nI3TJ~#N([簒)Vla%[gt䧳[al2y5D#i;Zj'ы~V{lyޣC9U%QWqx]on03pQN  1˘c?^_Zlov}@! 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(Dorset)Tj T* (BH18 8ES)Tj -239 -22.83 Td (Telephone number:)Tj 239 0 Td (01202694726)Tj -239 -22.83 Td (Fax number:)Tj 239 0 Td (01202659495)Tj -239 -22.83 Td (Email address:)Tj 239 0 Td (robert@southmead.co.uk)Tj -239 -22.83 Td (Provider web address:)Tj ET q 1 0 0 1 31.1999969 546.5399933 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 322.05 0 l S Q q 1 0 0 1 355.5 546.5399933 cm 1 1 1 RG 20.58 w 0 0 m 210.4 0 l S Q q 1 0 0 1 31.1999969 523.7100067 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 322.05 0 l S Q q 1 0 0 1 355.5 523.7100067 cm 1 1 1 RG 20.58 w 0 0 m 210.4 0 l S Q q 1 0 0 1 31.1999969 500.8800049 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 322.05 0 l S Q q 1 0 0 1 355.5 500.8800049 cm 1 1 1 RG 20.58 w 0 0 m 210.4 0 l S Q q 1 0 0 1 28.9900055 535.1300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 512.3000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 557.9600067 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 535.1300049 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 512.3000031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 489.4700012 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 559.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -70.64 l S Q q 1 0 0 1 354.3699951 559.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -70.64 l S Q q 1 0 0 1 567.0200043 559.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -70.64 l S Q BT /T1_0 12 Tf 34.05 541.77 Td (Name of registered provider\(s\):)Tj 321.45 0 Td [(Mrs )1(Penelope Anne Fletcher)]TJ -321.45 -22.83 Td (Type of registration:)Tj 324.3 0 Td (care home)Tj -324.3 -22.83 Td (Number of places registered:)Tj 324.3 0 Td (16)Tj /T1_0 10 Tf -330 -18.94 Td (\240)Tj ET q 1 0 0 1 31.1999969 457.6799927 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 534.4 0 l S Q q 1 0 0 1 31.1999969 424.5599976 cm 0.996 0.945 0.761 RG 41.16 w 0 0 m 266 0 l S Q q 1 0 0 1 299.4499969 434.8500061 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 266.15 0 l S Q q 1 0 0 1 299.4499969 414.2700043 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 133.07 0 l S Q q 1 0 0 1 432.5200043 414.2700043 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 133.08 0 l S Q q 1 0 0 1 28.9900055 446.2599945 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 469.0899963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 446.2599945 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 402.8500061 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 30.0700073 470.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -68.4 l S Q q 1 0 0 1 298.3200073 447.3399963 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -45.57 l S Q q 1 0 0 1 566.7200012 470.1699982 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -68.4 l S Q BT /T1_0 12 Tf 34.05 452.91 Td (Conditions of registration:)Tj 0 -22.83 TD (Category\(ies\) :)Tj 268.25 0 Td (Number of places \(if applicable\):)Tj 0 -20.58 TD (Under 65)Tj 133.07 0 Td (Over 65)Tj ET q 1 0 0 1 31.1999969 380.7700043 cm 1 1 1 RG 35.16 w 0 0 m 266.1 0 l S Q q 1 0 0 1 299.5500031 380.7700043 cm 1 1 1 RG 35.16 w 0 0 m 131.9 0 l S Q q 1 0 0 1 433.6999969 380.7700043 cm 1 1 1 RG 35.16 w 0 0 m 131.9 0 l S Q q 1 0 0 1 31.1999969 350.6499939 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 534.4 0 l S Q q 1 0 0 1 28.9900055 362.0700073 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 399.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 362.0700073 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 28.9900055 339.2400055 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 538.81 0 l S Q q 1 0 0 1 30.0700073 400.5500031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -62.39 l S Q q 1 0 0 1 298.4199982 400.5500031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -39.56 l S Q q 1 0 0 1 432.5700073 400.5500031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -39.56 l S Q q 1 0 0 1 566.7200012 400.5500031 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -62.39 l S Q BT /T1_0 12 Tf 34.05 383.29 Td (old age, not falling within any other )Tj 0 -14.58 TD (category)Tj 268.35 14.58 Td (0)Tj 134.15 0 Td (16)Tj -402.5 -37.41 Td (Additional conditions: )Tj ET q 1 0 0 1 31.1999969 324.4499969 cm 0.996 0.945 0.761 RG 20.58 w 0 0 m 284.05 0 l S Q q 1 0 0 1 317.5 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 348.8000031 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 380.1499939 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 411.4499969 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 442.8000031 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 474.1499939 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.05 0 l S Q q 1 0 0 1 505.4499969 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 536.8000031 324.4499969 cm 1 1 1 RG 20.58 w 0 0 m 29.1 0 l S Q q 1 0 0 1 28.9900055 335.8600006 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 313.0299988 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 316.3699951 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 347.6699982 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 379.0200043 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 410.3200073 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 441.6699982 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 473.0200043 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 504.3200073 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 535.6699982 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q q 1 0 0 1 567.0200043 336.9400024 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -24.99 l S Q BT /T1_0 12 Tf 34.05 319.68 Td (\240Date of last inspection)Tj ET q 1 0 0 1 31.1999969 300.0299988 cm 0.996 0.945 0.761 RG 17 w 0 0 m 534.7 0 l S Q q 1 0 0 1 28.9900055 290.4100037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 291.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -191.4 l S Q q 1 0 0 1 567.0200043 291.4799957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -191.4 l S Q q 1 0 0 1 28.9900055 309.6600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 290.4100037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 28.9900055 101.1600037 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 539.11 0 l S Q q 1 0 0 1 30.0700073 310.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q q 1 0 0 1 567.0200043 310.7299957 cm 0.992 0.898 0.545 RG 2.25 w 0 0 m 0 -21.4 l S Q BT /T1_0 12 Tf 35.5 296.47 Td [(Brief description of the )1(care home)]TJ 0 -19.25 TD (Southmead is registered with the Commission for Social Care Inspection t\ o provide )Tj 0 -17 TD (accommodation and personal care for a maximum of 16 older people. The ho\ me is )Tj T* (owned by Mr and Mrs Fletcher and Mrs Fletcher is in day-to-day charge of\ the home. )Tj T* (Mr and Mrs Fletcher live on the premises. The home is in a quiet, reside\ ntial area of )Tj T* (Broadstone, which has a wide range of shops and local amenities. The pre\ mises consist )Tj T* (of a lounge and dining room and 4 bedrooms on the ground floor, and 8 be\ drooms on )Tj T* (the first floor. 3 of the bedrooms are double rooms. )Tj /TT0 12 Tf (A)Tj /T1_0 12 Tf (ll areas on the first floor can )Tj T* (be reached by the stair lift. The home is very well maintained and has a\ particularly )Tj T* (attractive garden.)Tj T* (At the time of the inspection fees ranged from three hundred and sixty n\ ine pounds to )Tj T* (five hundred and forty pounds per week.)Tj -7.15 -20.37 Td (\240)Tj T* (\240)Tj ET endstream endobj 111 0 obj <>stream 0.984 0.788 0.086 RG 17.5 w q 1 0 0 1 28.35 55.27 cm 0 0 m 540 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 33.75 51.96 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 450 1.01 Td (Page )Tj 2 Tr (5)Tj 0 Tr ( of )Tj 2 Tr (27)Tj /T1_1 10 Tf 0 Tr -455.4 -15.36 Td (\240)Tj /T1_0 12 Tf 0 763.98 TD (\240)Tj /T1_0 10 Tf 0 -14.99 TD (\240)Tj /C2_0 14 Tf 0 -24.95 TD <003600580050005000440055005C>Tj /T1_0 12 Tf 0 -20.95 TD (This is an overview of what we found during the inspection.)Tj ET 0.996 0.945 0.761 RG 20.58 w q 1 0 0 1 31.2 720.22 cm 0 0 m 349.85 0 l S Q 1 1 1 RG q 1 0 0 1 383.3 720.22 cm 0 0 m 182.9 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 731.64 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 708.81 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 30.07 732.71 cm 0 0 m 0 -24.98 l S Q q 1 0 0 1 382.17 732.71 cm 0 0 m 0 -24.98 l S Q q 1 0 0 1 567.32 732.71 cm 0 0 m 0 -24.98 l S Q BT /T1_0 12 Tf 34.05 715.45 Td (The quality rating for this care home is:)Tj 377.29 0 Td (two star good service)Tj /C2_0 12 Tf -382.99 -32.14 Td <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 183.94 -76.04 Td (Choice of home)Tj -47.88 -40.25 Td (Health and personal care)Tj -19.23 -40.25 Td (Daily life and social activities)Tj 12.77 -40.25 Td (Complaints and protection)Tj 68.41 -40.25 Td (Environment)Tj 24.81 -40.25 Td (Staffing)Tj -123.7 -40.25 Td (Management and administration)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 300.3200073 cm /Fm0 Do Q 1 1 1 RG 20.58 w q 1 0 0 1 31.2 249.07 cm 0 0 m 536.65 0 l S Q 171.39 w q 1 0 0 1 32.32 150.84 cm 0 0 m 534.4 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 31.2 237.66 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 30.12 237.66 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 30.12 64.02 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 31.2 238.74 cm 0 0 m 0 -175.8 l S Q q 1 0 0 1 567.85 238.74 cm 0 0 m 0 -175.8 l S Q BT 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 34.05 244.3 Td (How we did our inspection:)Tj 0 Tr 1.12 -22.82 Td (This inspection was carried out by one inspector but throughout the repo\ rt the term )Tj 0 -14.58 TD ('we' is used, to show that the report is the view of the Commission for \ Social care )Tj T* (Inspection.)Tj T* (\240)Tj 0 -14.59 TD (Prior to the inspection, we considered information, which had been sent \ to the )Tj 0 -14.58 TD (Commission. We spoke with one health care professional and we read the r\ esponses to )Tj T* (surveys we had sent out; we received responses from ten residents, ten s\ taff and four )Tj 0 -14.57 TD (healthcare professionals.)Tj 0 -14.59 TD (\240)Tj 0 -14.58 TD (The inspection was unannounced and we spoke with residents, and staff. W\ e examined )Tj 0 -14.57 TD (files, including care plans and used three files in particular to track \ the care of )Tj ET endstream endobj 112 0 obj <>stream 1 1 1 RG 61.32 w q 1 0 0 1 32.32 781.87 cm 0 0 m 534.4 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 813.65 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 30.12 750.08 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 31.2 814.73 cm 0 0 m 0 -65.72 l S Q q 1 0 0 1 567.85 814.73 cm 0 0 m 0 -65.72 l S Q BT 0 0 0 rg /T1_0 12 Tf 32.92 802.72 Td (residents.)Tj 0 -14.58 TD (\240)Tj T* (We made a tour of the building and garden.)Tj T* (\240)Tj ET endstream endobj 113 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 52.04 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 446.48 1 Td (Page )Tj 2 Tr (7)Tj 0 Tr 37.52 0 Td ( of )Tj 2 Tr (27)Tj ET 1 1 1 RG 20.58 w q 1 0 0 1 31.2 803.36 cm 0 0 m 536.65 0 l S Q 166.38 w q 1 0 0 1 32.32 707.63 cm 0 0 m 534.4 0 l S Q 20.58 w q 1 0 0 1 32.7 611.9 cm 0 0 m 536.65 0 l S Q 166.38 w q 1 0 0 1 33.82 516.17 cm 0 0 m 534.4 0 l S Q 20.58 w q 1 0 0 1 33.45 420.44 cm 0 0 m 536.65 0 l S Q 180.96 w q 1 0 0 1 34.57 317.42 cm 0 0 m 534.4 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 31.2 791.95 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 30.12 791.95 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 30.12 623.32 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 31.2 793.03 cm 0 0 m 0 -170.79 l S Q q 1 0 0 1 31.2 623.32 cm 0 0 m 538.15 0 l S Q q 1 0 0 1 32.7 600.49 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 31.62 600.49 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 31.62 431.86 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 33.45 409.03 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 33.45 431.86 cm 0 0 m 536.65 0 l S Q q 1 0 0 1 32.37 409.03 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 32.37 225.82 cm 0 0 m 538.8 0 l S Q q 1 0 0 1 32.7 601.57 cm 0 0 m 0 -170.79 l S Q q 1 0 0 1 33.45 410.11 cm 0 0 m 0 -185.37 l S Q q 1 0 0 1 567.85 793.03 cm 0 0 m 0 -170.79 l S Q q 1 0 0 1 569.35 601.57 cm 0 0 m 0 -170.79 l S Q q 1 0 0 1 570.1 410.11 cm 0 0 m 0 -185.37 l S Q BT 0 0 0 RG 0.5 w /T1_0 12 Tf 31.2 798.59 Td [(What the )1(care home)-1( does well:)]TJ /T1_0 10 Tf 0 Tr 536.65 2.66 Td (\240)Tj /T1_0 12 Tf -532.68 -25.49 Td (We found Southmead to be a relaxed and friendly home. The home is small \ and there )Tj 0 -14.58 TD (is a homely atmosphere, where residents and staff know each other well. \ Mrs Fletcher )Tj T* (is experienced and provides a hands on management approach shows great )Tj T* (commitment to residents, which was acknowledged by them. The supportive \ staff team )Tj T* (were seen to be happy and alert to residents needs. Residents made it ve\ ry clear that )Tj T* (they feel well supported by staff and their company enhances their lives\ . One member )Tj T* (of staff said that in other homes, where they have worked, there is litt\ le or no time to )Tj T* (talk to residents and that at Southmead, this is a very important part o\ f the life of the )Tj T* (home.)Tj T* (\240)Tj T* (The home has a beautiful garden, which is used and enjoyed by residents.\ )Tj /T1_0 10 Tf 533.8 76.12 Td (\240)Tj -537.77 -96.29 Td (\240)Tj /T1_0 12 Tf 2 Tr 1.5 -2.66 Td (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 536.65 3.22 Td (\240)Tj -538.15 -95.73 Td (\240)Tj /T1_0 12 Tf 5.47 69.68 Td (The environment has been improved with decoration, the upgrading of two \ bathrooms )Tj T* (and installation of specialist baths.)Tj T* (\240)Tj T* (Staff have worked hard to gain national Vocational Qualifications and fu\ rther training )Tj T* (has been undertaken.)Tj T* (\240)Tj T* (Improvements to the medication system have been made.)Tj T* (\240)Tj T* (The importance of notifying the Commission for Social Inspection of any \ occurrence, )Tj T* (which may affect the well being of a resident has been understood and no\ tifications )Tj T* (have been made.)Tj /T1_0 10 Tf 533.8 76.12 Td (\240)Tj -539.27 -95.73 Td (\240)Tj /T1_0 12 Tf 2 Tr 2.25 -3.22 Td (What they could do better:)Tj /T1_0 10 Tf 0 Tr -2.25 -99.8 Td (\240)Tj /T1_0 12 Tf 6.22 76.97 Td (The formal care plan file and recording system could be improved so that\ there is a )Tj T* (clear and straightforward care plan for each resident, providing immedia\ te information )Tj T* (on all aspects important to residents.)Tj T* (\240)Tj T* (A key worker system could support improvements for residents.)Tj T* (\240)Tj T* (An activities coordinator could help to ensure all residents and those w\ ith differing )Tj T* (needs can achieve a more fulfilled lifestyle and that their wishes can b\ e explored with )Tj T* (increased opportunities.)Tj T* (\240)Tj T* (There should be a review of the environment to check that it remains a g\ ood and safe )Tj T* (place for residents to live.)Tj -9.07 -22.33 Td (\240)Tj 0 -19.99 TD (If you want to know what action the person responsible for this care hom\ e is taking )Tj 0 -17.5 TD (following this report, you can contact them using the details set out on\ page 4.)Tj 0 -19.99 TD (\240)Tj 0 -20 TD [(The report of this inspection is available from our website www.csci.org\ .uk.)-703(You can get )]TJ 0 -17.5 TD (printed copies from enquiries@csci.gsi.gov.uk or by telephoning our orde\ r line \2260870 )Tj 0 -17.49 TD (240 7535.)Tj ET endstream endobj 114 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 52.04 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 446.48 1 Td (Page )Tj 2 Tr (8)Tj 0 Tr 37.52 0 Td ( of )Tj 2 Tr (27)Tj ET endstream endobj 115 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 52.04 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 446.48 1 Td (Page )Tj 2 Tr (9)Tj 0 Tr 37.52 0 Td ( of )Tj 2 Tr (27)Tj /T1_0 12 Tf 0 Tr -486.85 748.55 Td (\240)Tj /T1_0 14 Tf 2 Tr 0 -19.01 TD (Details of our findings)Tj ET 0.984 0.788 0.086 RG 26 w q 1 0 0 1 32.32 746.27 cm 0 0 m 530.21 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 761.52 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 733.27 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 762.6 cm 0 0 m 0 -30.41 l S Q q 1 0 0 1 564.78 762.6 cm 0 0 m 0 -30.41 l S Q BT /C2_0 12 Tf 0 Tr 34.05 744.39 Td <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w q 1 0 0 1 28.35 700.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 695.96 Td (Choice of home\240 \(standards 1 - 6\))Tj ET q 1 0 0 1 28.35 678.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 673.96 Td (Health and personal care\240 \(standards 7 - 11\))Tj ET q 1 0 0 1 28.35 656.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 651.96 Td (Daily life and social activities\240 \(standards 12 - 15\))Tj ET q 1 0 0 1 28.35 634.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 629.96 Td (Complaints and protection\240 \(standards 16 - 18\))Tj ET q 1 0 0 1 28.35 612.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 607.96 Td (Environment\240 \(standards 19 - 26\))Tj ET q 1 0 0 1 28.35 590.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 585.96 Td (Staffing\240 \(standards 27 - 30\))Tj ET q 1 0 0 1 28.35 568.02 cm 0 0 m 538.58 0 l S Q BT /T1_0 12 Tf 28.35 563.96 Td (Management and administration\240 \(standards 31 - 38\))Tj 0 -20 TD (Outstanding statutory requirements)Tj 0 -21.87 TD (Requirements and recommendations from this inspection)Tj ET endstream endobj 116 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (10)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Choice of home)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 206.25 w q 1 0 0 1 32.32 593.29 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 119 w q 1 0 0 1 31.2 550.79 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 611.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 611.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 490.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -210.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -210.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (People are confident that the care home can support them. This is becaus\ e there is an )Tj 0 -17 TD (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj T* (involved in. This tells the home all about them and the support they nee\ d. People who )Tj T* (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj T* (plan on what they hope for and want to achieve when they return home.)Tj 0 -19.25 TD (People can decide whether the care home can meet their support and accom\ modation )Tj 0 -17 TD (needs. This is because they, or people close to them, have been able to \ visit the home )Tj T* (and have got full, clear, accurate and up to date information about the \ home. If they )Tj T* (decide to stay in the home they know about their rights and responsibili\ ties because )Tj T* (there is an easy to understand contract or statement of terms and condit\ ions between )Tj T* (them and the care home that includes how much they will pay and what the\ home )Tj T* (provides for the money.)Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 207.46 w q 1 0 0 1 33.45 325 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 419.73 cm 0 0 m 534.7 0 l S Q 184.96 w q 1 0 0 1 32.32 313.76 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 407.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 408.44 cm 0 0 m 0 -189.37 l S Q q 1 0 0 1 565.9 408.44 cm 0 0 m 0 -189.37 l S Q q 1 0 0 1 31.2 407.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 220.15 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 416.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (People considering living at the home are provided with information to a\ ssist their )Tj 0 -17.5 TD (decision making.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (A pre admission process including assessment, ensures the home can meet \ people's )Tj T* (needs.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The home does not provide intermediate care.)Tj ET 0.996 0.945 0.761 RG 126.06 w q 1 0 0 1 33.45 131.25 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 185.28 cm 0 0 m 534.7 0 l S Q 104.68 w q 1 0 0 1 32.32 119.44 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 172.91 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 173.99 cm 0 0 m 0 -109.09 l S Q q 1 0 0 1 565.9 173.99 cm 0 0 m 0 -109.09 l S Q q 1 0 0 1 31.2 172.91 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 65.97 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 181.97 Td (Evidence:)Tj 4.27 -24.75 Td (We reviewed the Statement of Purpose and Service User Guide, which gave \ detail )Tj 0 -17.49 TD (concerning all key aspects about the home. We noted that the section con\ cerning how )Tj 0 -17.5 TD (to make a complaint, had been revised with the new contact details of th\ e Commission )Tj 0 -17.49 TD (for Social Care Inspection. These documents had been recently updated an\ d were well )Tj 0 -17.5 TD (laid out, easy to read and contained pictures. The Annual Quality Assura\ nce )Tj ET endstream endobj 117 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (11)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 251.32 w q 1 0 0 1 33.45 685.74 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 229.95 w q 1 0 0 1 32.32 673.93 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -234.35 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -234.35 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 557.84 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (Assessment document produced by the home said that there are plans to pr\ oduce the )Tj 0 -17.5 TD (Service User Guide in large print and to enhance their current web site \ with additional )Tj 0 -17.49 TD (pre-placement information.)Tj 0 -17.5 TD (\240)Tj T* (We reviewed the care files of three people as part of our case tracking \ approach to this )Tj 0 -17.49 TD (inspection. We found that each file contained a local authority single a\ ssessment, )Tj 0 -17.5 TD (setting out the needs for the individual and including risk areas. One f\ ile also included )Tj 0 -17.49 TD (a personal history, which provided carers with important background info\ rmation. Files )Tj 0 -17.5 TD (contained an admission plan and there was evidence of family involvement\ . A separate )Tj T* (file contained detail about financial matters including up to date contr\ acts of residency.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Southmead does not provide a specialist intermediate care service, solel\ y to help )Tj 0 -17.49 TD (people to return home. )Tj ET endstream endobj 118 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (12)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Health and personal care)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w q 1 0 0 1 32.32 610.29 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 68 w q 1 0 0 1 31.2 559.29 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 594.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 594.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 524.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -176.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -176.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 0 -17 TD (that the person, or someone close to them, has been involved in making. \ If they take )Tj T* (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj T* (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj T* (is respected and the support they get from staff is given in a way that \ maintains their )Tj T* (dignity.)Tj 0 -19.25 TD (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 0 -17 TD (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj T* (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj T* (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 277.44 w q 1 0 0 1 33.45 324.01 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 453.73 cm 0 0 m 534.7 0 l S Q 254.94 w q 1 0 0 1 32.32 312.76 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 441.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 442.44 cm 0 0 m 0 -259.35 l S Q q 1 0 0 1 565.9 442.44 cm 0 0 m 0 -259.35 l S Q q 1 0 0 1 31.2 441.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 184.17 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 450.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (Care plan files include important information so that staff are aware of\ individual )Tj 0 -17.5 TD (needs. Improvement to the file system, which the provider is aware of, w\ ill make )Tj 0 -17.49 TD (access easier for staff.)Tj 0 -17.5 TD (\240)Tj T* (Healthcare professionals provide support when required.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Input from external agencies supports good administration of medication.\ )Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (People living at the home are treated with respect and dignity.)Tj T* (\240)Tj 0 -17.49 TD (Staff are respectful and sensitive during end of life care.)Tj ET 0.996 0.945 0.761 RG 90.07 w q 1 0 0 1 33.45 113.26 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 149.3 cm 0 0 m 534.7 0 l S Q 68.7 w q 1 0 0 1 32.32 101.45 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 136.93 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 138 cm 0 0 m 0 -73.1 l S Q q 1 0 0 1 565.9 138 cm 0 0 m 0 -73.1 l S Q q 1 0 0 1 31.2 136.93 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 65.97 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 145.99 Td (Evidence:)Tj 4.27 -24.75 Td (We examined the files of four residents and found information to show th\ at their needs )Tj 0 -17.5 TD (were known and reviewed. Each file contained a photograph of the residen\ t, which also )Tj 0 -17.49 TD (made it clear who the information related to. The files we examined had \ recent review )Tj ET endstream endobj 119 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (13)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 742.05 w q 1 0 0 1 33.45 440.38 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 720.68 w q 1 0 0 1 32.32 428.57 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -725.09 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -725.09 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 67.1 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (dates and detail was found on the files.)Tj 0 -17.5 TD (\240)Tj 0 -17.49 TD (Whilst the care plan files we examined contained key information, it was\ not easy to )Tj 0 -17.5 TD (find. Some information was set out as an account of an incident or point\ s that had )Tj T* (occurred. It will be helpful for the format to be revised so that the fo\ rmal care plan )Tj 0 -17.49 TD (includes the key areas of need, such as: personal care and physical well\ being; diet; )Tj 0 -17.5 TD (communication; oral health and foot care; mobility; history of falls; co\ ntinence; )Tj 0 -17.49 TD (medication mental state and cognition; interests and activities; risk as\ sessments; )Tj 0 -17.5 TD (detail about those people important to the individual. The care plan sho\ uld include a )Tj T* (daily living plan with goals. Where people share a bedroom, detail conce\ rning residents )Tj 0 -17.49 TD (agreements, should also be set out and reviewed along with all the other\ points within )Tj 0 -17.5 TD (the care plan.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Only one of the four files we examined contained risk assessments, which\ had been )Tj T* (completed where necessary and using headings, which represented good pra\ ctice. The )Tj 0 -17.49 TD (other files did contain abuse and vulnerability assessments. Risks had b\ een outlined )Tj 0 -17.5 TD (within the single assessments, when people had been admitted.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (We spoke with a member of staff about care plans and were told that beca\ use staff )Tj T* (know residents so well, it was felt the current system was satisfactory.\ However we )Tj 0 -17.49 TD (consider it would be helpful to review the current system and in discuss\ ion with the )Tj 0 -17.5 TD (provider/manager, it was agreed it is an important task to respond to. A\ n index and )Tj 0 -17.49 TD (headings to care files would be also be helpful.)Tj 0 -17.5 TD (\240)Tj T* (We considered the responses to surveys we had sent out to healthcare pro\ fessionals )Tj 0 -17.49 TD (and spoke directly to one professional. The four responses were positive\ and one )Tj 0 -17.5 TD (professional spoken with, said: "It is a valuable local service and I wo\ uld be happy for )Tj 0 -17.49 TD (my relative to live at the home". Positive points were also made about t\ he hands on )Tj 0 -17.5 TD (approach of the provider manager, her commitment and that of her staff t\ eam. )Tj T* (Another professional said, in terms of whether individuals health care n\ eeds are met )Tj 0 -17.49 TD (by the care service: "Carers are careful to follow instructions" and "St\ aff are always )Tj 0 -17.5 TD (kind and support the wishes of the patients".)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (We spoke with seven residents who were all very positive in relation to \ their comments )Tj T* (about the way staff provide care, show commitment and kindness. One resi\ dent said )Tj 0 -17.49 TD (that if a resident calls out from the lounge, staff immediately respond,\ using the )Tj 0 -17.5 TD (residents name, since staff know residents so well. The resident added t\ hat the way )Tj 0 -17.49 TD (staff respond, gives reassurance.)Tj 0 -17.5 TD (\240)Tj T* (We considered the use of double rooms at the home and found that one was\ being )Tj 0 -17.49 TD (used as a single bedroom. A survey response we received from staff had s\ aid: "We )Tj ET endstream endobj 120 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (14)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 741.21 w q 1 0 0 1 33.45 440.8 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 719.84 w q 1 0 0 1 32.32 428.99 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -724.24 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -724.24 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 67.95 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (have problems with shared rooms because some clients are very noisy at n\ ight", which )Tj 0 -17.5 TD (also raised a staffing issue. We spoke with residents about this and one\ person said )Tj 0 -17.49 TD (they really did hope they could move into a single room soon. We talked \ with the )Tj 0 -17.5 TD (providers about this and the difficulty was understood and options would\ be consider.)Tj T* (\240)Tj 0 -17.49 TD (The home does not use a 'key worker' system to support residents and the\ merits of )Tj 0 -17.5 TD (this approach were discussed. If introduced, it would mean that each res\ ident would )Tj 0 -17.49 TD (have a named member of staff who would have a specific responsibility fo\ r one or )Tj 0 -17.5 TD (more residents to ensure their needs and wishes are supported to improve\ their lives. )Tj T* (This task does not take away responsibility from the provider/manager bu\ t it supports )Tj 0 -17.49 TD (good communication and helps to ensure agreed action is undertaken. A 'k\ ey worker' )Tj 0 -17.5 TD (will spend time regularly talking to the resident and will usually produ\ ce a monthly )Tj 0 -17.49 TD (report, which will be linked to changes and review of the care plan.)Tj 0 -17.5 TD (\240)Tj T* (Policies and procedures were in place concerning medication and we exami\ ned a )Tj 0 -17.49 TD (recent review undertaken by the Primary Care Team of the Southmead medic\ ation )Tj 0 -17.5 TD (administration system. A form following the visit had been completed and\ given to Mrs )Tj 0 -17.49 TD (Fletcher. A number of points were made and Mrs Fletcher confirmed that s\ he had )Tj 0 -17.5 TD (addressed the issues. A senior member of staff is now supporting the med\ ication )Tj T* (process and also checks and double signs medication delivered to the hom\ e each )Tj 0 -17.49 TD (month. The form given to the home had a section called 'Action Plan' and\ this )Tj 0 -17.5 TD (contained one point, which read: "Update homely remedies and audit".)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The home uses the services of a large pharmacy, who provide a blister pa\ ck )Tj T* (medication system. This was checked for the day of inspection and it was\ seen that )Tj 0 -17.49 TD (medication had been given and signed for. The Annual Quality Assurance A\ ssessment )Tj 0 -17.5 TD (also noted that the pharmacy undertakes annual audits of the home's medi\ cation )Tj 0 -17.49 TD (system. The home had needed to provided a secure medication cabinet, whi\ ch was )Tj 0 -17.5 TD (seen at the home, it had not been securely fixed to a wall, however this\ task was )Tj T* (completed immediately following the inspection.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Staff were observed to be respectful of residents during the day and mai\ ntaining )Tj 0 -17.49 TD (privacy and dignity. One person was being supported in bed during the in\ spection and )Tj 0 -17.5 TD (we observed staff being with this person frequently. One member of staff\ was seen to )Tj T* (be gently helping the person with their food at lunch time. We were show\ n a sign, )Tj 0 -17.49 TD (which is put onto the door of a residents room, when staff are engaged i\ n giving )Tj 0 -17.5 TD (personal care to promote privacy and dignity.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Care files reviewed, included information important for staff to be awar\ e of, during end )Tj T* (of life care. The provider is considering the introduction of the pallia\ tive care 'Gold )Tj 0 -17.49 TD (Standards Framework'. )Tj ET endstream endobj 121 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (15)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET endstream endobj 122 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (16)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Daily life and social activities)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 138.25 w q 1 0 0 1 32.32 627.29 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 17 w q 1 0 0 1 31.2 567.79 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 577.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 577.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 558.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -142.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -142.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 0 -17 TD (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj T* (their local community. The care home supports people to follow personal \ interests and )Tj T* (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj T* (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj T* (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj T* (meals and snacks, at a time and place to suit them.)Tj 0 -19.25 TD (There are no additional outcomes.)Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 172.46 w q 1 0 0 1 33.45 410.5 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 487.73 cm 0 0 m 534.7 0 l S Q 149.97 w q 1 0 0 1 32.32 399.25 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 475.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 476.44 cm 0 0 m 0 -154.37 l S Q q 1 0 0 1 565.9 476.44 cm 0 0 m 0 -154.37 l S Q q 1 0 0 1 31.2 475.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 323.14 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 484.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (Residents are offered choices of activity to enhance daily life.)Tj 0 -17.5 TD (\240)Tj 0 -17.49 TD (Families and friends are encouraged to visit.)Tj 0 -17.5 TD (\240)Tj T* (Balanced meals and choice is offered to meet resident's tastes and needs\ .)Tj ET 0.996 0.945 0.761 RG 229.05 w q 1 0 0 1 33.45 182.75 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 288.27 cm 0 0 m 534.7 0 l S Q 207.68 w q 1 0 0 1 32.32 170.94 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 275.9 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 276.98 cm 0 0 m 0 -212.08 l S Q q 1 0 0 1 565.9 276.98 cm 0 0 m 0 -212.08 l S Q q 1 0 0 1 31.2 275.9 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 65.97 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 284.96 Td (Evidence:)Tj 4.27 -24.74 Td (Residents are provided with opportunities for activity. Trips out are ar\ ranged and some )Tj T* (people choose to go out frequently. Residents enjoy the activities of th\ e local church )Tj T* (and local community. One resident spoken with said that Mrs Fletcher oft\ en takes )Tj 0 -17.49 TD (residents out shopping.)Tj 0 -17.5 TD (\240)Tj 0 -17.49 TD (Entertainers visit the home regularly, including a violinist and shows a\ re performed. )Tj 0 -17.5 TD (The home has a 'memory box', though recently this has not been used much\ . The )Tj T* (weather was good on the day of inspection and staff spent time in the at\ tractive )Tj 0 -17.49 TD (garden with residents. Two staff spoken with said that residents really \ enjoy having )Tj 0 -17.5 TD (conversation and said they do have time to chat to residents. Surveys an\ d discussion )Tj 0 -17.49 TD (with staff found that whilst there was activity provided, there could be\ more emphasis, )Tj ET endstream endobj 123 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (17)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 513.76 w q 1 0 0 1 33.45 554.53 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 492.39 w q 1 0 0 1 32.32 542.71 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -496.79 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -496.79 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 295.39 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (in particular because the home has residents with distinctly differing n\ eeds. This was )Tj 0 -17.5 TD (discussed with the provider manager, who agreed this was an area that ne\ eded )Tj 0 -17.49 TD (renewed effort; staff had already raised it with her. We discussed the m\ erits of having )Tj 0 -17.5 TD (one member of staff with delegated responsibility to coordinate activiti\ es and provide )Tj T* (an overview to promote all residents wishes for a fulfilling life. We sp\ oke with one )Tj 0 -17.49 TD (resident who enjoys their 'Talking Book' service and a resident who said\ they enjoy )Tj 0 -17.5 TD (listening to classical music. We shared information about the 'British W\ ireless for the )Tj 0 -17.49 TD (Blind Fund', which is a registered charity and may be of some interest.)Tj 0 -17.5 TD (\240)Tj T* (Three residents spoken with talked particularly about their relatives an\ d how they )Tj 0 -17.49 TD (enjoy their visits and this showed that the home encourages and helps fa\ milies and )Tj 0 -17.5 TD (friends with their visits to the home.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (One relative, within their survey response to us, gave the following lis\ t of activities: )Tj T* ("Good variety of visiting musicians and singers; gentle exercises class \ fortnightly; )Tj 0 -17.49 TD (occasional special trips out: panto, river trip, garden centre; summer g\ arden party; )Tj 0 -17.5 TD (monthly communion and monthly service".)Tj 0 -17.49 TD (One resident who answered our survey question about activities they coul\ d take part )Tj 0 -17.5 TD (in said: "Sometimes". This indicated there could be more emphasis on act\ ivity.)Tj T* (The home has their own chef,who was enthusiastic about their work and wa\ s aware of )Tj 0 -17.49 TD (the importance of diet and good food for residents. The menu was discuss\ ed and there )Tj 0 -17.5 TD (was evidence of choices. Likes and dislikes were recorded as well as spe\ cific dietary )Tj 0 -17.49 TD (needs. The main meal of the day was roast lamb and residents, both on th\ e day of )Tj 0 -17.5 TD (inspection and in their survey responses, gave high praise for their foo\ d. One resident )Tj T* (in their survey response said they could eat another roast potato, but o\ nly because )Tj 0 -17.49 TD (they were so tasty and another said: " Food is plentiful and there is al\ ways a choice. )Tj 0 -17.5 TD (Chef is a very good cook". We asked the chef where food was sourced and \ found that )Tj 0 -17.49 TD (local butchers were used, with suppliers from: Bridport, Scotland and th\ e New Forest. )Tj ET endstream endobj 124 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (18)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Complaints and protection)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 87.25 w q 1 0 0 1 32.32 652.79 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 17 w q 1 0 0 1 31.2 618.79 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 628.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 628.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 609.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -91.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -91.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 0 -17 TD (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj T* (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj T* (allegations.)Tj 0 -19.25 TD (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 119.98 w q 1 0 0 1 33.45 487.74 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 538.73 cm 0 0 m 534.7 0 l S Q 97.48 w q 1 0 0 1 32.32 476.5 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 526.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 527.44 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 565.9 527.44 cm 0 0 m 0 -101.89 l S Q q 1 0 0 1 31.2 526.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 426.63 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 535.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (The home has a complaints and adult protection system to ensure resident\ s can be )Tj 0 -17.5 TD (protected and supported if there are concerns.)Tj ET 0.996 0.945 0.761 RG 237.45 w q 1 0 0 1 33.45 282.04 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 391.76 cm 0 0 m 534.7 0 l S Q 214.95 w q 1 0 0 1 32.32 270.79 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 379.39 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 380.47 cm 0 0 m 0 -219.36 l S Q q 1 0 0 1 565.9 380.47 cm 0 0 m 0 -219.36 l S Q q 1 0 0 1 31.2 379.39 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 162.19 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 388.45 Td (Evidence:)Tj 4.27 -24.75 Td (Since the last inspection, anonymous concerns had been raised about medi\ cation and )Tj 0 -17.49 TD (points concerning residents. These were looked into by the Local Authori\ ty and the )Tj 0 -17.5 TD (home was informed the matters were unfounded.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (We spoke with three staff about adult protection training and abuse. The\ y knew the )Tj T* (steps to take if they had a concern, which included 'whistle blowing'. S\ taff also knew )Tj 0 -17.49 TD (they could contact the Commission for Social Care Inspection or other ag\ encies if they )Tj 0 -17.5 TD (wished. Staff talked about their National Vocational Qualification train\ ing and that )Tj 0 -17.49 TD (adult protection was covered in their learning programme.)Tj 0 -17.5 TD (\240)Tj T* (One resident in their survey response to us about who they would talk to\ if they had a )Tj 0 -17.49 TD (concern, said: "Mrs Fletcher or any member of her staff".)Tj ET endstream endobj 125 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (19)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Environment)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w q 1 0 0 1 32.32 644.29 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 68 w q 1 0 0 1 31.2 627.29 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 662.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 662.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 592.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -108.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -108.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 0 -17 TD (hygienic. )Tj 0 -19.25 TD (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 0 -17 TD (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj T* (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj T* (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 242.45 w q 1 0 0 1 33.45 409.51 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 521.73 cm 0 0 m 534.7 0 l S Q 219.95 w q 1 0 0 1 32.32 398.26 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 509.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 510.44 cm 0 0 m 0 -224.36 l S Q q 1 0 0 1 565.9 510.44 cm 0 0 m 0 -224.36 l S Q q 1 0 0 1 31.2 509.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 287.16 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 518.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (Residents live in a home, which is generally well-maintained, decorated \ and furnished, )Tj 0 -17.5 TD (however some areas are tired and in need of up-grading.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Residents enjoy a homely atmosphere and have access to a pleasant garden\ area.)Tj T* (\240)Tj 0 -17.49 TD (Specialist bath equipment helps people to maintain dignity, whilst suppo\ rting their )Tj 0 -17.5 TD (personal care needs.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The home was fresh and clean. )Tj ET 0.996 0.945 0.761 RG 193.06 w q 1 0 0 1 33.45 164.76 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 252.29 cm 0 0 m 534.7 0 l S Q 171.69 w q 1 0 0 1 32.32 152.95 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 239.92 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 240.99 cm 0 0 m 0 -176.09 l S Q q 1 0 0 1 565.9 240.99 cm 0 0 m 0 -176.09 l S Q q 1 0 0 1 31.2 239.92 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 65.97 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 248.98 Td (Evidence:)Tj 4.27 -24.75 Td (Whilst much of the home was in good decorative order, the kitchen in par\ ticular )Tj 0 -17.49 TD (requires up-grading. A part of the floor was stained and work surfaces n\ eeded )Tj 0 -17.5 TD (replacing. A recent Environmental Health report also found that upgradin\ g was )Tj T* (needed. The providers said they have plans to carry out this work.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The providers have a maintenance programme for the home and some redecor\ ation )Tj 0 -17.49 TD (had taken place since the last inspection. Extensive works had also been\ completed to )Tj 0 -17.5 TD (upgrade two bathrooms, providing specialist baths. The bathrooms were ti\ led in a )Tj T* (homely way and were pleasant for residents to use. A new specialist wash\ er unit had )Tj ET endstream endobj 126 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (20)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 601.24 w q 1 0 0 1 33.45 510.79 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 579.87 w q 1 0 0 1 32.32 498.97 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -584.27 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -584.27 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 207.91 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (also been installed in the laundry. Windows in the home have been replac\ ed and )Tj 0 -17.5 TD (window restrictors were in place; a member of staff demonstrated how the\ y work.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Some furniture in bedrooms was seen to be worn and needed replacement, f\ or )Tj T* (example a table and a chest of drawers. One carpet was also seen to be r\ ucked slightly )Tj 0 -17.49 TD (and may cause a tripping hazard. The provider manager said furniture and\ carpets )Tj 0 -17.5 TD (would be replaced or attended to where necessary. A section of ceiling p\ aper had come )Tj 0 -17.49 TD (away in a bedroom and needed attention.)Tj 0 -17.5 TD (\240)Tj T* (Staff in their survey response had drawn attention to the difficulties p\ osed by the )Tj 0 -17.49 TD (building and lack of space to care for people as they become more depend\ ant. Concern )Tj 0 -17.5 TD (was also raised about a step in the downstairs toilet, where residents h\ ad fallen. It was )Tj 0 -17.49 TD (said that a "standing hoist" should be used but this was not enforced by\ the manager. )Tj 0 -17.5 TD (We viewed the hoist and the provider manager said that currently it was \ not needed )Tj T* (for residents. Residents were seen visiting the toilet and no difficulti\ es were observed. )Tj 0 -17.49 TD (However it is clearly necessary to continue to risk assess this potentia\ l hazard for each )Tj 0 -17.5 TD (resident. Two healthcare professionals also made reference to the buildi\ ng. One said: )Tj 0 -17.49 TD ("constrained by way out of building", another said: " The building is ad\ apted and not )Tj 0 -17.5 TD (purpose built. However the staff manage well within the constraints of t\ he building". )Tj T* (Seven residents spoken with about the building, were all positive in the\ ir responses. )Tj 0 -17.49 TD (Some talked about having been at the home for a long time and feel it is\ very much )Tj 0 -17.5 TD (their home and are happy with the way it is for them. One said that beca\ use the home )Tj 0 -17.49 TD (is quite small, staff are never far away.)Tj 0 -17.5 TD (\240)Tj T* (The home was seen to be fresh, clean and tidy and we found no unpleasant\ odours. )Tj 0 -17.49 TD (Antibacterial hand gel was available for staff to use.)Tj 0 -17.5 TD (\240)Tj 0 -17.49 TD (The garden area was considered to be excellent, it was attractively plan\ ted and )Tj 0 -17.5 TD (included water features. There was a variety of places for people to sit\ and shade was )Tj T* (provided. A resident was sitting in the garden as we arrived and during \ the day, many )Tj 0 -17.49 TD (residents enjoyed the garden environment. One resident talked about how \ the owners )Tj 0 -17.5 TD (are seen tending the garden "they are out there every evening". There wa\ s )Tj 0 -17.49 TD (appreciation for the way the garden is kept for residents to enjoy.)Tj ET endstream endobj 127 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (21)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Staffing)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w q 1 0 0 1 32.32 644.29 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 17 w q 1 0 0 1 31.2 601.79 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 611.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 611.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 592.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -108.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -108.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 0 -17 TD (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj T* (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj T* (they are cared for by staff who get the relevant training and support fr\ om their )Tj T* (managers.)Tj 0 -19.25 TD (There are no additional outcomes.)Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 224.95 w q 1 0 0 1 33.45 418.26 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 521.73 cm 0 0 m 534.7 0 l S Q 202.46 w q 1 0 0 1 32.32 407.01 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 509.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 510.44 cm 0 0 m 0 -206.86 l S Q q 1 0 0 1 565.9 510.44 cm 0 0 m 0 -206.86 l S Q q 1 0 0 1 31.2 509.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 304.65 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 518.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (Residents can be confident that they are supported by competent staff, i\ n sufficient )Tj 0 -17.5 TD (numbers to meet their needs.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Recruitment practice, including policies and procedures, ensures residen\ ts are )Tj T* (protected.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The staff team take advantage of training opportunities to ensure they h\ ave the skills )Tj 0 -17.49 TD (to care for residents.)Tj ET 0.996 0.945 0.761 RG 210.56 w q 1 0 0 1 33.45 173.51 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 269.79 cm 0 0 m 534.7 0 l S Q 189.19 w q 1 0 0 1 32.32 161.69 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 257.41 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 258.49 cm 0 0 m 0 -193.59 l S Q q 1 0 0 1 565.9 258.49 cm 0 0 m 0 -193.59 l S Q q 1 0 0 1 31.2 257.41 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 65.97 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 266.47 Td (Evidence:)Tj 4.27 -24.74 Td (As we arrived at the home, the staff team were being provided with a tra\ ining event )Tj 0 -17.5 TD (by an external trainer in fire prevention and procedures. Staff were eng\ aged in fire )Tj 0 -17.49 TD (scenarios and were observed to be a happy team of staff, used to working\ together )Tj 0 -17.5 TD (and enjoying their training. It was noted that extra staff were availabl\ e during the )Tj T* (training to care for residents.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (We spoke with a number of staff during the day, they were experienced an\ d highly )Tj 0 -17.49 TD (motivated, clearly enjoying their work and knew the needs of residents w\ ell. One )Tj 0 -17.5 TD (member of staff commented that they like to work at Southmead because th\ ey enjoy )Tj T* (caring for residents they have known for a long time and working with th\ e staff and )Tj ET endstream endobj 128 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (22)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 583.74 w q 1 0 0 1 33.45 519.53 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 562.37 w q 1 0 0 1 32.32 507.72 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -566.78 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -566.78 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 225.41 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (the owner/manager. Commitment and positive feedback was given by all sta\ ff spoken )Tj 0 -17.5 TD (with and residents spoken with too, emphasised the importance of the car\ ing staff )Tj 0 -17.49 TD (team to their happiness. Other comments from staff included: "Because it\ is a small )Tj 0 -17.5 TD (home you get to know the residents very well"; The owner manager "is ver\ y )Tj T* (approachable"; "The last staff meeting was on 09/03/09 and I can make an\ y points I )Tj 0 -17.49 TD (want and am listened to"; I have regular supervision, it is supportive";\ "Staff all )Tj 0 -17.5 TD (support each other"; "Further training concerning dementia and individua\ l needs could )Tj 0 -17.49 TD (be helpful". We were told that all staff have been provided with trainin\ g in relation to )Tj 0 -17.5 TD (dementia, recently, however this importantly remains a key point for sta\ ff.)Tj T* (\240)Tj 0 -17.49 TD (Other comments made by staff within their survey responses to us include\ d: "The staff )Tj 0 -17.5 TD (are very friendly both to one another and to residents. The residents ar\ e treated to the )Tj 0 -17.49 TD (highest standards and all their needs are met. It is a really lovely pla\ ce to work, as an )Tj 0 -17.5 TD (employee, I put my heart and sole into my work because I really do enjoy\ the work )Tj T* (and the workplace". One member of staff responding to our survey about s\ taffing )Tj 0 -17.49 TD (levels, said: "There are enough staff, unless somebody is ill. The manag\ er always )Tj 0 -17.5 TD (steps in and helps anyway so we are never without help".)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Concerning communication between staff, survey responses included: "Ther\ e could be )Tj T* (better communication". The home's Annual Quality Assurance Assessment dr\ ew some )Tj 0 -17.49 TD (attention to this by stating that there would be consideration of team b\ uilding )Tj 0 -17.5 TD (exercises to encourage employees to work together. We reviewed well reco\ rded )Tj 0 -17.49 TD (minutes of the recent staff meeting.)Tj 0 -17.5 TD (\240)Tj T* (The home employed fourteen staff and seventy three percent had achieved \ National )Tj 0 -17.49 TD (Vocational Qualification at level two or higher; there are five senior s\ taff, who all have )Tj 0 -17.5 TD (the level three award.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (We examined the personal files for two staff and found good recruitment \ practice, )Tj T* (which included: Application with career history; Criminal Records Bureau\ checks; two )Tj 0 -17.49 TD (references; and photograph of the individual. We reviewed staff supervis\ ion notes and )Tj 0 -17.5 TD (found them to be well recorded and with evidence of regular supervision.\ )Tj ET endstream endobj 129 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (23)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj /T1_0 16 Tf -497.72 715.09 Td (Management and administration)Tj /T1_1 12 Tf 0 Tr 0 -20.22 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -17.1 TD [(These are the outcomes that people )1(staying in care homes)-1( should experience. They )]TJ 0 -17.5 TD (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 0 -12.46 TD (\240)Tj ET 0.996 0.945 0.761 RG 189.25 w q 1 0 0 1 32.32 601.79 cm 0 0 m 530.21 0 l S Q 1 1 1 RG 102 w q 1 0 0 1 31.2 559.29 cm 0 0 m 532.45 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 611.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 698.67 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 611.42 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 28.99 507.17 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 30.07 699.74 cm 0 0 m 0 -193.65 l S Q q 1 0 0 1 564.78 699.74 cm 0 0 m 0 -193.65 l S Q BT /T1_0 12 Tf 35.5 685.48 Td (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 0 -17 TD (People control their own money and choose how they spend it. If they or \ someone )Tj T* (close to them cannot manage their money, it is managed by the care home \ in their )Tj T* (best interests. The environment is safe for people and staff because app\ ropriate health )Tj T* (and safety practices are carried out.)Tj 0 -19.25 TD (People get the right support from the care home because the manager runs\ it )Tj 0 -17 TD (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj T* (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj T* (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj T* (the way things should be done. They get the right care because the staff\ are )Tj T* (supervised and supported by their managers.)Tj /C2_0 12 Tf -7.15 -24.32 Td <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 0 -22.05 TD [(This is what people staying in this care home)-352(experience)]TJ 0 Tr (:)Tj /T1_1 8 Tf 0 -17.18 TD (\240)Tj ET 0.996 0.945 0.761 RG 189.96 w q 1 0 0 1 33.45 350.75 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 436.73 cm 0 0 m 534.7 0 l S Q 167.46 w q 1 0 0 1 32.32 339.5 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 424.36 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 425.44 cm 0 0 m 0 -171.87 l S Q q 1 0 0 1 565.9 425.44 cm 0 0 m 0 -171.87 l S Q q 1 0 0 1 31.2 424.36 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 254.65 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 433.42 Td (Judgement:)Tj 4.27 -24.74 Td (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr (good)Tj 0 Tr 256.3 0 Td (quality outcomes in this area. We have )Tj -256.3 -17.5 Td (made this judgement using a range of evidence, including a visit to this\ service.)Tj 0 -20 TD (\240)Tj 0 -19.99 TD (Residents can be assured the home is run by an experienced and competent\ person, )Tj 0 -17.5 TD (who residents and staff find is approachable and provides supportive lea\ dership.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The home has financial procedures in place to safeguard residents.)Tj T* (\240)Tj 0 -17.49 TD (Resident's health and safety is promoted and protected by policies and p\ rocedures.)Tj ET 0.996 0.945 0.761 RG 160.55 w q 1 0 0 1 33.45 148.5 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 219.78 cm 0 0 m 534.7 0 l S Q 139.18 w q 1 0 0 1 32.32 136.69 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 207.4 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 208.48 cm 0 0 m 0 -143.58 l S Q q 1 0 0 1 565.9 208.48 cm 0 0 m 0 -143.58 l S Q q 1 0 0 1 31.2 207.4 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 65.97 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 31.2 216.47 Td (Evidence:)Tj 4.27 -24.75 Td (Mrs Fletcher owns and runs the home with her husband and provides a very\ 'hands on' )Tj 0 -17.5 TD (approach, working at the home on a daily basis. They have run the home f\ or many )Tj 0 -17.49 TD (years and have significant experience. Mrs Fletcher has completed the Na\ tional )Tj 0 -17.5 TD (Vocational Qualification at level four in management of care.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (Resident's gave high praise for the care provided by Mrs Fletcher and on\ e resident said )Tj T* ("It is wonderful that the Fletcher's live here". This gave an indication\ that residents )Tj ET endstream endobj 130 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 56.81 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 11 Tf 2 Tr 31.2 53.04 Td (Care Homes for Older People)Tj 0 Tr 446.48 0 Td (Page )Tj 2 Tr (24)Tj 0 Tr 48.39 0 Td (of )Tj 2 Tr (27)Tj ET 0.996 0.945 0.761 RG 461.27 w q 1 0 0 1 33.45 580.77 cm 0 0 m 530.2 0 l S Q 1 1 1 RG 22.5 w q 1 0 0 1 31.2 802.41 cm 0 0 m 534.7 0 l S Q 439.9 w q 1 0 0 1 32.32 568.96 cm 0 0 m 532.46 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 30.12 790.03 cm 0 0 m 536.86 0 l S Q q 1 0 0 1 31.2 791.11 cm 0 0 m 0 -444.3 l S Q q 1 0 0 1 565.9 791.11 cm 0 0 m 0 -444.3 l S Q q 1 0 0 1 31.2 790.03 cm 0 0 m 534.7 0 l S Q q 1 0 0 1 30.12 347.88 cm 0 0 m 536.86 0 l S Q BT /T1_0 12 Tf 0 Tr 31.2 799.09 Td (Evidence:)Tj 2.02 -19.99 Td (feel well supported by owners who show commitment to their care and need\ s. One )Tj 0 -17.5 TD (resident said: "Any little query, we can put to Mrs Fletcher and it is r\ esponded to". )Tj 0 -17.49 TD (Another resident said: "It is homely - a first class home - nothing coul\ d be better and )Tj 0 -17.5 TD (the staff are kindly". One relative said in their survey response to us:\ "Southmead is )Tj T* (quite simply an excellent care home. Its small size and friendly caring \ atmosphere )Tj 0 -17.49 TD (make it feel as close to a 'family' as is possible for such establishmen\ ts. The )Tj 0 -17.5 TD (environment is enhanced by fresh flowers and a lovely garden. They deser\ ve to be )Tj 0 -17.49 TD (highly commended!". Many other residents or relatives made similar refer\ ences. )Tj 0 -17.5 TD (Another relative said: "Very nice and friendly home and I feel my relati\ ve is very lucky )Tj T* (to be here - we rate Southmead very highly and would recommend it to any\ one".)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (One health care professional responding to our survey said: The home is \ a "small well )Tj 0 -17.49 TD (managed residential care home meeting individual needs, friendly staff -\ a very well )Tj 0 -17.5 TD (run home".)Tj T* (\240)Tj 0 -17.49 TD (Annual quality assurance had been undertaken by the providers, with anal\ ysis and )Tj 0 -17.5 TD (points emerging responded to. Questionnaires are sent out to residents, \ staff and to )Tj 0 -17.49 TD (external agencies and families. The survey in relation to food was seen \ and responses )Tj 0 -17.5 TD (were positive. It was noted that the chef had worked hard to produce a t\ horough )Tj T* (analysis of the surveys.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (A resident's meeting was due to take place the week after this inspectio\ n.)Tj 0 -17.49 TD (\240)Tj 0 -17.5 TD (The home has policies and procedures in place to protect the health and \ safety of )Tj T* (residents and risk assessments support practice.)Tj ET endstream endobj 131 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.56 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 30.79 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 446.48 1.01 Td (Page)Tj 2 Tr 30.53 0 Td (25)Tj 0 Tr ( of )Tj 2 Tr (27)Tj ET 0.992 0.945 0.761 RG 36.25 w q 1 0 0 1 29.47 793.28 cm 0 0 m 535.5 0 l S Q 0.996 0.945 0.761 RG 17 w q 1 0 0 1 28.35 784.78 cm 0 0 m 393.75 0 l S Q q 1 0 0 1 424.35 784.78 cm 0 0 m 42.75 0 l S Q 1 1 1 RG q 1 0 0 1 469.35 784.78 cm 0 0 m 24.75 0 l S Q 0.996 0.945 0.761 RG q 1 0 0 1 496.35 784.78 cm 0 0 m 42.75 0 l S Q 1 1 1 RG q 1 0 0 1 541.35 784.78 cm 0 0 m 24.75 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 26.14 794.4 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 26.14 813.65 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 26.14 794.4 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 26.14 775.15 cm 0 0 m 542.16 0 l S Q q 1 0 0 1 27.22 814.73 cm 0 0 m 0 -40.65 l S Q q 1 0 0 1 423.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 468.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 495.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 540.22 795.48 cm 0 0 m 0 -21.4 l S Q q 1 0 0 1 567.22 814.73 cm 0 0 m 0 -40.65 l S Q BT /T1_0 12 Tf 0 Tr 33.75 800.47 Td (Are there any outstanding requirements from the last inspection?)Tj 396 -19.25 Td (Yes)Tj /C2_0 12 Tf 46.62 1.94 Td <0035>Tj /T1_0 12 Tf 25.38 -1.94 Td (No)Tj /C2_0 12 Tf 45 1.94 Td <0085>Tj ET 0.996 0.945 0.761 RG 69.18 w q 1 0 0 1 31.2 683.94 cm 0 0 m 535 0 l S Q 30.3 w q 1 0 0 1 31.2 631.95 cm 0 0 m 59.8 0 l S Q q 1 0 0 1 93.25 631.95 cm 0 0 m 104.15 0 l S Q q 1 0 0 1 199.65 631.95 cm 0 0 m 89.85 0 l S Q q 1 0 0 1 291.75 631.95 cm 0 0 m 182.15 0 l S Q q 1 0 0 1 476.15 631.95 cm 0 0 m 90.05 0 l S Q 1 1 1 RG 67.32 w q 1 0 0 1 31.2 580.89 cm 0 0 m 59.85 0 l S Q q 1 0 0 1 93.3 580.89 cm 0 0 m 104.1 0 l S Q q 1 0 0 1 199.65 580.89 cm 0 0 m 89.8 0 l S Q q 1 0 0 1 291.7 580.89 cm 0 0 m 182.1 0 l S Q q 1 0 0 1 476.05 580.89 cm 0 0 m 90.05 0 l S Q 0.992 0.898 0.545 RG 2.25 w q 1 0 0 1 28.99 648.22 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 615.67 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 92.12 649.3 cm 0 0 m 0 -104.27 l S Q q 1 0 0 1 290.62 649.3 cm 0 0 m 0 -104.27 l S Q q 1 0 0 1 475.02 649.3 cm 0 0 m 0 -104.27 l S Q q 1 0 0 1 28.99 719.65 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 648.22 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 615.67 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 28.99 546.1 cm 0 0 m 539.31 0 l S Q q 1 0 0 1 30.07 720.73 cm 0 0 m 0 -175.7 l S Q q 1 0 0 1 92.17 616.75 cm 0 0 m 0 -71.72 l S Q q 1 0 0 1 198.52 649.3 cm 0 0 m 0 -104.27 l S Q q 1 0 0 1 290.57 616.75 cm 0 0 m 0 -71.72 l S Q q 1 0 0 1 474.92 616.75 cm 0 0 m 0 -71.72 l S Q q 1 0 0 1 567.32 720.73 cm 0 0 m 0 -175.7 l S Q BT 0 0 0 RG 0.5 w /T1_0 16 Tf 2 Tr 31.2 702.45 Td (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 2.85 -18.42 Td (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 0 -14.58 TD (been met.\240 They say what the registered person had to do to meet the \ Care Standards )Tj T* (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf -2.85 -17.82 Td (No.)Tj 64.9 -3 Td (Standard)Tj 106.4 0 Td [(Regulation)-3880(Requirement)]TJ 276.5 0 Td (Timescale for )Tj 0 -12.15 TD (action)Tj /T1_0 12 Tf -443.5 -19.41 Td (1)Tj 60.65 -3 Td (38)Tj 106.35 0 Td (Schedule 4 12 )Tj 0 -14.58 TD (\(a\))Tj 92.05 14.58 Td (You are required to record )Tj T* (any accidents that occur in )Tj T* (the home.)Tj 0 -17.58 TD (\240)Tj 184.35 46.74 Td (04/07/2008)Tj ET endstream endobj 132 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.56 cm 0 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582.18 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 28.99 549.63 cm 0 0 m 539.41 0 l S Q q 1 0 0 1 30.07 652.25 cm 0 0 m 0 -103.69 l S Q q 1 0 0 1 92.12 583.26 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 198.52 583.26 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 290.62 583.26 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 475.02 583.26 cm 0 0 m 0 -34.7 l S Q q 1 0 0 1 567.32 652.25 cm 0 0 m 0 -103.69 l S Q BT 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 637.99 Td (Statutory requirements)Tj 0 Tr 2.85 -20 Td (These requirements set out what the registered person must do to meet th\ e Care )Tj 0 -14.58 TD [(Standards Act 2000, Care Homes)-351(Regulations 2001 and the National Minimum )]TJ T* (Standards. 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This would also ensure )Tj T* (greater clarity for the monthly review of care plans, )Tj T* (including risk assessments.)Tj -168.45 -22.83 Td [(2)-4539(12)]TJ 168.45 0 Td (Further consideration of ways of encouraging activity could )Tj T* (improve the lives of residents. A member of staff with )Tj T* (specific responsibility to coordinate and provide an )Tj T* (overview, may be helpful. )Tj -168.45 -22.83 Td [(3)-4539(19)]TJ 168.45 0 Td (The providers should undertake work to upgrade the )Tj T* (kitchen as directed by the local Environmental Health )Tj T* (Services, following their recent visit to the home.)Tj T* (\240)Tj T* (There should be a review of furniture and fittings at the )Tj T* (home to ensure items are repaired or replaced as )Tj T* (necessary. This particularly related to a rucked carpet and )Tj T* (to a worn table and chest of drawers. )Tj ET endstream endobj 133 0 obj <>stream 0.984 0.788 0.086 RG 20.58 w q 1 0 0 1 28.35 35.56 cm 0 0 m 538.58 0 l S Q BT 0 0 0 rg 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 31.2 30.79 Td (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 446.48 1.01 Td (Page)Tj 2 Tr 30.53 0 Td (27)Tj 0 Tr ( of )Tj 2 Tr (27)Tj ET 0.984 0.788 0.086 RG 22.5 w q 1 0 0 1 22.95 802.41 cm 0 0 m 537.5 0 l S Q BT 0 0 0 RG 0.5 w /T1_0 12 Tf 28.35 799.09 Td (Helpline:)Tj /T1_0 10 Tf 0 Tr 0 -17.98 TD (\240)Tj /T1_0 12 Tf 2 Tr 0 -21.51 TD (Telephone:)Tj 0 Tr 71.76 0 Td [(0845 015 0120 or )1(0191 233 3323)]TJ 2 Tr -71.76 -20 Td (Textphone:)Tj 0 Tr 73.15 0 Td (0845 015 2255 or 0191 233 3588)Tj 2 Tr -73.15 -19.99 Td (Email:)Tj 0 Tr 42.72 0 Td (enquiries@csci.gsi.gov.uk)Tj 2 Tr -42.72 -20 Td (Web:)Tj 0 Tr 36 0 Td (www.csci.org.uk)Tj -36 -20 Td (\240)Tj 0 -19.99 TD (We want people to be able to access this information. If you would like \ a summary in a )Tj 0 -17.5 TD (different format or language please contact our helpline or go to our we\ bsite.)Tj 0 -39.49 TD [(Copyright \251 \()1(2009\) Commission for Social Care Inspection \(CSCI\). This publication \ may )]TJ 0 -17.5 TD (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj T* (that it is not used for commercial gain. This consent is subject to the \ material being )Tj 0 -17.49 TD (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 0 -17.5 TD (misleading context. 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