%PDF-1.4 % 1 0 obj <>stream JFIFHH%Created by xPression Import UtilityCC" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?h/L+7"젛HYkZ!=+x.c0nwg9f$':şQ]O8b"LN="t '-^;ZX^'j^+xOFsRF88TCRN!NaHC;+˥<+*~ u%Ù兡)Jo,¹JRt۔+&m{0Pee-g':şQG':şQ\|aEg4[Y_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[Y_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[Y_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[}^궲tȵ;F` uA#Z챻PIl#K{@*[mw#cE`AY_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[<Ag^A_䟎Rs^~)x'm.,۶]) 'lw$_v[AEWQ@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@z|>ƓjUtvf9 gfKv*QG|_'kI.%y敋4ҹYdv%IݘI$]O^xvI#V!d]"MRpιor~׌\w x؜?ȥNYTe.%pkYGrGJk'k/9f8z0<9RT RpV 2r1G/߆8=5_?AZkkbN~)9Z2חf-}.ᴣùV%ʒX( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (:<9:?<9:S/PFӆ?1Ԍ9oJ?Gk >(|D`(-j"~#،^_GrRxˍQ}q?g@ȲTk)S^kE0+OX(((((((((((((((((((((((((((((((((((((((((((<#ׂl,#ׂl,M$R3C#N R0/){wpJb~If񯊙uI>jiOi=Җsi?=Ȏ[&l- +OL(((((((((((((((((((((((((((((((((((((((((((<#ׂl,#ׂl,M$R3C#N R0gY> _^'u8#*)wYicgy\GOn-{yAS^QxTd)Ճ) \*߉Nw?__xǂ8¤jHԏ gSH0IN2X&̤M;fGMeqabT&unzUx Ux ~  ?gvnd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0/cg?g_ெm2ׅ<2F84eV0()($mHLnp԰x6*0 rW]AF'JrQm&vm- endstream endobj 2 0 obj <>stream JFIFHH%Created by xPression Import UtilityCCv" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?K~6>xƿt]_Ǟ9i ~~I|UuAisjz{ ëk)7M|R/u,اQds rrf8I2|0%S , ,QqudB,xX.(v4;IRa\S!} <o7jwt3\gEa0ea0 IexѧҫZ&UlUZ=|Rok~yZj1Fk]A[^m#?DhqE'`jo?g!\@,wo2Wo޵aO=i^# mkRh톕ך6%zVo:%5!)OǾ$N]KLr0VxK]мGxTCºΜn Xukg (ѣUF覭_vP2Q\@,wo-+k2>Ikψ_<_x|ycmiq{eE6\i} Vrʎ%hI[xS|O[-@dn|Yh) ~8|+Z zś_.c{lhդ(ѣUF覭_vO2Q\@,wo*+y dMʱXN`Vi`pu\F?W֩Kb!,LӧN<%׋Mf9V_SN:YxjRŒ*r}traEWhQEQEQEQEQEFp?m*UVp?m~B0|1\xW~-ShxF׌~Ͽ/xK63:w~"txIմ-SZ7mGk^:֑{LBE?MU- }oW~5+-g⇈uc{c O/E? w_"SwH~?Wך1ҿl?~,|U?~?oFo"'?^|aGڧ_υ/oO+@]b^>Z_4sů a*K~0hu/x||IQ:WA x %㏇z4O |gF3h|hA?ZkzO'ߌ>?~eűj ¾ GVdcNX~ xsM_4W~H?Ŀ"]?Y|g|OcG[[EEmwdOC!ka?='iv='Y'S]| ?NL^ lj5U eE3ԯ?e~2 e#GSs߲ÝW'0_ BGEk*~xCmuo| !9_YYxwH▟MG~[k:e|]We,|xJ$I k#|8Ik8>~ h/_H%_H/?5^?(|^t?+xo^gg k,+<{oV:ti>+Ӵd]SH|G[;jZDžh^8{=gƋ)[Nh_[0j/|1cb<F?!~!gmi-t .uHgmt]_VyHnlŮ!QG2tjc)b'dՠӍl6"QpONdN5O^#Aා>#ɞ0XPOm7|XMk.|1^}7YOxJ/o:7t_Kǖ? 4Oh_isKĞ),5A;kQiZ~7t4c_ >^h wj&})o/|_Γu~|bGOoPQSV-2b~r|%ȩx_g>#K,H(kt^ziթNjZ厗{mC3.eTaŸ\< p'g3`pXnˈŽMU3zTsz*PMl;1<&:y)Q89, 7,V 8YO 6?l&w$ğ ~;xN?GD0t?C@O2$tjũ}FXگ߳ŷF߳YAx}[-?e?? y7?KvĿ 5?x Ή xO|?{Lwo =yisK5ٓv>#ռ)Cᧅ. Q+xm1-/}[]K1y8xv|[=x8:ɰ _l.&8`0y_IʩK.9^mJ37ٞ9e67[LJjЧUa,fa/o:4K _ c~ןu?j߳h#OŨ>$xƺ ~і>Wn~v ҵ o{[W4="x6S3W~;zDߴGׄ~"x?k;C–3?ÿ 5YcaZ'7mAh?_ |hf_+ o^| xk]i#gEݝޝ #QcgPujKWK_? uφ>| 6ǃo iO{iԭRCHg65u?v8|98oyØoJy~ebW 1n˲zXY:S|6+0c+G6%R7 %^yLj5sWJ w&¾mW¿~1h wrI+|gm2JiRIPԌW3J36??g};"+|Zx[?./O/iKY_^mzgm-&O ,O |c7<[Zu1 `.g8512'"|uUUjѫC2f8~dVNl5V.S*b%%N lGþ'Z`OOs^ Ѽeqo8Vx3ImΏD$gxwGqGGķ޽"x*;3 ~bg>>4sgiot{}4-+_ϧ^mm>i{ |'/Uke? iVMԿmlr4Ɩk88r.>\1y.[|A_:PX.:԰at,FUByq9fGaqv'QBQP#VPSJjeR2IJPNu$iu_ds_G_߅h}GWt{FK_M>Sagqs|Bz υvZu'W')_wЇQ_ggqx°\[dZdMOxZ_ >xώ4 JK#i3aLiPRv^%گᾍC_z/<}|N{/5;MV[N+;Ox_lyW w'~5⯉+2`8υ=UU[]xAKXt=>VYiYi2R׃?/H + q]4%DlU煼 jg'3Sru-*/Vi.7U΅i_[Y&CԼ'Wzs+]Bir]iV{-ִ,~~ݿ?5_[h7[Y+Kº\Ck{xcTռ9A7cG?~;:?|ZG/ ?d/ C--<x[}Ï8y_k<-?x'UG]Z{_h_XE^WTO·'>| iy@>9_Qi^-׾)>'3~Ͽ N/ukWhh#][\־$If]r94 ?k߂gZ.oᗋ O9_XE|;φZf͞- ~~-wծZ &#w֟lkfZ^.>Yh0g෌ Z/;խtiZ_/:o,SIJ4T UKRiA{Ooanľ;g|k;uSzp7uy4V[$BAQBvG?~|'7tc})`H|_xƯ1"`xğt־eX9/sď ּu "z/>ռYM{Úg)<|ObehִIo%4,ٿ7;Rɯ/Bkli~6;D7_|Cexht|LCEö>[Ɵ?go7#whk/?4G4_!'G֡FMÞOmEϊ|] ~^#ҼO,gߊ%΅ " Cƶ//-<)࣫x+V)j1bY[ΟG4W5o<% &4hա5Sp#8N#dLfbpfa:8L)À2Vukb%9FkAUTiuӅji}_:r\N&6P!*|P_]'ߵ콠$ѿgq{wyDkn>,,O߈~OWWfn-f-wğ߰=OO/4gόhoQ|{߆Zǿ^/w 2xg:\ҼIuw}wqqu,7^XҾ'x+^&xC|Eook*s{x/o4#VUѵ.auqwdӈ.Vǜ,r,—W0տh|d׆ W~#[?Gx= #`+J<+|9w/Yd~QgijV8wws37څ֣_Osj7wW7u?H,68"2,cV+ͫPr0<՞ %6\Dq$RT!F/,plF hEUaFUB)JHZUPYG[Z\K5ǿPx- w_dQ>Ӟ~///Ꮚi_5%ŏh#|i/?>k2iSVY+|eyf7.U"\ZX_87eo- UJ9|;RJ/^.v]C xUUuR᛺*xֵ|GN _^ThʒjЄi:Sp^ίc|a[4xt9GG4i_|៉|O/ž(Դ[K-CSnW>T5;Euak_|NSs㯌4 m Lj|'ǟ? |D?|M]J=~D[Xxt_čkxV:;j@ou(t"P{Eep`y|SY ?Xl-Sٖ_YnUg|ᄫSa:wUIjaqxIJGB(`i14pucG/Y9/|4FxT#'ll>$hc>,f_k^0о]xttI<藞?M揣h]ƤiKo袿sys癦?7:tRf84ӥJujɥN#+cXJX B){:J,Uۓ~l#?8O猿6*8O猿65?ĺx{@lnu=g\5t'Gt85=Nnn#ydU?!WY^'/pEx3ūR:Fk.༷Үt/x /V_3 ODO3c5,44+Fm_懩ZC_[ϟ%{(s?Ǐs9RjΏm??_+/*֙6aɯSu[žk:OO~ϳkCio/L_m,'ՠ-]ucGƯx__xgğjh/Kľ)26Wr$1q;G ^+h&? |> : >4 _uh"i՞ᵽ(4&u{49}_iO߇ j,.6P2wK#C~ Х|kR/5wSvw *_{mto߶w|@>.|*]M=MhÏ k#O:iZ[O>S<7 U6|vE>|0G_ V#῅-auh^ Kt(tGP׼A{oGWToWJkxſ h_ ė "uUt]?{m~&dԯ,y{g 9*Llîm>@4cm׼;7xΟ:Gh_ƏkkyoK:ѵXW J'~޿> Ho־&|v~1'\-LJ9b=^! >!;m-x2~o# ~;'[/߉5 x^_YuмM}SRѬ|?0i6u[ B5K!c_I89%7/:\x|ciL>$\k|A=J>x DxrNAmel<1o8a?%k:|0W/_u}3HeiV -l|Akq"I5/ǿUt}@Jito wH(K |5kPD;7;Rɯ/Bk?YWG!_P , ((((((e?#2:_Ÿ?nO>77Ś@%o-i 5 /?L^ <}iN4Y[[Y~3xSh7SĚ ϧ|+P)ikǦk7j:Un4]hq@_vsw2EjC(jſ8OaX_V U1U}|4"mᯃFȞ(twϩ[xl^>Yih/A[/{[?:Oÿwy׆/5}>,J=-o}> 52K!?)#@A Ꮝ>.M<-Яj4xxlxOYR}[\MךrLgJf|K)S?go''OUb|,!'/=|^5{LmO7O(7pߵ MxO?iO'k#w=O¾=OCgះ~nt?zOh'=~)A-V7H?WV?'V[&χ>:|Zěm &z>xNY=>S𯉴_^jZ6e_طƽF|o5 Y}7Bxz/M֢IAોsS4 x_,Э|e$^ojZĚ6``d?-`7O⯇ giWɞ(Yxƾ/Aw{oXֻޡxS$Nx t⦚u7[>_ ogJyk{=it4oN~+Wxmb) Kno#?P?mo~inWƟ ȶ~2g#`k %Q/G@2ǁm4 :cԵ]vᵽ;ƿ Os:f_|dյ3kec|u]𯇮=@ubla{s7>.xP֬tyo~#N74yLP/7<'ixnEKRY5 ۹گy;>2xN>/ֺ>%iUue&6 )xkm<|gdž7wVZm#]z #ӟV/RxgM7 {?_պ֝k> x[Rv KⰓN5ik?ϯIOj=I?hO]x=zMsĚ-cHbZwvW|6tOctmkE֬u_G|=]#V053A OOJ 8~n_k ?*nh?>> 3 {#5!_DŽuq*MThcDGow?g@I^_|I7b|\\Y /g^z}^yq7$p$Ҽ6żO#p  I!.rY5A?K#֏!c &WuƷ'Úh>1Ӵ=>MOJZKCu.osr[G_YgH> Aƶ#69=+{KĞ xkk-<C%]sci$Ωc'CĬ>&8])U'^x,ϱY,FRF<:JO%:TN^:ӌȿC|cƷ5xs: :} 0A%#ݳM޹`z׼=xJмO#/1_heiWޟAqisBrx0}k?WsJ7]AITNSġ7;r9ӿ<~JFrK||r7I6It[Vz+o _Sx[' ~!n|; K ~|og ^5h>5πmR֯|Uwmgi$Z\M}nJ{=~Rӵ *{;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 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 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 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 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 (Meadowcare Home)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 (2-3 Belvedere Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Westbury Park)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Bristol)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (BS6 7JG)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 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 1 191.92 331.89 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 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 386.8 331.89 Tm (one star adequate service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 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 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 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 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Odette Coveney)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 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 (38)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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (38)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 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 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 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /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 (Meadowcare Home)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 (2-3 Belvedere Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Westbury Park)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Bristol)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (BS6 7JG)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01179730174)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01179739919)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (Meadow Care Homes Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (34)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 35.16 w 31.2 375.52 m 297.3 375.52 l S 0.001 w 35.16 w 299.55 375.52 m 431.45 375.52 l S 0.001 w 35.16 w 433.7 375.52 m 565.6 375.52 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 345.4 m 565.6 345.4 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 567.8 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 568.1 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 568.1 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 568.1 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.59 m 568.1 244.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 243.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 355.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 355.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 243.51 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (34)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 363.46 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 378.04 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 378.04 Tm (34)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.63 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (The maximum number of service users who can be accommodated is 34. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.97 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 280.39 Tm (with nursing - Code N to service users of either gender whose primary care needs on )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 265.81 Tm (admission to the home are within the following categories: Old age, not falling within )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 251.23 Tm (any other category \(Code OP\) Dementia \(Code DE\))Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 229.8 m 315.25 229.8 l S 0.001 w 1 1 1 RG 20.58 w 317.5 229.8 m 346.55 229.8 l S 0.001 w 20.58 w 348.8 229.8 m 377.9 229.8 l S 0.001 w 20.58 w 380.15 229.8 m 409.2 229.8 l S 0.001 w 20.58 w 411.45 229.8 m 440.55 229.8 l S 0.001 w 20.58 w 442.8 229.8 m 471.9 229.8 l S 0.001 w 20.58 w 474.15 229.8 m 503.2 229.8 l S 0.001 w 20.58 w 505.45 229.8 m 534.55 229.8 l S 0.001 w 20.58 w 536.8 229.8 m 565.9 229.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 241.21 m 568.1 241.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 218.38 m 568.1 218.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 242.29 m 30.07 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 242.29 m 316.37 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 242.29 m 347.67 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 242.29 m 379.02 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 242.29 m 410.32 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 242.29 m 441.67 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 242.29 m 473.02 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 242.29 m 504.32 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 242.29 m 535.67 217.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 242.29 m 567.02 217.3 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 225.03 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 225.03 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 225.03 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 225.03 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 225.03 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 225.03 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 225.03 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 225.03 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 225.03 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 205.38 m 565.9 205.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 195.76 m 568.1 195.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 196.83 m 30.07 107.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 196.83 m 567.02 107.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 215.01 m 568.1 215.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.76 m 568.1 195.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 108.51 m 568.1 108.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 216.08 m 30.07 194.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 216.08 m 567.02 194.68 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 201.82 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 201.82 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 182.57 Tm (Meadow Care Home opened in the summer of 2008. It is a 34 bed registered care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 165.57 Tm (home, with nursing support for people. The home is located near to Clifton and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 148.57 Tm (main Bristol city centre shopping centre. There are good bus routes and the home is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 131.57 Tm (within close walking distance to Park Street which has a broad range of shopping and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 114.57 Tm (facilities. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 94.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 77.2 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 535/Matrix [1 0 0 1 0 0]>>stream xMo1 +r;GJ%N8T݁ZT~>vfTZ7q'~dFs,_ ?7~@xOѸL`&$1]Pa 9BasU HN ^1XIu=xm>tc+n355V6,[Q5J"6qړ "kEL|%~ ,pEM댠=$|&`K?Gs ;Aʌ]ҥMC챓Ӳ9N{lvn0jX0UeFmb&h0tٞϤUg3Zwͥns8% SUftOֺf/+zqYqӹH6t9v)8y_ܑ/af|^Nxz=WcuevO`jsIlҰʹ/6?RTtYpp\ tQ.`<Ь_oNm{(.J3M_``_Z>SQߜj;ϴNY_y O 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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 398 715.45 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (This was an unannounced Key inspection completed by one inspector for the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (Commission over two days.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (Our last visit to the home was in January 2009 and at that time we rated the service as )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (one which provided poor quality outcomes for those living at the home. The purpose of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (this visit was to review the requirements and recommendation which had been set by )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (us and to review compliance and improvements in these areas.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (Since our last visit to the service there have been two safeguarding meetings, the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (registered provider and his management team have been present and have fully )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (engaged with the process. They have provided information and an improvement plan )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 32.16 w 32.32 796.45 m 566.72 796.45 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 30.12 779.24 m 568.92 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 778.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 778.17 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (upon request and have kept us informed of changes and improvements within the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (home.)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 (38)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 195.54 w 32.32 693.05 m 566.72 693.05 l S 0.001 w 20.58 w 32.7 582.74 m 569.35 582.74 l S 0.001 w 479.23 w 33.82 330.59 m 568.22 330.59 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 30.12 594.16 m 568.92 594.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 593.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 594.16 m 569.35 594.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 571.33 m 569.35 571.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 571.33 m 570.42 571.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 572.41 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 593.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 572.41 m 569.35 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The furnishings and fittings within the home are of a good quality and make for a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (pleasant environment, individuals have personalised their own rooms, making them )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (more homely.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (Staffing numbers at the home are sufficient to meet the needs of people living at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (home, there is an appropriate mix of care staff, ancillary and qualified staff on duty. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (The manager appears motivated and committed to providing a good service for those )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (living at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (People living at the home told us they were happy and liked it at Meadowcare Home, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (relatives we spoke with told us about improvements at the home which they had )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (noted.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 568.97 691.5 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 580.63 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 577.97 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 1 569.35 581.19 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 329.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 555.14 Tm (The registered provider and his management team have worked diligently since our )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 540.56 Tm (last key visit in order to meet the requirements and recommendations that were set by )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 525.98 Tm (us during our last visit to the home.)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 (Whilst the registered provider has put in place a manager to cover at Meadowcare )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 482.24 Tm (home formal arrangements must be put in place. The manager must submit an )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 467.66 Tm (application to The Commission in order that they can register with us. Once received )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm (we will undertake an assessment of their 'fitness' to manage the care home.This is to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm (ensure that people live in a home which is run and managed by a person who have the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (previous knowledge, skills, experience and qualifications and is fit to be in charge.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm (The registered person has consulted with service users who are able and/or their )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm (relatives in order that improvements could be made to the plans pf care and that these )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm (incorporate within the plan individuals wishes, preferences and choices. This evidences )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm (that individuals have been asked their opinion about how they wish their care to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (provided and care plans are being further developed in order that they are more )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (person centered, rather than only being task orientated. We will continue to monitor )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm (improvements in this area.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (The registered person has ensured that a record of any nursing provided to the service )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (user has been maintained by the home. This records the treatment, monitoring and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (review of wound and pressure areas care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (The registered person has made arrangements for service users to receive where )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (necessary, treatment, advice and other services from healthcare professionals. This )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm (has ensured that people have been supported with their pressure area, wound care )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (and mental health needs.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm (Specialist support services were requested for one individual who lives at the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm (home.This was to ensure that this person had an assessment of their mental capacity )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 117.74 Tm (undertaken and to demonstrate that decisions made have been done so through )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 103.16 Tm (consultation and in line with the individuals assessed needs.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 329.04 Tm ()Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for 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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 721.55 w 33.82 451.75 m 568.22 451.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm (The registered person must continue to ensure that the care home is conducted to )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 773.56 Tm (ensure that people are treated with dignity and respect.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 744.4 Tm (The registered person has ensured that there have been improvements to the systems )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 729.82 Tm (of medication administration at the home, they have ensured that people are fully )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 715.24 Tm (assisted to take their prescribed medication. Records and systems for auditing stock )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 700.66 Tm (held medication has been improved in order to demonstrate that medication has been )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 686.08 Tm (given appropriately. The registered person has also ensured that medication records )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 671.5 Tm (are fully completed. This provides evidence that people are being given their )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 656.92 Tm (medication correctly and in line with the general practitioners instructions. To ensure a )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 642.34 Tm (clear audit trail and accountability the home has improved upon the recording of stock )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 627.76 Tm (held medication. Records of medication administered on a daily basis within the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 613.18 Tm (have also improved.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 598.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 584.02 Tm (The home have ensured that pressure relieving equipment is provided when a need for )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 569.44 Tm (this equipment is identified.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 554.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 540.28 Tm (The registered person has ensured that criminal records bureau checks in place for )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 525.7 Tm (those staff employed at the home and also that all staff employed at the home have in )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 511.12 Tm (place two written references. This is to evidence that suitable staff are employed at the )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 496.54 Tm (home to support people who are vulnerable.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 481.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 467.38 Tm (The registered person has ensured that staff employed at the care home have received )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 452.8 Tm (manual handling training appropriate to the work they are to perform, staff have been )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 438.22 Tm (trained in manual handling techniques and are able to support individuals in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 423.64 Tm (manner,)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 409.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 394.48 Tm (The registered person has ensured that manual handling risk assessments are in place )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 379.9 Tm (for all who live at the home, This records how individuals are to be supported in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 365.32 Tm (manner. the risk assessments outline individuals needs, staff support and any )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 350.74 Tm (equipment which is needed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 336.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 321.58 Tm (The registered person has made suitable arrangements to provide a safe system for )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 307 Tm (the moving and handling of service users this is to ensure people are assisted in line )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 292.42 Tm (with their assessed needs using safe techniques and equipment where needed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 277.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 263.26 Tm (The registered person has ensured that the unnecessary risks to the health or safety of )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 248.68 Tm (service users are identified and so far as possible eliminated. The registered person has )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 234.1 Tm (ensured that those living at the home are able to summon staff for assistance and staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 219.52 Tm (have been reminded of their responsibility in this area and a monitoring process to )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 204.94 Tm (check that all nurse call bells are working correctly in now in place.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 190.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 175.78 Tm (The registered person has established a system for reviewing and improving the quality )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 161.2 Tm (of the care provided at the home, however due to the poor quality of the previous )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 146.62 Tm (assessments which was sent to us The registered person should re submit the Annual )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 132.04 Tm (Quality Assurance Assessment in order to demonstrate how the service delivered is )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 117.46 Tm (being monitored and kept under review.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 102.88 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 250.86 w 33.82 687.1 m 568.22 687.1 l S 0.001 w 20.58 w 33.45 549.13 m 570.1 549.13 l S 0.001 w 445.61 w 34.57 313.78 m 568.97 313.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 560.54 m 570.42 560.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 559.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 537.71 m 570.1 537.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 560.54 m 570.1 560.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 537.71 m 571.17 537.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 559.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 538.79 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 538.79 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (The Annual accounts of the care home certified by an accountant have been forwarded )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm (to CSCI. We also received a reference from the bank expressing an opinion as to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 773.56 Tm (registered providers financial standing. We are satisfied that the financial viability of )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 758.98 Tm (the business is stable.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 729.82 Tm (The home has informed the Commission of incidents, which have affected the wellbeing )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 715.24 Tm (of those who live at the home. These notifications have demonstrated that the service )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 700.66 Tm (has dealt with issues effectively and in the best interests of those who live at the )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 686.08 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 671.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 656.92 Tm (The registered provider has taken appropriate action to prevent against the risk pf fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 642.34 Tm (and have implemented a suitable, effective fire risk assessment this was forwarded to )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 627.76 Tm (us from the provider after our last visit to the service. Weekly and monthly safety )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 613.18 Tm (checks are being completed, as required to ensure the safety and protection of those )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 598.6 Tm (who live and work at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 584.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 569.44 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 547.58 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 544.36 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 31.2 312.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 521.53 Tm (In order that full information is obtained about people in order that staff can obtain a )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 506.95 Tm (better understanding of the needs, wishes and choices of people life history information )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 492.37 Tm (should be in place for all where possible.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 477.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 463.21 Tm (Activities have commenced at the home and the person co ordinating this is very )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 448.63 Tm (motivated and keen to provide a good service for the residents living in the home, in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 434.05 Tm (order to facilitate this it is recommended that items, such as craft work, quizzes, )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 419.47 Tm (puzzles or games should be provided in order to facility meaningful activities which are )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 404.89 Tm (tailored to individual ability and choices.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 390.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 375.73 Tm (The home is well maintained, is decorated well and furnished to a good standard. It is )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 361.15 Tm (recommended that further consideration should be given to the environment in order )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 346.57 Tm (that it can meet the needs of those with dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 331.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 317.41 Tm (Staff must undertake training about the Mental Capacity Act in order that they are fully )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 302.83 Tm (conversant with the rights of people living in the home and have an understanding of )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 288.25 Tm (their own role and responsibilities.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 273.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 259.09 Tm (The registered person should make arrangements for staff to receive training in the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 244.51 Tm (protection of vulnerable adults and first aid. These requirements were set at our last )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 229.93 Tm (visit to the service in January 2009 and has not been met.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.77 Tm (The home should forward to The Commission a copy of their response and proposed )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.19 Tm (actions when they have received all of the completed quality assurance questionnaires )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.61 Tm (from service users and others.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.03 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.45 Tm (It is required that a full audit is undertaken to evaluate the falls which have occurred to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.87 Tm (review what action should be taken to prevent reoccurrance, a referral to the falls )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.29 Tm (prevention advisory service should also be undertaken to ensure that people are being )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.71 Tm (supported in line with their healthcare needs and furthermore recording must be )Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 34.57 789.16 m 568.97 789.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 764.66 m 571.17 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 763.59 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (improved within accident reports to record what recommendations/actions have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (taken to prevent reoccurrance, where possible and to incorporate the review of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (individuals care plan and risk assessments.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 750.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.11 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 730.11 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 730.11 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.61 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 28.35 692.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 672.62 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 672.62 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 672.62 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 655.12 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 655.12 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 655.12 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 637.63 Tm (7535.)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 360 m 563.65 360 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 290.14 m 566.98 290.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Information is provided about the services and facilities which are provided at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (home, contracts are in place which also outline the terms and conditions of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (placement.)Tj ET 0.99608 0.9451 0.76078 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 0.001 w 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.89 m 566.98 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.89 m 565.9 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (We reviewed that Statement of Purpose and the Service Users Guide during our last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (visit to the service, we were told at this visit by the manager that there had been no )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (changes to these documents. At our last visit we recorded that these documents )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (contained information about the aims, objectives and the philosophy of care for the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (home and also provides details about the services and faciltities available for those )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (who live at the home. the manager informed us that this information is available upon )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (request.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (There have been no admissions to the home since our last inspection to this service )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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 443.77 w 33.45 589.52 m 563.65 589.52 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 422.4 w 32.32 577.71 m 564.78 577.71 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 31.2 364.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 364.3 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 30.12 365.38 m 566.98 365.38 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 (and therefore we were unable to fully assess the admissions process for people. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (noted that the home has a comprehensive admissions procedure and when we spoke )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (with the manager he was able to tell about how this is implemented at the home. He )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (told us that each individual has a care management assessment which incorporates all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (aspects of their physical health, social and emotional care support and also records the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (wishes and choices of people moving into the home. The manager informed us that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (home use this information upon which to base their assessment and that prior to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (coming into the home either the manager or deputy manager would visit people and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (also undertake their assessment prior to admission into the home, this would form the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (basis of the care plan that would be recorded at the home. People moving into the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (home complete a minimum of a months trial period, this is a two way processess for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the individual and the home in order to determine if the persons identified needs are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (able to be met at the home. We have seen in peoples care files that after this months )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (initial trial period a review meeting is held to discuss the placement, incorporating the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (views of the person living at the home, their relatives and a representative of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Meadowcare home. The manager confirmed to us that should a decision not be able to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (be reached at this point then the trial period could be extended.)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 (Of the four people whose records we viewed we saw that each individual had within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (their care records had a copy of the homes Service User Guide in place. Within this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (was was a contract which outlined the responsibilities of the provider. This document )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (contained information about the fees, the admission process and liability insurance.)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 (Intermediate care is not provided at this home.)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 (38)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 259.94 w 33.45 332.76 m 563.65 332.76 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 237.45 w 32.32 321.51 m 564.78 321.51 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 31.2 200.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 200.59 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 30.12 201.66 m 566.98 201.66 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 (Improvements have been made to the quality of information recorded within care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (plans.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (Requirements which had been made at our last visit in respect of medication )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (administration practices at the home have improved, however a recommendation )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm (about medication to be taken 'as and when' required has not been met and this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm (remains.)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 are supported to access primary and specialist healthcare services when a need )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 210.72 Tm (has been identified.)Tj ET 0.99608 0.9451 0.76078 RG 107.57 w 33.45 122.01 m 563.65 122.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 166.79 m 565.9 166.79 l S 0.001 w 86.2 w 32.32 110.2 m 564.78 110.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 154.42 m 566.98 154.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 155.5 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 155.5 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 154.42 m 565.9 154.42 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 31.2 163.48 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (During this visit to the home we reviewed the care and associated records for four of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (the people who live at Meadowcare Home. We saw that since our last visit to the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (care files had been audited and put into an improved more accessible format. Each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (person had in place a life history questionnaire which, where they were able, they had )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 (38)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 (supplied information about where people were born, their children, religious beliefs, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (favorite foods and memories of their wedding day and something which they were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (proud of. Information had been provided by individuals themselves and their relatives. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Within each care file was an assessment of individuals daily needs which incorporated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (both a physical and mental health assessment. Care plans recorded individuals needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (within areas such as personal hygiene, communication, wound care, eating and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (drinking, sleeping, behavioral support, mental capacity and end of life care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Each plan recorded individuals assessed needs, the aims and objectives of the plan of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (care and what action would be taken to meet these needs. We saw that there had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (been significant improvement within the recording of information within care records, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (care plans had been reviewed on a monthly basis and in one persons file we reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (we saw that this had occurred earlier than this due to changes in their level of need.)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 (During our last visit to the service we also reviewed the care plans for five people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (living at the home, a requirement was made that the registered person must consult )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (with the service users and should incorporate within their care plan individuals wishes, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (preferences and choices. This was to evidence that people had been asked their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (opinion about how they wished their care to be provided, this would also enable the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (home to develop care plans in order that they are more person centered rather than )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (task orientated. We have already said we have seen improvements within the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (recording of care plans and we have seen that individuals and their relatives had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (consulted and their views incorporated. The requirement had been met, this is an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (important area and it is essential that the individual is central to the care planning )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (process we will continue to monitor progress in this area at future visits to the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (home.)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 (During our last key visit to the home in January 2009 we found that although people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (we accessing primary healthcare services referrals for specialist services for people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (when a need had been identified had not been arranged in a prompt and timely )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (manner. A requirement was made that the registered person must make )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (arrangements for people living at the home to receive where necessary, treatment, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (advice and other services from any healthcare professional. This was to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (people were supported with their pressure area, wound care and mental health. Within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (records we saw that services had been arranged as needed, the tissue viability nurse )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (had visited and provided treatment and advice for pressure area and wound care for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (people living at the home, mental health support had been arranged and professionals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (had visited people at the home. All people living at the home are registered with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (general practitioner who is a regular visitor to the home and is available to visit and for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (advice as needed. We saw that some people had had their medication reviewed in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (order that medication prescribed is an effective treatment.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (During our last key site visit at the home in January 2009 requirements were made )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (that the home should improve upon medication practices within the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (requirements made were that The registered person must ensure that people are fully )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (assisted to take their prescribed medication and also that records and systems for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (auditing stock held medication must be improved to demonstrate that medication has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (been given appropriately. It was also required that The registered person must ensure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (that medication records are fully completed. This is to ensure that people are being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (given their medication correctly and in line with the general practitioners instructions.)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 (During our visit to the service we found that the home were in the process of auditing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the stock held medication and were implementing a new monitoring system, a staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (member told us that the new system had been fully discussed during a staff meeting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (and methods of implementation were agreed. We found no errors in recording and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (medication checked was accounted for. There are no people living at the home who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (are able to manage their own medication and all are supported by staff at the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (for this area of their care. There are people living at the home who are prescribed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (medication to be taken 'as and when required' this medication is prescribed for people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (who experience anxiety and can become distressed. We discussed this with a staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (member and asked them in what circumstances would the medication be given, clear )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (reasons were given, however clear protocols and guidance should be provided and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (these should be linked into the individuals plan of care in order to ensure a consistent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (approach and continuity of care. This was a recommendation from the last key )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (inspection and will remain and will be reviewed by us when we next visit the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (The home have a record of medication which is no longer required and is returned to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (the pharmacist for safe disposal, records showed that two staff within the home record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (what is to be returned and the pharmacist also signs as a form of receipt.We also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (noted that one person had a sheet monitoring their diabetes care, the sheet recorded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (that the person was an insulin diabetic, they are not. records must accurately reflect )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (the support required and must be accurate. We saw in staff records and were also told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (by staff that they had received medication competency training, this had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (provided by Boots, the pharmacist which dispenses medication for those living at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (home. People living at Meadowcare Home have a diagnosis of dementia and there can )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (be occasions when people refuse to take their medication. We discussed this with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (member of nursing staff who explained to us what their responsibilities were and what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (response they would have in this situation in order to ensure that peoples healthcare )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (needs were met, they told us that the general practitioner would be contacted and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (advice from them would be sought, alternative methods of medication giving would be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (discussed with the GP and records would be updated and concerns shared with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (relevant staff members. This staff member demonstrated a sound understanding of )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 (38)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 (the importance of medication and the involvement of other professionals when needed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (to ensure the best interests of individuals are met.)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 (When we completed a random visit to the home in November 2008 we were concerned )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (that one person was not receiving full specialist support in respect of their mental )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (health. A requirement was made and we reviewed this in January 2009. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (requirement had not been met and again the requirement remained. The requirement )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (was that specialist support services must be requested for one individual who lives at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (the home. This was to ensure that this person has had an assessment of their mental )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (capacity undertaken and to demonstrate that any decisions made have been done so )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (through consultation and in line with the individuals assessed needs. During this visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (we reviewed the care documentation and spoke with the manager about this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (individual. We saw that a mental health referral had been made by the home and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (individual had been visited. We further saw that the home had arranged for a review of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (this persons whole care package as part of the care management process.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (During our last visit to the service a requirement was made that The registered person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (shall make arrangements for service users to receive where necessary, treatment, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (advice and other services from any healthcare professional. This is to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (people are supported with their pressure area, wound care and mental health. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (manager and staff spoken with told us that specialist services have been arranged for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (people when a need for this had been identified. Within records we saw confirmation of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (this and saw that people have been visited by a tissue viability nurse, a community )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (psychiatric nurse and the general practitioner.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (During our last visit to the home we reviewed the records of an individual who had a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (pressure area wound. We were not satisfied with the level of recording and monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (of treatment for this person. A requirement was made that the registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (ensure that a record of any nursing provided to the service user is maintained. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (reviewed this same person records at this visit and saw that improvements had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (made. The home have improved upon recording within individuals care plan and daily )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (notes. Since our last visit the home have introduced a wound dressing diary to record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (dates of dressing changes and any changes in the wound are recorded. We also noted )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (that the tissue viability nurse had visited and provided treatment and advice to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (support individuals with this area of their care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (During our last visit to the service we saw one person having their leg wound re )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (dressed in the main lounge, in full view of everyone else. A requirement was made )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (that the registered person must ensure that the care home is conducted to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (people are treated with dignity and respect. This was to ensure that people are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (supported with any healthcare treatments in private. Some discussion took place with )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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 356.3 w 33.45 633.26 m 563.65 633.26 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 334.92 w 32.32 621.45 m 564.78 621.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 451.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 451.78 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 30.12 452.86 m 566.98 452.86 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 manager and registered provider about this and the difficulties that can be faced )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (when an individual refuses to move to a private area and wishes to stay in a public )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (area for their would to be dressed. We spoke about balancing the rights of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (individuals, the homes 'duty of care' and the respect and dignity of people living in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (home, including the other people present in the lounge. Mr Baryah confirmed to us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (that all individuals are consulted and where possible they are escorted to a private )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (area for treatment, in situations where this is not possible a screen has been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (purchased and is available to provide some degree of privacy.)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 (At our last visit we noted that people did not have recorded what their wishes were in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the event of their death, whilst we appreciate the sensitive nature of this subject we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (recommended that the the home seek information about individuals end of life care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (and that this should be recorded in order to ensure that peoples wishes are respected. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (The manager and administrator told us the following our visit a letter had been sent to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (relatives of all of those who live at the home in order to request this information. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Within the records of people we viewed we saw that three of the four people had an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (end of life care plan in place and the manager informed us that the were awaiting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (information for the fourth person in order that this part of their care plan could be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (completed.)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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 428 m 563.65 428 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 114.98 w 32.32 416.75 m 564.78 416.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.14 m 566.98 358.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (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 (Some activities are provided for people living at the home and this is an area for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (ongoing development in order that people are supported on an individualised basis in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (line with their abilities and preferences.)Tj ET 0.99608 0.9451 0.76078 RG 264.04 w 33.45 200.24 m 563.65 200.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.27 m 565.9 323.27 l S 0.001 w 242.67 w 32.32 188.43 m 564.78 188.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.89 m 566.98 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.89 m 565.9 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 319.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (At our last visit we reported that there was no activities co ordinator in post, this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (person had left due to poor relations with the former manager. The home have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (appointed an individual to undertake this role, this is a carer at the home. We spoke to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (this person who told us about their new position and what plans they had to improve. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (This person told us about the recent training they had attended which was about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (supporting people with dementia, they told us that they would attending some training )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (later in the month specifically about providing meaningful activities. We saw that a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (new folder had been developed, we also saw that some people had in place a 'life )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (history' and some of those seen by us were extremely detailed, others were not, whilst )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (we appreciate that obtaining information may be difficult this is an area which should )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (be fully explored to obtain as much information as possible about the person being )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (supported as this will enable a greater understanding for staff about the person as an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (individual. We saw that each person had an activities sheet in place this recorded on )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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 688.72 w 33.45 467.05 m 563.65 467.05 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 667.35 w 32.32 455.23 m 564.78 455.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 119.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 119.36 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 30.12 120.43 m 566.98 120.43 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 (an individual basis what activities had been offered and what the response had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (and the benefits were for the individual person. Examples of individuals art work were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (in place. We did note that in the lounge 'colored in' pictures were on display, these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (pictures appeared to have been taken from a child's coloring book and it was felt that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (these pictures were not appropriate for this age group, for adults. Both the manger )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and the activities co ordinator agreed. This person was highly motivated and had many )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (ideas and suggestions, this should be encouraged and supported. During our visit one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (of the people living in the home went out for walk with a member of staff and upon )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (their return told us how much they had enjoyed the 'fresh air' and the one to one time. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (We also witnessed the activities co ordinator playing a game of catch with the people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (in the lounge, a plastic container and handmade balls of paper were being used. When )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (we asked why we were told that this was all they had, whilst we acknowledge the use )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (of this imaginative improvisation and that people were enjoying the activity it is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (recommended that items, such as craft work, quizzes, puzzles or games should be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (provided in order to facilitate meaningful activities which are tailored to individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (ability and choices.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Also during our visit one of the people living in the home went out with their relative )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (and told us that they get lots of visitors. We spoke to four relatives of individuals who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (live at the home, all told us that they had noted improvements within the past few )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (weeks. We asked people did they know who to speak with if they had any concerns or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (complaints, people told us they would either speak with the manager or Mr Baryah. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Other comments from relatives were "my relative is happy and settled here" "The food )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (is always very nice, I have eaten here and the food is lovely" "I am happy with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (care given to my relative".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (During our visit we spent time with people in the lounge drinking tea and generally )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (chatting with people about their life in the home. we also spent time with three )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (individuals in the privacy of their room. People living in the home have a diagnosis of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (dementia and have some additional health and communication difficulties. People told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (us that "staff are very kind" "People help me when I need it" "I like it here".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (The kitchen was found to be clean, tidy and well stocked with fresh fruit and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (vegetables. During our visit we saw that individuals had a jug of cold drink in their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (rooms and in the lounge areas, hot drinks and biscuits were also available at various )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (intervals during the day. Staff were seen supporting people with their meal at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (lunchtime, this was done in a calm manner with individuals being given sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (support and encouragement to eat at their own pace.)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 (38)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 172.46 w 33.45 461.5 m 563.65 461.5 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 149.97 w 32.32 450.25 m 564.78 450.25 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 31.2 373.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 373.07 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 30.12 374.14 m 566.98 374.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (Complaints procedures are in place and there are well written Adult protection and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (whistle blowing procedure's in place.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 400.7 Tm (Staff would benefit from Protection of vulnerable Adults training in order that they can )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.2 Tm (be fully aware of their role and responsibility in this area.)Tj ET 0.99608 0.9451 0.76078 RG 280.05 w 33.45 208.25 m 563.65 208.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.27 m 565.9 339.27 l S 0.001 w 258.68 w 32.32 196.44 m 564.78 196.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 326.9 m 566.98 326.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 327.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 326.9 m 565.9 326.9 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 31.2 335.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (During our last visit to the home the manager was unable to find a record of any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (complaints which had been made to the home and therefore we were unable to review )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (fully what complaints had been raised to the home and how these had been responded )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (to, in line with the homes complaints procedure. A requirement was made that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (registered person shall ensure that any complaint made under the complaints )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (procedure is fully investigated. This is to evidence that information has been fully )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (evaluated and issues raised have been investigated and outcomes and any required )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (actions must be recorded. We saw that since our last visit to the home that they have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (introduced a folder to record and monitor issues which are raised to them. We are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (aware that the provider had dealt with an issue prior to our visit and had kept us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (informed of the outcomes of their investigation. The homes investigation and response )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (to the complainant was detailed and thorough. When we reviewed the homes )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (complaints folder we saw that one other issue had been raised to the home. Recorded )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (were details of the concern raised, times, dates, those involved and investigation 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 (38)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 (resolution. In between our last visit to the service in January 2009 and our visit on this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (occasion no complaints had been raised to The Commission, we did receive a letter )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (from a relative of an individual living at the home who told us of the improvements )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (which had been implemented at the home and that the current manager in post )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (communicated well with relatives and responded well to comments and suggestions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (made.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (During our last visit to the service we found that there were a number of staff who had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (not undertaken training within the area of adult protection. A requirement was made )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (that the registered person should make arrangements for staff to receive training in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the protection of vulnerable adults. At this visit we saw that the home have ensured )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that this important area of staff training is incorporated within the homes induction )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (and many of the staff had undertaken a refresher induction in this area. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (also confirmed to us that protection of vulnerable adults training was a priority for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (home and that this would be arranged as soon as a training provider was found, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (requirement we made during our last visit to this service for this area has not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (met, the requirement will remain and will be reviewed by us when we next visit the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Since our last visit to the care home there have been two safeguarding strategy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (meetings, this is because at our last visit to the service it was rated by us as being one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (which provided poor outcomes for those living at the home, the purpose of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (meetings was to meet with the providers of the service and discuss with them how )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (improvements could be made and what actions were being taken by them to improve )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (the quality of service provided for people who live at Meadowcare Home. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (registered provider and his management team provided information to these meetings )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (in order to demonstrate a commitment in compliance and meeting the requirements )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (set and improving outcomes for those using the service.)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 (38)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 119.98 w 33.45 470.74 m 563.65 470.74 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 97.48 w 32.32 459.5 m 564.78 459.5 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 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 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 30.12 409.63 m 566.98 409.63 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 (Meadowcare Home provides a well furnished, well maintained environment for people. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (The home is clean, tidy and odour free. )Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 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 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (Meadowcare Home is located in a pleasant residential area close to the city centre and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (Clifton Downs. The home is close to public transport links and shopping areas. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (home is registered with The Commission to provide care, with nursing, for up to 34 )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (people who have diagnosis of dementia. There were twenty one people in residence at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (the time of our visit. The home opened in the summer of 2008 and during the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (registration process it was found to be suitable for its intended purpose.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (Since our last visit a number of areas of improvement were noted by us. At our last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (visit we reported that the main lounge has a large dresser and that this is quite a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (feature of the room, at our last visit there was only one photograph and a number of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (pairs of residents glasses and a teddy bear on this unit. On this occasion the dresser )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (had crockery and decorative china on display, there were also plants, books and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (puzzles for people to use. We also noted that the home have now put up clocks, this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (will assist those living in the home with their orientation. There is a passenger lift to all )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (floors within the home, in the rear garden there is also a lift to enable those with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (mobility difficulties to reach the upper patio area of the garden.)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 (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (There is a dining area which overlooks the patio and is near to the main lounge areas.)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 (All areas of the home, both communal, bathrooms, toilet and privates areas are well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (decorated, well maintained and well furnished. bathing aids, as required have been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (provided and are in place. Toilets are located within individuals en suite areas and are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (within close proximity of lounge areas.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Prior to our last visit we had received a letter from a relative of an individual living at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (the home, they complained that whenever they visited the home the televisions were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (very loud and often had inappropriate young adult music channels. We also noted this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (at our last visit and also that the television screen had 'frozen' for over an hour )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (without any staff intervention. We saw both televisions in good working order and on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (the whole appropriate programs were on the television. We asked people watching if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (they were happy with what was on and they told us they were. A visitor told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (they visit the home every few days and had noted that more appropriate channels )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (were on for residents, which they appear to enjoy.)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 (The home has a large conservatory which overlooks a patio area. When we visited the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (home in November 2008 we recommended that window coverings, either blinds or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (curtains should be fitted to this area in order to ensure it is not overlooked by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (neighbors and also to make the area more homely. This recommendation had not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (met, whilst we accept that this area is not currently greatly used as the numbers of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (people living in the home increases this area will be in more demand. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (recommendation remains we will review this when we next visit the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (During our visit we read a report from an interior designer who had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (commissioned by the provider to provide advice about the home. The report was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (detailed and gave suggestions as to how improvements could be made, during our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (visit we saw that a number of these had been implemented, more pictures had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (put up, plants were in the home and more seating had been arranged. We discussed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (with the provider that the home is registered as one which provides a service for those )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (with a dementia and it is recommended by us that further consideration should be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (given to the environment in order that it can meet the needs of those with dementia )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (and orientation difficulties.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (During our last visit to the service we noted that an individual who required pressure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (area care had recorded in their care plan that they should sit on a pressure relieving )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (cushion at all times and sleep on a pressure relieving mattress, we saw the mattress in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (place and in good working order. During the visit in January we checked the individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (on numerous occasions during the two days we were at the home and noted that this )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 (person was never sat on the pressure relief cushion. A requirement was made that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (registered person must ensure that equipment which may be required must be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (provided. The individual to whom the requirement pertained at our last visit has since )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (left the home, however we did note that there were a number of people sitting on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (pressure relief cushions and the manager told us that a further twenty cushions had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (been ordered by the provider. Other aids in place at the home, noted by us were; a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (standard, hoists, bathing aids, bed rails, handrails, manual handling belts and pressure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (relieving mattresses and hi/low beds. It was also noted that during our visit a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (contractor was on site to repair a faulty air mattress, the fault had been noted that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (morning and had been repaired by lunchtime. It was also at our last visit that we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (recommended that staff should be reminded to support people at the home, who have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (short term memory difficulties, with the use of their aids in order that they may )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (benefit from there use, this had been discussed with staff at a staff meeting. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (pressure relieving, mobility and sensory aids in use at the home and witnessed no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (concerns in this area at the time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (During our time at the home we viewed a number of individuals rooms and time was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (spent in the lounge areas chatting with residents. Individuals rooms had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (personalised in order to reflect individuals tastes with ornaments, posters, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (photographs and pictures. One gentleman was sat in a chair which he had brought )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (from home and told us that it made his room more comfortable.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (The home was found to be clean, tidy and odour free. Domestic and laundry staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (employed at the home and were seen by us going about their duties. Facilities are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (available for the disposal of clinical waste.)Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 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 (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Staffing numbers provided at the home are appropriate to the assessed needs of those )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (who are living at the home.)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 (Those living at the home are supported and protected by the homes recruitment policy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.2 Tm (and practice. Since our last visit staff have completed training in a number of core )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 348.71 Tm (areas, however, there are staff at this home who have not received training in first aid, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 331.21 Tm (furthermore, staff would benefit from training about the Mental Capacity Act in order )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 313.72 Tm (that they can ensure that they are aware of the rights of individuals and that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 296.22 Tm (service provided is in line with relevant legislation.)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 (Upon arrival at the home the manager was on duty as were two nurse qualified staff, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (five care assistants, an administrator, cook, laundry and a domestic member of staff. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (Twenty one people were living in the home at the time of our visit. we viewed the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (staffing rotas and saw that these level of staffing are consistently provided, There are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (waking night staff on duty to support people during the night.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (During our last key visit to the home requirements we made in respect of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (recruitment documentation which must be in place in order to protect those living at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (the home. These were that the The registered person must have criminal records )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 (bureau checks in place for those staff employed at the home and also that all staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (employed at the home must have in place two written references. This is to evidence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (that suitable staff are employed at the home to support people who are vulnerable. At )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (this site visit we reviewed the files of staff, including two newly appointed members of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (staff and found these requirements to have been met. We saw that since our last visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (that the manager had undertaken a full audit of records held for staff. Information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (which had been previously missing had been requested and obtained. We saw that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (staff had in place criminal records bureau checks, protection of vulnerable adults )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (checks, verification of identification, completed application history \(with no gaps\), )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (work permits and visas were in place for overseas staff and references. We saw that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (these staff had commenced their induction and certificates of previous qualifications )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (and training attended were in place.)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 (During our last visit we recommended that contracts of employment or letters of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (engagement should be in place for all members of staff employed at the home, this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (was because these were not in place for all staff. It was on the second day of our last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (visit to the home that these letters were being issued to staff. At this visit we asked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (five staff, including the manager if letters of engagement had been given to all, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (manager confirmed that this was the case and staff we spoke with also said the same, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (copies of these letters were also seen on staff files these outlined the number of hours )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (to be worked each week, annual leave entitlement and rates of pay per hour.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (At our last visit to the home very little evidence was in place to demonstrate that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (had completed an induction in order to provide a basis for new staff employed at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (home. We recommended that records of induction must be maintained by the home to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (evidence that this had taken place and also in order that a review of the quality and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (content of the induction may be reviewed. At this visit we reviewed the files of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (most recently appointed members of staff. We saw that individuals had a records of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (the induction they had completed, these were in line with the requirements required )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (by Skills for Care.)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 (During our last key visit we reviewed staff training. We noted that this was an area in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (need of improvement in order that staff had the knowledge and understanding in core )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (areas in order to support fully the people who live at the home. A requirement was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (made that The registered person should make arrangements by training staff or other )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (measures to prevent service users from being harmed or placed at risk. The registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (person should make arrangements for staff to receive training in the protection of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (vulnerable adults and first aid. During this visit we reviewed the audit of training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (completed at the home, this had been completed by the manager. We saw that since )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (our last visit to the home in January two staff have completed training to support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (people with their continence care, ten staff have completed care of aging skin, four )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 426.28 w 33.45 598.27 m 563.65 598.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 404.91 w 32.32 586.45 m 564.78 586.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 381.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 381.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 382.88 m 566.98 382.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (staff have undertaken manual handling training, fourteen staff have completed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (dementia awareness, with more training planned for this area. Also training has taken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (place in respect of basic food hygiene and control of substances hazardous to health. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (During our visit a number of staff were undertaking 'in house' training, this involves )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (watching DVDs and completing a questionnaire afterwords to check individuals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (knowledge and understanding. Those DVDs in place included health & safety, dealing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (with behaviour which challenges, first aid, fire hazards and fire prevention, food )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (hygiene and manual handling theory. We saw that each member of staff had an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (individual training record in place, this is much improved as these were not at our last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (site visit and it was difficult to track what people had completed. we also saw that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (people had certificates in place to evidence that the training had been completed. At )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (our last visit we recommended that the home undertake a full audit of the training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (which had been completed by staff as this would provide the basis of a strategy upon )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (which to ensure that all staff have the necessary skills and knowledge to work in this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (care environment. The manager showed us the audit that had been undertaken, all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (staff had been included and a recorded they had undertaken, were booked into do )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (were also recorded. Whilst we acknowledge that considerable efforts have been made )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (by the home to provide training for staff and much training has been completed by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (staff since our visit to the home all staff have not completed training in core areas )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (such as first aid and the protection of vulnerable adults. The manager of the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (informed us of the measures taken to access these training courses for staff and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (however the requirement has not been met in this key area and will remain and will be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (reviewed by us when we next visit the home. )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 224.95 w 33.45 333.26 m 563.65 333.26 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 202.46 w 32.32 322.01 m 564.78 322.01 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 31.2 218.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 218.58 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 30.12 219.65 m 566.98 219.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The registered provider and the manager have worked diligently in order to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (number of requirements which had been been made during our last visit to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (service. There remains two outstanding requirements in respect of the management )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (arrangements for the home and the annual quality assurance assessment required by )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.2 Tm (the Commission. New concerns were noted in respect of accident response and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.71 Tm (recording in this area must be improved an audit of accidents should also be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 246.21 Tm (undertaken in order to look at possible causal factors and how these may be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 228.72 Tm (eliminated or reduced to protect people and keep them safe. )Tj ET 0.99608 0.9451 0.76078 RG 125.56 w 33.45 131.01 m 563.65 131.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 184.79 m 565.9 184.79 l S 0.001 w 104.19 w 32.32 119.19 m 564.78 119.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 172.41 m 566.98 172.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 173.49 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 173.49 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 172.41 m 565.9 172.41 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 31.2 181.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (During our last visit to the service the manager in post was suspended, this manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (has since left and the home is currently being managed by Peter Kong, Mr Kong is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (currently the Registered Manager at Chatsworth House. Chatsworth House is also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (owned by the Registered Provider Mr Baryah. At our last visit a requirement was made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (that the registered provider must appoint an individual to manage the care home.This )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 (is to ensure that people live in a home which is run and managed by a person who is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (fit to be in charge. The manager in post should submit their application to us in order )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (that we can determine his 'fitness'. The timescale for compliance for this requirement )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (had not yet passed. Mr Kong confirmed to us that he was in the process of completing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (his application form and this would be forwarded to us for our consideration within the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (next six weeks.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Supervision reports in staff files demonstrated that areas of discussions included work )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (performance in terms of strengths and weaknesses and how these impact on staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (practice, medication, policies and procedures were also covered. Since our last visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (five members of staff have received formal, recorded supervision and within these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (records were saw that poor performance and practice issues had been addressed as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (well as providing staff with an opportunity to discuss their role and how they can be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (supported by the management of the 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 (Improvements have been made to ensure that the management of the home is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (monitored. We saw that the last recorded visit to the service took place in February )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (2009, those living and working at the home were consulted as part of the process and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (comments from these were recorded and comments were favorable about the service. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Within the report we saw that the premises are reviewed to ensure that it is well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (maintained, clean and odour free. We saw that notifications about people living at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (home and record keeping are reviewed. It was confirmed to us by Mr Baryah that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (visits undertaken on behalf of the registered provider are now completed by someone )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (external to the organisation, these visits would be unannounced and an addition to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (formal supervision arranged for the manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Prior to our last visit to the service in January 2009 we received an Annual Quality )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (Assurance Assessment, this had been completed by the former manager of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (We were not satisfied with the level of information provided and the quality of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (information recorded was not of a sufficient standard. We discussed this with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (registered provider and required that the registered person must establish and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (maintain a system for reviewing and improving the quality of the care provided at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (home. It was agreed that the registered person should re submit the Annual Quality )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Assurance Assessment in order to demonstrate how the service delivered is being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (monitored and kept under review. The timescale for compliance had not yet been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (reached, we were assured by the provider that this requirement would be met and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (information requested would be forwarded to us.)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 (During this visit we reviewed how the registered provider monitors quality in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (home. We saw that the questionnaire was detailed and covered areas such as quality )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (of the environment, the quality of care received from staff employed at the home and )Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 (quality of meals. The questionnaire also asked people if they thought they are given )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (the opportunity to express their views about the home and does anything need to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (changed to make it better. These surveys had been sent to relatives of individuals who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (live at the home and also from people living at the home. We saw that levels of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (satisfaction have improved within the past few weeks and comments seen within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (completed questionnaires included; "The only issue I have is communication, although )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (this is getting better", "communication is better now that Peter is in charge", "things )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (have been improving greatly over the past few weeks" "I am happier now with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (care that my relative is receiving, the owner of the home has actioned some changes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (as a result of an initial complaint", "The staff are very good indeed, in fact I don't think )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (they could be much better". One person did comment that they felt their mother was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (being assisted to bed too early and that they were not happy with this situation. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (were fortunate to meet up with this person during our time at the home and they told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (us that they had made this comment to the home, they told us that since they had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (raised the issue their relative was going to bed at a more reasonable time, in line with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (their own preference and choice. This relative also told us that things had much )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (improved at the home and they were positive that things would continue to do so. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (relative told us that if they had any concerns about their relatives care they would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (have no hesitation in reporting this to the manager. We asked the manager how the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (information provided within the completed questionnaires would improve the service at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the home, Mr Kong told us that issues are discussed with both the owner of the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (and with the staff team. We saw minutes of staff meetings and saw that these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (meetings are taking place each week. Care, health and support needs of those living at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (the home are discussed in order to provide some continuity of care and consistency in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (staff practice. We have recommended that the home forward to The Commission a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (copy of their response and proposed actions when they have received all of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (completed quality assurance questionnaires from service users and others.)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 (During our last key visit to the service which was completed in January 2009 we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (reported that there were people living at the home who did not have a manual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (handling assessment in place and also that for those people who had assessments in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (place that these were confusing and had conflicting information recorded within them, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (A requirement was made that The registered person must ensure that manual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (handling risk assessments are in place for all who live at the home, This is to record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (how individuals will be supported in a safe manner. Within the care records we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (reviewed we saw that each person had a full and detailed assessment in place, it will )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (outlined individuals needs, the staff support and equipment which is needed. We also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (saw that since our last visit the home had introduced a falls assessment which also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (linked into individuals plan of care. These had been well written. During our last visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (we observed on three occasions staff using unsafe manual handling techniques which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (put both the service users and themselves at risk of injury. A requirement was made )Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)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 (that the registered person should make suitable arrangements to provide a safe )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (system for the moving and handling of service users. Staff confirmed to us that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (had received manual handling training and that they had found this both useful and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (informative. We did not observe any poor practice during this visit.)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 (During our last key visit to the home we noted that there are a number of people who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (require the support of rails in their bed in order that they do not fall out. The use of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (these aids can be seen as a form of restraint and sometimes may not be appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (for those who have a dementia and may not understand the purpose of these aids. at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (out last visit we recommended that consent should be obtained for the use of bed rails )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (in order to demonstrate that consultation over the use of this equipment had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (obtained. Of the four people whose records were checked we saw that consent had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (been obtained, this was dated and signed for all four individuals.)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 (During our last visit to the home in January 2009 we were concerned to note that one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (of the residents call bell was not inserted into the wall connection fully and therefore )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (they were unable to summon assistance from staff. This person also told us that when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (they called out for staff that they did not respond. A requirement was made that The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (registered person should ensure that the unnecessary risks to the health or safety of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (service users are identified and so far as possible eliminated, that the registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (person shall ensure that those living at the home are able to summon staff for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (assistance. Upon arrival and during our visit we checked the connection for this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (emergency call bell and found at all times it to be connected. We also observed staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (responding to the individuals request for assistance and this was done in a timely )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (prompt manner. Since our last visit the home have also introduced a daily bell check )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (procedure, there were some broken nurse call sockets and these have now been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (repaired. Staff have also been informed that it is a disciplinary offense to remove a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (nurse call lead.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (When we were at the home in January 2009 we noted that there had been incidents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (which had not been reported to us, a requirement was made that The registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (person should ensure that incidents which adversely affect the wellbeing of individuals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (living at the home are reported to us. This is to ensure that incidents which adversely )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (affect the wellbeing of individuals living at the home are responded to appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (This requirement has been met. The home have completed notification forms and have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (sent them to us, the reports had been fully completed and recorded what actions had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (been taken to support people.)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 (During this visit we reviewed the accident records for people living at the home. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (reviewed records covering February 2009 and were concerned to note that four falls )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (were recorded as occurring between two and five thirty pm. It was also found that )Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for 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 (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 723.71 w 33.45 449.55 m 563.65 449.55 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 702.34 w 32.32 437.74 m 564.78 437.74 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 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 84.37 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 85.44 m 566.98 85.44 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 (although immediate first aid responses were recorded these did not provide sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (detail to evidence that sufficient and appropriate actions had been taken to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (recurrence and to evidence that the imput of healthcare professionals had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (considered, furthermore there was no evidence to show that the care plans, or risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (assessments had been updated to reflect falls which ad occurred. It is required that a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (full audit is undertaken to evaluate the falls which have occurred to review what action )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (should be taken to prevent reoccurrance, a referral to the falls prevention advisory )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (service should also be undertaken to ensure that people are being supported in line )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (with their healthcare needs and furthermore recording must be improved within )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (accident reports to record what recommendations/actions have been taken to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (reoccurrance, where possible and to incorporate the review of individuals care plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (and risk assessments.)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 (During our last visit to the service a requirement was made by us that The registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (provider must consult with the fire authority in order to take adequate precautions )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (against the risk of fire. This was to ensure that those living at the home are not at risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (and to also ensure that the home have a suitable, effective fire risk assessment in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (place. We also wanted to ensure that weekly and monthly safety checks are being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (completed, as required to ensure the safety and protection of those who live and work )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (at the home. During this visit we reviewed fire safety. We reviewed the fire logbook )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (and saw that that checks have been undertaken as required on weekly, daily and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (monthly basis. The home have a detailed personal emergency evacuation plan which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (records clearly what action staff must take in the event of the fire alarm being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (activated. We saw that staff have undertaken fire safety instruction training and fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (drills are arranged to ensure staff know how to respond in the event of a fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (emergency. We saw that the home have in place a fully recorded fire risk assessment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (which includes information about the premises, occupancy at the home and identified )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (potential hazards and how these are controlled to reduce the likelihood of a fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (occurring at the home. This risk assessment was forwarded to us by the provider )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (following our last visit to the home.)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 (During our last visit to the home we had some concerns about the financial viability of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (the business and requested that the provider send to us within two weeks of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (completion of the inspection the annual accounts of the care home certified by an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (accountant and also a reference to be obtained from the bank expressing an opinion as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (to the registered providers financial standing. This was to ensure that those living at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (the home are suitable protected and to evidence the financial viability of the business. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (The requested information was received by us within the timescale requested and our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (concerns had been unfounded.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 82 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for 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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr endstream endobj 83 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (38)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 183.96 w 31.2 522.57 m 91.05 522.57 l S 0.001 w 183.96 w 93.3 522.57 m 197.4 522.57 l S 0.001 w 183.96 w 199.65 522.57 m 289.45 522.57 l S 0.001 w 183.96 w 291.7 522.57 m 473.8 522.57 l S 0.001 w 183.96 w 476.05 522.57 m 566.1 522.57 l S 0.001 w 125.64 w 31.2 365.52 m 91.05 365.52 l S 0.001 w 125.64 w 93.3 365.52 m 197.4 365.52 l S 0.001 w 125.64 w 199.65 365.52 m 289.45 365.52 l S 0.001 w 125.64 w 291.7 365.52 m 473.8 365.52 l S 0.001 w 125.64 w 476.05 365.52 m 566.1 365.52 l S 0.001 w 198.54 w 31.2 201.18 m 91.05 201.18 l S 0.001 w 198.54 w 93.3 201.18 m 197.4 201.18 l S 0.001 w 198.54 w 199.65 201.18 m 289.45 201.18 l S 0.001 w 198.54 w 291.7 201.18 m 473.8 201.18 l S 0.001 w 198.54 w 476.05 201.18 m 566.1 201.18 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 92.12 428.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 428.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 428.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.46 m 568.3 429.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.57 m 568.3 301.57 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 28.99 429.46 m 568.3 429.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.57 m 568.3 301.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.78 m 568.3 100.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 99.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 99.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 99.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 99.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 99.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 99.71 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 (18)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (The registered person should )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (make arangements by )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (training staff or other )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm (measures to prevent service )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.17 Tm (users from being harmed or )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.59 Tm (placed at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 509.01 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 494.43 Tm (The registered person should )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 479.85 Tm (make arangements for staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 465.27 Tm (to recieve training in the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 450.69 Tm (protection of vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 436.11 Tm (adults and first aid.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (23/03/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 416.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 413.28 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 413.28 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 413.28 Tm (The registered provider must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 398.7 Tm (appoint an individual to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 384.12 Tm (manage the care home.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 366.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 351.96 Tm (This is to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 337.38 Tm (live in a home which is run )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 322.8 Tm (and managed by a person )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 308.22 Tm (who is fit to be in charge.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 413.28 Tm (30/03/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 288.39 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 285.39 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 285.39 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 285.39 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 270.81 Tm (establish and maintain a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 256.23 Tm (system for reviewing and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 241.65 Tm (improving the quality of the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 227.07 Tm (care provided at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 209.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 194.91 Tm (The registered person should )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 180.33 Tm (re submit the Annual Quality )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 165.75 Tm (Assurance Assessment in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 151.17 Tm (order to demonstrate how )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 136.59 Tm (the service delivered is being )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 122.01 Tm (monitored and kept under )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 107.43 Tm (review)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 285.39 Tm (16/03/2009)Tj ET endstream endobj 86 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 87 0 obj <>stream 0 J 0.98431 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 (36)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 272 w 31.2 413.63 m 91.05 413.63 l S 0.001 w 272 w 93.3 413.63 m 197.4 413.63 l S 0.001 w 272 w 199.65 413.63 m 289.45 413.63 l S 0.001 w 272 w 291.7 413.63 m 473.8 413.63 l S 0.001 w 272 w 476.05 413.63 m 566.1 413.63 l S 0.001 w 212.48 w 31.2 169.14 m 91.05 169.14 l S 0.001 w 212.48 w 93.3 169.14 m 197.4 169.14 l S 0.001 w 212.48 w 199.65 169.14 m 289.45 169.14 l S 0.001 w 212.48 w 291.7 169.14 m 473.8 169.14 l S 0.001 w 212.48 w 476.05 169.14 m 566.1 169.14 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.4 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.39 m 92.12 275.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.39 m 290.62 275.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 584.39 m 475.02 275.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.51 m 568.3 276.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.3 m 568.4 652.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.3 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.51 m 568.3 276.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.38 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 551.84 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 584.39 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 551.84 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 551.84 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.38 m 567.32 60.7 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 639.11 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 619.11 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 604.53 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 604.53 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.95 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (The Registered Person shall )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (make suitable arrangements )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (for those who use the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (service that unnecessary )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (risks to health and safety )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (are identified as so far as )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (possible, eliminated.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 401.57 Tm (A full audit of accidents )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 384.57 Tm (should be undertaken in )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 367.57 Tm (order to look at why these )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 350.57 Tm (had occurred, to review if )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 333.57 Tm (there are any patterns at to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 316.57 Tm (look at methods and actions )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 299.57 Tm (required to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 282.57 Tm (reoccurrance.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (01/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 263.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 263.32 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 263.32 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 263.32 Tm (The registered person shall )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 246.32 Tm (ensure that persons )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 229.32 Tm (employed by the home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 212.32 Tm (receive training appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 195.32 Tm (to the work they are to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 178.32 Tm (perform.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 161.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 144.32 Tm (Staff must undertake )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 127.32 Tm (training about the Mental )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 110.32 Tm (Capacity Act in order that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 93.32 Tm (they are fully conversant )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 76.32 Tm (with the rights of people )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 263.32 Tm (05/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 263.32 Tm ()Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.98431 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 (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 68 w 31.2 778.53 m 91.05 778.53 l S 0.001 w 68 w 93.3 778.53 m 197.4 778.53 l S 0.001 w 68 w 199.65 778.53 m 289.45 778.53 l S 0.001 w 68 w 291.7 778.53 m 473.8 778.53 l S 0.001 w 68 w 476.05 778.53 m 566.1 778.53 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 743.4 m 568.3 743.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 742.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 742.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 742.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 742.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 742.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 742.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 295.8 802.72 Tm (living in the home and have )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 785.72 Tm (an understanding of their )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 768.72 Tm (own role and )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 751.72 Tm (responsibilities.)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 673.49 m 566.2 673.49 l S 0.001 w 18.15 w 31.2 628.51 m 91 628.51 l S 0.001 w 18.15 w 93.25 628.51 m 197.4 628.51 l S 0.001 w 18.15 w 199.65 628.51 m 566.2 628.51 l S 0.001 w 1 1 1 RG 49.74 w 31.2 592.31 m 91.05 592.31 l S 0.001 w 49.74 w 93.3 592.31 m 197.4 592.31 l S 0.001 w 49.74 w 199.65 592.31 m 566.1 592.31 l S 0.001 w 35.16 w 31.2 547.61 m 91.05 547.61 l S 0.001 w 35.16 w 93.3 547.61 m 197.4 547.61 l S 0.001 w 35.16 w 199.65 547.61 m 566.1 547.61 l S 0.001 w 35.16 w 31.2 510.2 m 91.05 510.2 l S 0.001 w 35.16 w 93.3 510.2 m 197.4 510.2 l S 0.001 w 35.16 w 199.65 510.2 m 566.1 510.2 l S 0.001 w 64.32 w 31.2 458.21 m 91.05 458.21 l S 0.001 w 64.32 w 93.3 458.21 m 197.4 458.21 l S 0.001 w 64.32 w 199.65 458.21 m 566.1 458.21 l S 0.001 w 78.9 w 31.2 384.35 m 91.05 384.35 l S 0.001 w 78.9 w 93.3 384.35 m 197.4 384.35 l S 0.001 w 78.9 w 199.65 384.35 m 566.1 384.35 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 638.71 m 568.4 638.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.31 m 568.4 618.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 639.79 m 92.12 565.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 566.32 m 568.3 566.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 528.91 m 568.3 528.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 491.5 m 568.3 491.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.93 m 568.3 424.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.28 m 568.4 708.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 638.71 m 568.4 638.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.31 m 568.3 618.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 566.32 m 568.3 566.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 528.91 m 568.3 528.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 491.5 m 568.3 491.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.93 m 568.3 424.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.78 m 568.3 343.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 709.36 m 30.07 342.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 619.39 m 92.17 342.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 639.79 m 198.52 342.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 709.36 m 567.32 342.7 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 692.09 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 674.51 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 659.93 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 34.05 645.35 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 627.53 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 624.53 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 624.53 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.12 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 602.12 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 602.12 Tm (Activities to be provided should be age appropriate and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 587.54 Tm (tailored to the needs and choices of people living at the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 572.96 Tm (home. Items should be provided in order to facilitate this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 550.13 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 550.13 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 550.13 Tm (Life history information should be in place for all where )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 535.55 Tm (possible.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 512.72 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 512.72 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 512.72 Tm (Further consideration should be given to the environment )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 498.14 Tm (in order that it can meet the needs of those with dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 475.31 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 475.31 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 475.31 Tm (The home should forward to The Commission a copy of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 460.73 Tm (their response and proposed actions when they have )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 446.15 Tm (received all of the completed quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 431.57 Tm (questionnaires from service users and others.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 408.74 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 408.74 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 408.74 Tm (Recording should be improved within accident records in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 394.16 Tm (order to demonstrate what action has been taken to protect )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 379.58 Tm (and ensure the safety of people living in the home and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 365 Tm (these should also record whether the care plan and risk )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 350.42 Tm (assessments have been reviewed as part of the process.)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for 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 (38)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 (38)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 (03000 616161 or )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 (or )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@cqc.org.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.cqc.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 92 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 93 0 obj[6 0 R/XYZ 0 272 0] endobj 94 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 95 0 obj<> endobj 96 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 97 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 84 0 obj<> endobj 98 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 put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e y_~IF}dUBfHQԙNM{&%S)XL`Gļ jPo_`p5NMbNzwst/ KC7JdTi@,$^-GFIkYJ.G926VFAq21Ƃ٣/ יtZa)9Og % XRgø+q`h~S 5R_CqD׹9ՅZ]yEK#sk* YbQ ɬXM]S~+x dXn7Y>y_u2b%_sU,;byga6 ;߷@# 3[WQOӗH\ަբHπ/nWUXFٓ%u_`Fo7e"ƢF G] l T`ca]Qߝ|Y+5DmA˗oRsl_x-!Е3X0S%l4 iݭq9ę>)h%3 #=W6Y'P=yxRX)vh,KGD{4|l^kw%4 8=sMDF~;`Q*lpQ&7A^q-9B1GvRM9~'QZ]_ȏ% G;W8m׍9C`Wnb˻mR,ͤ29-a+ᒶᑝ豤n*9Ckxf'qB[t@@˛/QȒ ԻѢkleCD1o2]'9y3Sř+V0r ЯU 7=Ѕ݉r/}g(U d`QxGOveߺa?! ބdA70nylFZ({Dƪؠ kM >d\l>B͹"GI Td u~bJ|hJ>]Vn?Q55߯JG@Jmd'2u:{El8FD(W7)v8`|d`vci={ah,,ݘH{DW3C<ź|Y/ϼAc4<@Gsfp0ڃ8Gw di+Hu'^-bZh҉bꏱ<+ϋM#A{OJ5`8蜌8?""TF '>֐f z׫ÚZ@BG!MC,>b {Xyk',XNx 'ދ!Y-2+W+/7xCkҮ[T<(|+AiBㆼ,X׶|t˯hzVxMF[~sHQ# S4֦5!p%Ra#wfM@wB:H֜KF<SZ%H'6zU)(.t!zr6لY4*0G˒hTvYKa@$ioahىϚ1fn=lOn..):Z`(Ǽl}yZmDP;${%RK a$e+WD:(_yNw/Ya kF?4"dKg?7PV O#=GDGބEOBDCƲ(<;̘Fl@V}O.{3X6V<-^7z|Indc.<67ͼBk\~ctg. Mmºhh/ ٠KWAS!Xȹ*`veOoH_w fD=B'z$_,ȧeammOyX$֓@rA eQVއW@U!2OSۊV7sZI 4ځod _ 8m\ߣpRv왍>1 J8dEϜ4 *bQ|ܧ׸{)f3}ad2 LcB@GCK[i$Ψ7}ԓT$O߈Fx 5N>w-*#?.鼹+DjH'TNVBOc).禼W ڒgw۳vyc mO4$P؂}b=< JT0\ZƗi,s/Q,D+TףM+jcl+`±t eۈ~_6c ۡQ!key4,FT.!E0t//n)!M0adnMnrҸ]On lŪ|k'T1z+yt?;@FVY5WAuGMDC"ec%b,2lCbQ聾";LE=3! 9`kW ymW!O;SLui8_:ӐNCbvč|۷%)ǻN^9I87 tCj2HІ0~^uhƧ6(s@ː+q‰d,puD1(~%9YLǿL 0=odՄH]#)ľ&\fz6x,ʨ\ IGwY~t]"@Q`< $ej+7 9ߧ dUe Pmxq^4Ѓ=)z7v)0 |G—m?O;+^JإįrRNd¹x $Pd7{_T(UR=|$:N;G niΠ:w={}&o, Bh;~ +?al0c ?hlG;;Dsά\8}Tb]W=ݬ\4aEmNGwA=˪yƢ[ >FO"EF'P\sA` cGB=fu 7EWYSY]H]AWIm|#[4o*֓֫h)X%%'.7GDF<p}n(o>wMm]j}{ƀ|!G.bƩ #ۄnA\prO59y%.i4/h"G _lL]H˹ 6bzF!ڪ}gZEf,r˽Ù$oK6wz;u͞O+h_i߈h"UwziBqۊA( a( PUXGV+:~>3ZXK$7_T}%Du?*1lUAWg>4'C'\?q6wb "w}IDWzp+D{AK44$͡ Um3JKw|{hJnIj)LJ?qlk^iaWk69TZ%= Z;|T|1GŽY[0 C63#xೇ>=x_Vj&WKx0Ō(3w|? gEJ"ṚX=xS՞seL|BK? Q.X8+)PO Q݃\RZ鋞ON& [ jo&QbY`roJnH,im,֏^&\)q9ݟ6P"'Rb/bcazn5K$j6~fS(z}j_Q/8[Hs dK_imev]r*txj(-o>\tK$A,G2ey=ZhɑoxR^N`N:vQ}'RS3|is"5g`ѓϸYoU@¡UnwUהL?!w&mLۉE9R1Kϟ#Lt1]v*{B^,W4@y`T+V9Vm{cp&_ـgT,(NKM5`A9ف.Tld7Y:DRԞT9j cv{5l=5v1윏{4"(a. =R '(^,92njno?hCl aǺK9@P\ ",:pH)᰺]L ة;EDUf/(cү{WQuHa292|I9z:[} $~CZ%t|%!jJ#fWJ/Zv0?5 8"j,!`A-ӫRyNP}4_Ce)xZDo:/S}$$f2\Sʋ6bo^C⌦mYc2VѼ=;\2+y#?6RMks4e#1rJQJ $J^`֯\!z@4h#ŗGJ &pf22B ^캇!bie"G6纤Q55Ql̎AJ2e{2 8m0͵ į%DO pt/.xfv$ h̑qQ S>ZQme\=Z>OZ=ɨ~hO/Xx-sn؏O۶3B3Ŏp-XLę޼g*De\Ex%[r)"6;do5/˥7 RnZ]OŇ?su$L mx/{&kٮR5x>; 6RMÛniZ8I\J K]$"n#aJB4^ ur@](K֐mm"`6""@R̃ӵ{VÈD3CCD)q2tyJEL]l]Xi!CU#JNP+UMB1I_ WÍ>kb }$n9!u;ڽ֦2c՝zlJO{uʃ6+\OK YU!&zjTPą-wD#+:,w@ {JV -2}ÇXo@{C[]\~ќ+C2T1.yaa겮fnd 4,c52b]%C~JrP~ߴ_Q|,u`% ڗnhZyP{cr9/j/58E$zUmv ^PE΁سS sCl=|" ~CzQ[)u6ZLw[u$@~n&E\CoyZs J?$>mY qƱ媭)[#I{eR`Vw}|.bvqlr2D\YBx-kStϢ;9D]c!?7uFtAׯ$;}!+fTKSaf!+T Wj)~/8`ǒ2H9V f>FG<W(}i^#s $;WG=$e}_ֿ.qElSw)1gԟbv^om(mp4Bk 9մ.\jPJOzR+ܢڃIz a,{/Z2͉Miωlϒs&Ao9rq T"gh}q@T7$;e9Hrl⁔2(9'4qB`h}S1XI`((G-%Δ-.ݪu68&U$¶8HӬ2M&w6x]/$!g_9pB9IUn[e_7O \;c )Y]2J¯/;'llmXJiQ +RF*h"X(=݊6`Jeܪ>HI({?o2f{b3Zzohe0G>so: BQiWAր.&hq;N_Ю$ a#s iծPxHhK I 2}2uowRfR'`A֌m!fzSEU}B(otO+YWH)(z|p=}%fsd2j+lڵ&7 = /gGR$IĹI &u+ViD/1)?0sue P=C'hZrҢ ZͶJĉj`폃QF=Ժ0’||Xϛ7C޶ 6-h+E_:xVf<ꪰhn )ͅPAZF$3Lͯzh&1r4*xW7gm׆`QgOZU$P8o r[zmotA}QY;@oH{}̞`!1:DwSDkCL><.z<{8Luo m zA{m6YQ?@RW}%u/NCd;1`sUbP?ɸ#mtjzq"kk>D?'H; vu]l@xF7J| v, (+Tv [ ADK @?t)2~5".bppVxD?o|xzh+Ɂ1Fz]0V̞w•ޭ(c!b~…WXŀvSpNgREDl@SB 4#hvlGqkI{0 vrizl=2 c}A j0OcSTGlVoQs%wy} LM:kI>~ЦU̙ck</J'V}7]-j/\E]w9!ȇ ,(VJeφBIm!-\P nt}L|2MChA܅{W1V c'XXiUKJ<-0m?戞Y^@fD~g![L/(G 2|٤޵&~:NoMMv# $G4y"ɰ M.@&/t.9Aۉ{ 2-c&gU|;p*fNTS֛AfrHg;'hMປp۱xI fzTw3YVB\aC2% m^de|~urgG\UT#jVTmk{pc(EJPun 2kIqM\ 30 IcOW5C}Ydm.g$5%}a–Z'Ltq{T>Fy"ъWT}]+*5'~p4nd=afʥVD nGѫS.F uS`)-&C$\/:К/[ 0]Td\ұ$"AN km]Tb`SFZjyJ2+H4%*l1.ߏۢƊ^%Rdv @GsL̅ﴣ̟<'@E.j=P$$" F-HDѵ9dVͭPܖ$iO=ȋ`ԠH#LoO9D?~V\jC5|)ۿ#$iNČ@(oVBQ}<0na.:k{Nx1L+K$Ov%[4F/FU$Æh G$8ͫ9NVW6FZΖpB1O6X%ŲX"qFT+bFT}7a jO W^_Cizс)vJ0@8v3:7};lA1 ]LL_O N0Bｖ_n)]+[fEzIbq`"-]kPФ۷v=B9:EŮ ݡ`"k\ooolZ)?~iK~Ȅ=Ė2da#w&&v|fV»nݚJ|zes ?"a] ԲB=:+E --N67@Z^\298@51ny~$L|Jt]׎u4YGv\^ܳԹ6^=[E<:{!6+edѐٱܚsrAE|ځR3!~;˲.4[?(%5-SE܎J:ShB M e j0u3tȧRK 8A:JB#ޒ.; _rc+V}Vl3>OL5yj߷\Qۯ-; =HMUʡpJnE;YK7+%~|MH$ڪGQÂ/'%V.(42zV|tf]},dfx̩2>'ZhOUQ%1_MO kqb2GBy|CX͗.ZɝBK1Wc5k2=J}D8锑ň4r:}0oB۬֏k Z[cg*Wd(S\8_n#x8AG!lu|n2e PU$acJaj\fBf٧`vIwBKT*@@=a 9MUZ4r /ALEoɢK Ft??zk.3fP!&}hnSs^tn; ̬ z#5 h}N0[;G{S襓5U2.4h+16_t,knSx np-w|.Hh- m "5MOHkvRU~&m@A$jq)bܐFPPuh+փv+pd_Igw)Z(uQdGS@-zU<Ԟ*|QîPDVWn7 ,0;/]y0[?o@ v ą6|ٱ^6a+(b>6 x? ,ZߴlrN\4@ 'HUS·Y; 3!~z  vlU;7*E^͵C^w ?]J}86Us4:]-I#ʠWW(ON J32D{o+cR7 mw3T.:Lj/al*ƝQk wipLd?]_G.nR2(GN+HX4z6Յ|s$ͦ,q+A@^۰{T.!CHE:KWܔNzf*0ʸax5"P̨)J._~.$&=S,(BAFIgFԏ ѽӊ ьbR">5Lt{.QOfZxJ.`~wG}u,G2%2$D֧2]snҽOXdzXo(N9ȶd_%Di +5̂WUY֪h" G&:}WۣzA̭` 77ZS G <&s9 Q x{9od[6reLM*ãD/?适\WS"5ZЈ#SXR'>ghzs>!YQ8/+7DF'g]z C$sn L!2i!6}x.k4}20Ը{Ƃ+2tf;J\>9;(f:SF Μ&P@st ^įr4f|9'G7DRegNC^SOf #"3ֱ\> E#f靶jߣ{!)m.jid2s jȥbd܋TZ506Fߴw|avdp`Ky_?=S{gٌH6"9@<9xS+ڢ3@@unc~hGJ2&緕8YNBF֠Nwˣ4G.xپxncD{'t`A֛tb+h-S"e qۂb*T|fwbocP:VveBQ(eHp<JBuTk7Q`Omn;&Z/'v\Xs|U⯧X v>W@%uG3驌z=?'hRIU-mD>VfAƒ)S8`qM>nغSH}fRD;G([LА2TϦY6 U u~Aj]G4VWd=d<ߓ<7,/vj cVJ0(Q-O56_OJ()80Plu` Dfl)Z SqRgz+HKmZ/ uFEK1ئ-lr4܋"&ol|>R"9aZ`Q^|A-=AW5ne;N yu*h^j<GYyU}K+0"rR,mf1i"zT#`2 cTƞ PSAp΍tEGBcedƕ4DT#)LwJF۹ j;oDrxSt8U1&P=U̹xK\,IƵ^|Y7p27?r:}`>,x\@"z񝸵*U2ILk_شÆB5m܊#יGmrXQ4ϔ#- 'TE+h:I^g^?D`$LRKbjfzUЪ_Ù5~NYvei{:\fA9zkh#-6w0}%‚1%a[M7+lksVSaw|$\O,lm܅+Ibd!QXB[c2Bɑ35+u0oPճcO#[ \a;Ǭ~&mZ"{' pظN.࢓wҌ?0 4`w}; (tLEu;n'XsdS3>1H0 Ď}U4(S)hڰW?cTehc=zWaO.|mwB@`2D/SN௛;VuHUWwSřeȺuB-FZD]lbX3K=vbylͥ Ȧ碒 zY5Ibn~pw&JO o42|oy38haI7 (n _u*y/{DYo+0k>J- YcU%F+EWn:_NUN ݘ JhPo%2!r%2׳YLOs27_]&Ma&Sg~m |T5w7dױO5GD d!E3XVqT_9UY&P@\ɠ"O:ǿ sBqZ1Ӯru^/$7n~~ Ax)G+񋙍}; yL޳ OToLhO%2LOڕ:}󶟕@?>zs]Ǎ!#B~y' ~\? ʙK<`PXb idZoeՋT[VdwV9X7ReiO^MUj( 3BnUCK ⢒60H]];q RAˑ,"n- -x\//8f:;P#[HLCnʥ9,պlv4;`@U]Y\$B {FN)Uđ^i>۲=Sef(19 Λ߮8_<s·Ӛ3 qxZ;887dX^\m(ZrsTAI8TTZKee3m03q8c~&}w|j(!YUK(+NHjǥo NĤNI=&= mޛ$ԁ(,JmVkr_|+%"9/99*^|"q4OǨ3~pW͔T)$Wt|L[U^p;7Z G~.{ 1i5hm6E+XD +1#J$W u< y q ~m?;[#<&Nj{ Pv򧦕F?K.us Z#gh*fK_vSe܆ǟs8LI^Ӓ.<;FDlINѺy_tB KoϦ[iIn\9~PUӇZq)) ~Io[%1?`Eyiuƪ̜,%g-y9 1 XYGĻzp~[ p13]H⭘{:;;1#=?d55ڑ,zgfMٰJL})5D. T? 6}Uf:Aڇ`oauյ+)Lz nQUx%yֶ~Ols5*px*:i$4)Wh\>^UyEyxdRK5dbJefߡՐR6rZL;aguop- W38 M*Cx ![|AtVKl:7a10S=fl򣮿,SVވ30psY3չbX#/9~*PJpO6Yc>oz:]Xz7K _!%qD3ӀԜs/^Hwo1jIyD ^pc梵hl|V܂O~N u*S}\sFSCnm- h]%138<O3Xf[#fȅsKw1P'=e_| eB6p6)N;RL&+'WG,] z[\Mh`m`nJKbTt:[}SDbcc!@5Ā$f#O( */df24%>$K[ M _~?^g&߾Td9Cnm:P>|ဉs:|=1J 2}:ni@R:E!Y'%^_B]pG?lތB"C=)?NkQ ߁F[D'k5:t8kh۴&oB)׌u<QE];|b#Iw*nN_23 ECSF _jd^*I鄈mli8'(!PVF:dΎO)9_U69F./ |΁PGJX[} gx<,/=~t4IF lS_AR,3~ zfS<>V,*0!DTi?cJn)1tЉfE>y0iݤØ/J$&0rcfB9ne]^QcbQVK2klJWpZB)σdױ||@=ebcۊLa(uwbD4ӓ#fiZQ"$k]vC[{4dP~jG1hyZւYVz@+Z?'-5PXwW:捇6Bz"qP(-8Pkr_$:ew8ܹ*K T뛩.& hz#zҖAF5)#Ze@lOp-ϵ%FRʿ$ט$쐜hG"88_ybTE]R38WGOMUSzlc2\3ԯ^:MrER) qr3p@YR$ vj\\~0C;0rGx_7r)i ¼|'nъQī_2[s5%Ќr`ģ<:- u)k"(}k 96t~3t%.,1-pgUGQ/5+ #]jYgeBy7IwT dZڏѯ0m\@%7׻ȣ*cZ^.жAW>wLWb4U\/x7etuD)axqҥ\>MG+*#,=whx{L  ی?M5t}P%8C̒ GF?Ki_}ް_VeBrBA,c@Wjwt'@[Bs(6rFtƮ?B>N}*WR`Е\(Pz!:B0hq'T6Fd'2$MDMԏ҇B*rJSwьDp[NpxE#J2,CElt&|Sq[V4";.p_]!t a7UYDI= jB>@Rw˦D۬Ý9_07ы2'B+[e䶗 o fB*3|ߚ̨T<1U Nk@nB6!@:"7 %v( i'Bǫϊ, ]Un˜> F,:nqӧM^N|+l?c3|cIR3[{6 bQ9'VUʹ]sfƔ0A8֚I*x&FP]{d! wEyhB-֖%z-:䷅}̻A#OqGawu^ktf9Ay6ADGQޞW $ lbCLLzJG '%)qk"h/&_I׋BApb4%[F5:5_⿪y㓤C|lt{sET(/(wɮ1'q!ڒʝF&MLJ@-Wù ,]>{Z~u F࿝mN^"ɁpF=uu`π l 2e̾<=Y7mt6>dḾGh ZPZaC8hwMVqB ۔d҅Ñ 8o~nw3\ßj8 )ļW12LW/e88$=`^&zqx_U j&Dݥ٭Twk򁬱pP7y$eoS^ f>H[XBK@/)mOH{h ׯ9sVͣ 0F=WFA-tUjb +ϣtf065d½wåJ_WU?Zɤ1"2_ eƭ>gI}CXNeC$ezL0S0w,*/pV- {8h]bfHÀϒx^qnЍv (#VɎu;d6tWL[]?mָ>mw9ueWXgp@N{~"Kv9H0X׈kz!10齿g&5SQL쭜#)ɞU|FgnuJ"5JQzC+^ 2RȎ-ޤ.M@B^!]9Ւ ~H̨ڨQZњZ̯״F 4N.!0'Pu~! :oK 90ery/Qj|F\]qcUhE oᗊAXz%j}v4M +-""Hl˜ l@Է;Z"'P%]I$"8V*bz{2+_᪻d8+fV`<{Y<~=Ma L#1_\y\?SġvuXm"[wݮm""U9{MW}g62 *A۲Zқ񶶃w*YՂd' h܈'uZ 9a^K54vP^[\eշyyjX8Lfsk(lmo@WR_/7~TXMF 7Ty켌Y@ơ"4=7,{a ٻEyuy,%Mg W"J^K sk 9_7?]H$> $zC;1eo0[PK6ʕ7qMeܱڥؓ\BM ()B4V|,G /XI;AdPfͽZ~:{6xJ)@AQu `sd$yԧIaC=B>2r5[#lѹyk 2 TM^VaJn/|Lp_M"N~'q pTgfoL{@7'v^6*:j4 ^vlc;-LC궿#9O v=7=DBʅS |œ~%3cGX6v_8O?[E1yV>QNV[)]}P|2|p:@Ն.1nGddд bP q >&n+JQ4a͡&Co^Z[Qvs4%:S/,҈ O-\СvC`_LlP<9_d['.r]&%v=p*7Jqh;|Y8W fbxJ aVKǑ7Kb<MtM4O>43ζ*BsF.Q:-;krh̛1|vorhcagoY*iwg ,AfYk=8,%8Nl{b^oױ~q3+(gAS2'ЇF%ΐ!SͶqd #2wBKRjDQACMR૝<^Z Ì$01q-y߀7AZGnfNݔ ֍5Uݦ]9ul"s>\ջpVP9dq8ˢ*繪apH ="O3Z+)@߈.6q|;:yLFflm/72#Z{%9 S/Ovp#jO};~d03RR'sIҜ, =ΨVyX?qth x&wY;0ӹĮ5V 76,D `ڸ9vO{* n`BdbH~!5:un|>I堾>Kxm^Oʂ&νͩYDBl{1UёSZI^{:4S8b GĸDi%fCe)H\Oނg&{+ڕkO<թrPT1V5J!؟.E,'Q?G;N^dbUxLNKh"#; CV_/8' D4䤟)l(9>Oy8r#M6rKIY *\TF @a+;~"D5Qyn9\v pUBkȝu|T@1]+})N>7ʠ5x}lvߑXD'>HHGd.=roy7 54!θ?Y@JɣԯR<;A<йky(T ʭ1'3 Ev;[PQJmӂX+ǓrIXې^݅[Fk"%J:9BFtH@9Cֻ38.ҹfjȰLA'aͧ+dQzXRFmUMaf+/+a&&ڎP9=}v dQY^nx,jDX 6+փ$Y} lXk qq :xpйfqvTmA<ttŤ MS[ ҙ 3]ǃĞ5rA;1ABy^xCgF͚z wdbAm X+30 h\n(g`3(tJl׉`\lKd/ơJ YpX'!yɆ)[:#ґӀVnei9'Qp׬L<u ~rSH5,߷7D'^Ȯ>YrO_Qѷ iWx+<N.J^4RINɓ>Tˈ' #5Z.KM'ek!TDXLH<4ǵng }x"&k;߁zGe{DJ:n43MTMc(T sJ@ 0fh},տG@Ϙ[͕lrősss@}iļIZ@ c7 C^Y{h l9b!&a`u}k=uuT2LE@ 97d +Β]j{,)3Ksm!`tNچEAXu ߝ+b4wP*kBN'q䖇9ĸHj2?lzM AkI̹T6TZr+E}|-3X V"MR$~f!&TIۇ.NRT7]_J{kpw<짃uy('&[)xe^@E*efE&%$ I~پ.V:au2o o\}0kV wЁ߰gLUO)/E6~e_cDuKj +s_b2}ڋ1KĺuSPq1酞vѧ.*$t4tE)-v0"3 &]秾 DY]ҏ6`I}zhZn& n lPfDsF,ub{7|yMR x9MjjfY*1)Uگk Q3AKG:@)"QGQ̽jFh lȊC˴q#1ƭO<2L99&MVtcHnF--=!37x7+@SJOv KeRPGA$4QÑ!!Ř[K& Mchy'h+|\@p|riJbȱO Zß}a_-E?-7Uӏ SO*F-^kΜc^o~n'(Z&bƿdp̗TֱZ+SDe> endobj 4 0 obj<> endobj 100 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 J%2|bu]i*I4v`] ypJ l]߅aOjB^;ЕS9Ikʾ-&J$k`x<Ɵ۫iVGME/4&v Dɯ_PNkQ5I _ <˚e#UT!d[ d w7TRR/?1‘Z~_#b9P-`( 2N#e KyqJ*H>kqo$}2 4oUΛn l&yO-nG[T&CO YoK)HZƩ.҆u ~ra R7&yk/ L۾ġ~,~> n_e5nKPq ^q{Ve0waO]ج7-dF46:/U͑Zjt)$Q:w pyPh}etr~3|.MaUaBaN.}4M2$[Wd9LKZkWcviIC܀N%ֲ0tv9t1 AʦuxzZeUQ{jְWc5N]Q/7u'GfƒJ4 ᵌŲ _|> O K|zm=p6fĝ?⒭1 P%A5 TCU1$c3{66vڿ\ζTگekUԂNTm=sA6SJHds0W9I!K3Pr2oMrt]@Vfj;WNU˄lRwcj G X'/C!ކ-+g K@inx5nڷt$\'zZv;);OȇB( ml1Q"Atb@y&iDȓsa] ن3{|Z Rʝ7H@E=尾Z}m7*v A'*y^Ǭpce'׈Dy㨺gR1 >.6w"w#}NNwxC> , un.Jt*R0"29Wur%P3dR@ydP>1Z7/ NMpN d0j&'ȩMs}"ry.3LDzgƜVMd--oapH{ G*ŀ ʙC Bo_ `5,uZiE :(S'!shʘ˯s9,;].O:_Sw,WZ:V>RBߎܫ##kƙM :K1v<@tSt[[ nC`5Ny<&G˅oVS>\a%u:H , R3/d⭙u9dpc C{(} E|MsWz6+m@l|( ~ S>VvDu/0h>Fw`;PH9oτ~-|:)?ݶpRAg"wME<@* 5.#5uT Eǽ(_[>f} ²6Ivl$Tdž19 ڱT%#~(CMc9^*ze_ 3wo&xIcfpW ?w2k̈n5<6~04Ncϕ6oO,he麇?=l U&Fɲ503@lGg P)2 ?QpJ0A?_q"X@ES}Qi[B٠$֐[vA"ELNc}:<ӴME kuȅyMxMڗozMkثR_+Q9";|\.ƨZF\ x}*iZm\NSZ4 j/;]W@>aI-SW&FXV!~U{C:NƖ%+xjW9O>a#HC/up^66?9*RjE?]9zVgfBe6f^2do qcIRYꆛ\ P^̘?ܹj]DZjz?=",YWi1IƝx*%FBIB;*sfއ Ql-R o 5F#]2mNǑ|q鍛x,lW+ؓy"0tEΪz".D犿v5T`c!L];Tzeд}앑JZ qUk٣|CCW뇵Ȱ$:@D?^h>:,bt `Jea&iM:M+I~;!XEr;PF@ݴ#HkgQ@ B &abXPxNIԎ9YW {" L_Ee8+7@z M^k0^Ɏ^|opkP.Tv߳c:M.unA~F#kdž}>7VvZ!: ɨݘՕc>q:C.Hn)|7U)> ւXfJ86HW/jה mG]k8e .( Q1u??zOb_fV֊ٷ| LX2MT3h>!6s0`$S$e(grRCPy7&^xOvumڽiY3sЈݴu8n旵.Uhǖ*6muѕR@E)jIB!<Gcv׾VǑAUD~E kYxƿc8@zaSϚ21uw6>/yp@J "6:Wi,wԏj*l])qoIz9R1|%cb72JH냷~t>v}۟l}-Sa\FA1>R#fe6,qW瞖lT5[' e. ^?*+KO>]+3u/Ģy]a{=5cb3T#8I}oEI_t7iI? #.4M alGa ҷ4ހ[#[1w# >v[B1j/*fcJwq}J`UC4$hI ҲaYFGEO ٝoo#xM ?t.3|I`EAAEUv|W7x?;U(MܗEJfNd ]rJP R 12; ׆n1Gu^o"i"@f/ 7-NQ6Z->YSi."Ctt3\Sׄ:iC()_Ĥ܈r]k\יJjU L$]3>Z8Hs[2X"ҦW-uoY1/Hauw Ӊ#IF &|Nv}fɢ@hnɍ)]3}5t3(}]5ʔ nbV_DniF@G)${3{ԭ{ÛNRK(".ñ9.IZ%l|@}HMnL7pU<(ʘ8zaХ z9Vvbn0VXIGR>НSN5^8f=GO:lϡt+nN㷁,xW#XGX} W$.,n,F$+j6^ q[5\k1r;fRQv&k̃nYtRȪEkgQ`ֹ n{Ev @hFlM(8yS CōV fK -+p刍@;vp7_dDTD6:Ndˁ7>z1q Np潥p舮zDZr1}U?=:*+ ϧfŪ6O- ݡWќ0` bld}e 0tw[rZ-D s_=7zl v6[f)DRI܂ȍK9L QD`rO"pBtKs` HKS){V̊Ew."@_@l<K]r^d<}AiFKL/{D%PRfEFKBe?|yQFCc{_4yNZ͉RYܼǡc 6uleG$m衲"ҎG`~ԹS r ,|> ٤+uנcX(37Cms/ UDu/i}P=,%e.nۼaP]q{YAD.~gM5MS0C -êGgjItM! ) E'bTv'Kz߬BN"xсmQO[,s!]wx@ k}ŝ6+IKg]VF`F«+%(Je>YcHAU-gZDc34J,Rh>x-~4C1:,YČxhVw^Pn#"yUTYSo=tM[R5-,#o ぞBZn'r& &EO/v5H");$8Ӵpp32A%20w>qY5t<ڝNnԠ0'zG*y7}sGcŦ W ^+s{yXPnLGN-fLL*p'' b B-8C as҆Rs_|]H$ס-ˊKp9٩0GV|>" Xe\}l&6gPȊKdaY^w.,)~:ŭ!.&-K '"]ʲlg/ S Tn9l#&!5/ZUwƁ~m8{*ton5S5+Oqv;Blmb5dЈMQHfxпF?j:stFAрm\.M*)ZGJ&96i+;,H.Ҳ^T jÐQa+IxxHڕ1Cŕ9Oy HHE\)֠ߛzmfEW+w Gϣ1` ջ9 ik;~. ]"E5KMٚq-j p/Hڽ7|/__Kp 4leB\E)0O aɱϾyb.F%Tv-78\=)6ePK%}Űz@u$2eA4eR`b9CϽ@<ѴtzN:4"@)MEb(wl SG^_M=W@mF5H.Z8p;qXlvVK"A<![#3tJY3,ŝHPujc@ˊcx6-FrS3R0 Ѫ(+`4"_6axUkuZI˓.VEӠ^1||PeXu =h0 yسxอ"oQr#_X׀#hr&b0-}0V㸰?^0d4:X[C21N<"EW{" k.4Ǝ<&@⺜Vؾ *xn;0\=r"(z79[dLޡu 0oLѐHe_&2i&#Z"?tJ-—1b4)T3虣!W6"U|3Bn>عѩszevLWu;^jUPtqiE$WJW OoK ֲF/xfmyfc^e81D Zz6Q#kh@X<25BX?.-h^CsR9I [ f0'y 2PIM!OD;lCe␢ڿa,b)\>g:߱S8uJ|)>=֝tCO vU*P< :43? #f$|H+Nё3 =ϑ\U"͟H L8%ٽ|"5σ_wl(4F 2b[*H p~Ds4twÊυpQw ykUЭJI"Zj " *0+X@{L +" ?ӪєRL#Wy}ɴk6-*? jP"9=rTaPg!A)&>`hX팻 ~|U+iaNAݤ"L7DžDD+4 㷿:@g`S b&Bjԋ%.(3[glxAx>K,G-MsL88ʧPGaf,8_r#hDeXgag|.kiQ-od iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny n,ptbn孞g$}`%0V`Rx#0`kK_h0*s;cE8ʴTInRO"վK5e0X08AۦcdgN&פpM]푴g&7LDuUΧa~CM2&IBC\5}~n3y,6-|Gv![rj-1Z| eоӽsH]?_Vμ۫ JSqTg.zBpTz:+Ub8=cHeklԘE]_PK[IuX+6 }tյ5zKL}@G @p|us|@ 맷˂;*ͷf lG^F4.2&qb ^f +˫]JmS+Jah:j/1֜oc+99HR~ˤr' ͗|T֮gnbWS*xı' PyPs=zRUjL+BXU+%._Qc2$'j#uڢSg[= {z$r-cI d+L"}f"&;h[l~=hGc9ƅ3efEO:M H^^c&_G_PW]d+[lU:;7bgggGՐvNK/_3@ZPC%3g2móQ}X;9Z(֎0ƶ(N~<"A}H=--Ё5)xu<{ls`wfP|̩˂1$[:szϊZNVT2.3Q(TƲ]/ϴ pRp? [oR$^Ytl8Nk0P-tOƎ?ndq9d&`,'3ucN}ngE5AFթҍ?yV3dG˭lAhAKW$񠵌sem]mxal(m|.P-WI,L'H\w(h պ GJd\Me'v [AB0J& *Āj1 /I> UJ>u:_pٵAg 3Hq A TQ,Oehvޖ;wly^p+hpc\gPm[Og|Kw8NhI/Gaa#.x%Ԛwx?i\Jun @6yN9#H\}]o;@3ǰO2҂سcp(R)ڲe(=T:ڿx_s|;ͅ+&L ِn$GrǷޒs2wGRާOcG"wh~$0/QfV磇ofK~@4u:aOʉw@s+${AU&& Ü DʱoZc͎."ȳ5fF~ A3&p Or̊PI+c_"zbAޒw(O0vh(+] T=zoZ+|hh.~5 t xa7Y{H#< g"f) tqJ[5y9+f-ӖT\ݡR~]AYdt?TAsT<*2~ZΌRV]KVK[7?_v|$DR9Sq\]LTn^C ;9OH3[ 6^ĩ Tʟ=t].wְ11lW!b+4jC+ ,Ϭ#] DOq $3(D9B V͙r鼉o?$AD.8óXS}M5$t5Zta&O\Ƿm82L7%Ҕ0>Љrёe`# VAsNage`G$ jR/{" SgA絎Ds~-6#NNox06s>ܳu"$/C .3q=_KI;XL_V[u+>ꪎ|z<ݼڛvLDp\}뭽<*y=e( #f/lWaS`pDEeւta2֞ /;,t+,oަe!qaR7i84 y6ٱ>A()vnPA/*\Qݗ\RRuJc\CDgnef'iV~4H'~C~7ȵ@ymGK?yAD4s5C9q]]?v4NV~H 3#Fa^hBV0D7 "UE7T   Y=$y+dic%CO=dڈO..{k&_443G JJ]h^S!ߤ 0E'ONӥM0"+Sgl }2:s ƬhF;yrʐmttȃyRIj~ HU= 5Yl"9EoW^b C{sjїrJre9L,Қ8) ڡ*LH(8ß\w.7Sݵj۫b1SK/G5荍p#G7ƇAtls@7y-Xƞ1%Hy}ohVHAb-xqW8`4ܻu_Z 2}ν_(< Xzesuݲ~I1~Bmş3ۻ^p"t:XuuB_DBRĠ A;۳ ^_"yx>uXB\KwH`G7]@< OL#kdU>7tܖfJbL.1q^%<T(,K; WYw8޵iNҮЄEhi-WH޷<-;VR&A!񨚷<$~W39c''xB(=Ng_hknZbbgȯqF`Bd a X[씖/bWHrD!pt--!Bt*:0 7{f.o:|:;0 ț,pm"3jR7k{Z+߇kbb'x{ϖB!Q4V |7jRvٜDErCs@9.lߌ6q*CEIsOrXNr M-BW$l Nog96dofeѻZ?YI)̹Goʒa8\ZՎTYvZibA J5h^~O5m@_^_a؉-dr*~{ɔ}KX+$:LW/f)hܱY)c+0kN7bg⻯3W, ^z,0O<B\BKktb3BbLrjHEFBfV@”)dAL4qLrV [{q”}S&xvbN`Cx ":̭V7GS? iV7USԅ=W1KzDBy A釆Fe習'c](\tt2kM`ep`~wۻaШQ y%d8m-hsǍ|L7*<;<|PGX?w*;*Jf7V-~y 5*Jx=p@-Q-2L;:즫*O>3 ^ޡENpH2!t=TBHﱠn]/"S[*%ɨ52kG^4'zYrX$XgՁYOzocGD4vLr\AIIGjHsEtkieeJ*Q"5 T;mQ!E `c;'ϕ&n$g߯c|a8>|A">!W4,+/t$%BY8"6V+*9= OliDb<Wz<*aJfU YDV\Kc2Tkj51 j*A&pZ,E)Wt+ »w[PJKqTp+I`VUr$Gp$ŞQ{%"]dr@c{C oX|kN}&˵˳d7M.'*~u@nJY9JUGINz-~e*(>5H 8Љbze:e[VY'`" L@%ی|ҭ4P&yQgZ/n A2ėn̰̓Lе %$3hbe9jƅğ 淧%6lFr7?ɅO#[PE-.m:TTX:PSH(!TiIKtٱչ9Jxt8[)={6y*Cb{oG盧sRw;\4O\۱8Y MQMS*vA`sT?lPN;Z Z+T#Gq{^~8bH֬k] 2!{j{:e (Mz #Ԁp rěd\y=_[SUg @Jx!UT题EX'U<3e!.[#'"bjC#tC-:JPFHlJT8I;jE]zM !'P"XDe(q>ɨdC-Agr5*|&68)1aw"+5i4˪t9t|CAl~JjE/Ҙϐ/T]_7O{sX7.J=iKjƇԩ[gP\" \+WVr1'- П&3&};.S|HnMJOM00 U hF(>˿C1:bESWp|;zT|&9 fL7yTnɋe &3I@UVcHp_ hy{ |FeSCXdP3SZdf̒@ m+J³(*PRl# "l.cG}:if[XqoU,4HC#"%e> GOܟ/ԌsVew$ġ SH) hYjs輞ﻢvbp]z{ouVj'A/?-plaC3 jr,9ب/^ 5*9!1LKW+Z?߼L{ޗÔJpAӘw! e?' -@w'^s'4q&7rdH<L^EĈTdcy[r%ze$R*3}b+5f M!J˞j[Ah9:!d-n/U ADKwxʥ$!pR9`1ho[ Cvik^3PiO,xbsOk_@2G:c| P{"ZRT{ [!!`=|w;.(uc= 4c^4rǽ>r*Pq*57$E eVϱJY˿F?v$oZ$36&VCƤ#4`5K=k$b߶FU4I`f.?~}d #٩̀i}`ć񠇈p;KuJ&V|΅Uln Jf 67rT Ppuv{5:KQzJ slݥ 1 5"O+ \2p!Ui&]?)`.X4{MyERU}q&Ca럂Z<`0>}S,zXMpQ`r}ڣ=P%42tT0xr8~M %kei G=tcQ_@RaLrhD0cfӷ cZf^,{y, }|7;ݒ_qY'hxWB+IӬj٨jʯV粿 ik y=f&CuwKL;G,Q./}ꨭ`OgȮOxzѩ oA<_ Vf׮ t[#^ cX[V #F>>=#L<Ip#Z`@)wp_m"ɿ6o_O. +.}V= QGisH~râLTmo.RIw gia/S])l6OgAQXh1}'^C"gV^qaպ.~e^ wYJ6/Ʊ "( ̘1wx5ƞ  p|=19}vr%ϲSQ%_o\aY3[ߩ-w4T\jP z E/5%]e'tt^ k ܮQ̂Tq9hC9g-=<$t~ۄdfؕ;g>ۣƫ̈K.zMf?g_ :q’vgL,QV\sQzͭNB=+B0-GBDjj܊O8Czךn[$77X&#EϠP[sٶ1JjPB[j<,%x͂Ց71P# bz@q ]Uk>?њ".Z(<[OJ n|O}#X:N0 rw6~+@8ԚyR^&t |ݢ?AKn& @(7rBGNXoO-[3kaM ?"beaDIbݵ:G"*(y_[m]TVsHlPϙ[gWTM [DA#G-^7!ivdoh-.WskLT4s9um<ҖGK_ vTe~jBt50?_x qC7p )8<"10m6ʩGx[IgA̙jS7̷f= NȊYM7+73tI89DI'LN/1FSLgBdx/ʀ' ](aV!bzz-"y|ۏ_lh aoGJbiQ5,ZՄ)۾0s},%vC~ : ϴP`{d(T M{{bo7tt˨@oyh~J|7CF|Np9arLJ,?$?cxkݚ5dgV}t_믑g7 伶*Z\Ex|ƧIoMY?%)"2Qa%*$s~ne$I.i/FM0Oѧ͠^(0vBvWY̧RlXm×äX g^@-|h!O _Z_ +u~d  hF8Rf&1_AMFau|w3 KmuVK Omz<@>p"+klA~ŕJ3 cGo9ߒC^!UA) ۗ]#MdIU66]H<0 ʸRg{T%z"m`'̴X/ _ԑ0oOh*ӃQ{Ҝ Q6'ea[β±\PvTT1#nb3TD5ײ {1&i}uPʋUi)8ן= /.W;6 SC nF~4g/l׵l40 2U_ˎ}8EaGMP?9AFp>d>ڐkV+و:yK~^;L4C ~_=N+bY?3@O47?md`A0b52Ra2 0({8ۍv-.;'p mcA#r/|ʤr1?x[@Y{š3Fo" M)kn(ۅuATӵy$޽\ݩ9: 8|&,ы!l<`OOzȐ$D |U8cZ mBcH105*Nٹq*~+WбލPx_mݖ)O]}lWbTH@Λ^'~p1;^L $a6[ [L@ >g&PaH 0W)k{܁ӽ>]5RKڞ8b3=7h:m OlPՆ}wd[; ZRoMދQUG`5/g@[xH/$)ɩ[<|j|L@pI"s%'ԩ0e|WVoS]Ky-QHwc(2 KlL 0pԗ9EǎTB4+q S_7 o*f,H~fRwߣj.\n.eg#'맆ޣͶw?J2u%)QdkOщOӂvyt*%2@$Zca ?Cv[sL> 0PΏ"aR֖%USƮb`#8:K{l'a}A]"iRICǙ6/rS? !k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 101 0 obj<> endobj 35 0 obj<> endobj 102 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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) d4?56_Sf:[߮vmЉIs2i6cV87փw|A4Ӭ:9gGBTc^ws:kӼ.!yDR=KY'rLg#@ {q_ki@&Y66(ӡ%M;d&yB46r8ѹχP@ʚ `"sxXr;c7w@Bad"ߡ1\:g݈-[oDS|fPve>JDz9qGC|<3'5$*Y6\4G)L!,#G/&R> Wb?r<)xV%֫$z85Y4_Lt+a$l zGjql0EdQ[{wo`=ycn%(&9y-WgՋ%~h\O!@q㙑  X0/[.C:)]xCpx##GBY"1/n>*JIxEӼ1Q*р'Th& vzf_Fh".MVX2V p0#)w*|DUd[wb*ZY~`eBD W+@'pշF`2JE%jsdSvΟdk*_|{bWЩwlEm#U\t֨ Y}rKO|fKR"a8F@5VlvhmxqGHoGiT0e^^gx8Ys_]l{$^'{2hތ4m佳Od2sWt3AEzXj F\QɃC)pd=ԗSl*EXq dƚS*G][M7Y.ŗ1(gM.C̮Ӏ E`inB.fPM"/' ..oHti@Bd2MCAy>m;<`grxf?$Pz8㤨E|xw,վUf-J/:SC 4bɌ~eY{Wz6)q{o4Epr%! kPY@:pSC$ sg <=XAx"1U{' ަk#]5ZMxƸ&\5" 3$nw(1)#`Pb2nlx]\z'߰[kQB `*eָ5[C)<Ѩ3f9cuE9CxcV+L Y g\ /EIHxK^=u)f=,( :0wu9?CP4(&wxX= u?Q3*!4e?O XCJ.~dMT.ɂbؒ"c,dƔ'pv#eY.,cЦpi@HP2ñ#}xL5ݡPkч]x{nȕdrdG1 ~Ed8"abo&g 吤,x(:J刖;8'-[ dO-|Q[.A`S+A+qrLO8ZĊKLПDōHr?"4lRr+) 2)Ql΄!M}xRi2Hm;p ߳SZgle1b0)LZm O48' ȏ*MOX Vi,δ^ d~u6/bqhS [\A(Z沣׈n}T@<^fLvɩaq4-KRȔŋl,n:6 kұ?@OC'~ӸMh.&0Ki }dW;1|jZPѰxTzDSz(GR2ʱW;ezT3P0S< yk$&mPI2D!:x>I璱{_Y%v 4f-rDFg[T!^lB#\wM* do(-µ׼Tb uALQtsS( BKJzv͈*qnQ#*CSu m#wY gATA,SsS1{?c;pxZc_GqNYPnn<HL(|M\')I%l!'43>x 3(_~! f%~r*IfnQ52}/b̳ 7v$JFy #e<:6~4܋%ZDacAC-c)=džN/&k- ;8C3A>0!Mkh?iv\XboثOVD-Sũ5je $nP<]54:.)`iؽyiҀcgQҬF_hnA,=;էn Iy>sK2AY R$y@pQ̬޵Ҡ#wlħ&oDs;8pZvai~=Ûa)Kו'1?2M?e:렝1P3q3#Uʭ211 sj Y酫vzR : BmKUpV+RxVtb= 0hFS-?`?L?*p‡'}EɅ$,Vv=i t3{>N Y 7Lylzn􋙡4F/&mw !:%/OxQny̼r"1@,Nئ /#o}Cz[u؁şkwFvvitd '1DzNqiNW}&Y>-~Ǖ..6"7I E^oWM j ĥ/hv]C{O~tt izIš1tycY dlÂe!$̽3v7@ Qx83Ig/S</4.FcDnH cT9(gM5=fg"[ҹbe5X#V_@4'pǖoEqR)e5 +}i E%o͠Ƚly(;-%C) }5* adQ-Zf`>2_ZSD׌a&dҀÒ,&6Q\zmv,peʤFQO?`ϦsVH,|.~LT"9FBnjq,\ٳ?_*]hIIe;HnԑG"C3|z0^$*'ZH%usդ/D8AOm&Y Y#eIگ8:}x,Oo:S>GT8b<@P&COܑX.j᝛ ?:C8hYq_350=0!Vw@UW+8Knn!gޑ]%Pv͸ߒ}.`wԀ+Vhֻx!B,J|g0[d@6#~H8˪Et9:J1KTд>b|04²jRju O!(ɬh/0}!n_p 2^:+œOި`|eT*N hd*bR%~Gy;K $ V^ ܰZ?p[7TU!\ĩZ KT4~Ajx.s&\ 3pJ1UT*'PE]i.uHH8_xi3 }QO߈HPC0Ȏd}\pDh (te!;Y&^ 7c)æ^"e›{OKQ4y(%V<Nވـ/K#Q-~ n!!<.٧{>IZo{(Cn6wժyvVV+4 ( :Lrb%l| s=Y|,A̓!(XF1D7T8Wۈø^,>@ϡI eFIRBVǿ(LH߃kF P+vr]h͂˖ 0yDέ8- [GlGS)$1r:k{+e $#b1ɢɗRqz@zϷ$݄/-CHco'’_u>a;Pr,'{aG" }~ph e- lـz0([=4(S,'l ډ`0%ü[Ptt%14i1h}l_\]g!XO*9鼯q&RM[-RHGZN;P\37яmB.eʳd7Q5łs9 E Tli/wy/lʀ5|Wq `tN%7Lyv7@9,BPcmq@U8'<[A;bƮd~6p!Nd^%? 7G&ݜϖdScw;Y_L#vicAղ@cϘr\ u|tاYy&Jp43/u `a)>(j=cңOKjYR*eɔx"[惷܍D S;Օnx` +umꠉ.հE%%H~DWD]8e1ј:3>ot_|:gY{=HXP:=\:|[܂U>#GFT~p(|N8fv^ITwy+ ѯo' wRRv/FѢ+70wm`[$9@m]woa~`m%v š7Gbޮ2dhj%KZ 'pa[Cր!L:WtC:ԇHA156;KQi2B\$IeR_6BUoRE\_S艖{DIg.̀l7 ާzG}|9AU,yAt3eNc}^;R- jVfOQZ #/Wzxo`t^,`!d&ϧ PZ$b˹HUX 5H[ƐE}B?yMwWwkR0 $)ZEjtQEnje;US\XJqKH3['%^UF_6O)זH`T hVȀ{ -Q*~P\Iҵ%C.hl{*P*0Kt^JΎ%;QܞXՠ4^B nձrSӈnȺa7<`!;Ȗ[<4'W1 tT,9j`1GS,>Z N%LxȿWܩuD$@.}^d@/{46\U^bۙ qjm]ub1TCD,WG=`Hh#à3/ELĢ͂^t 777G4yеRF Ҏ/s.dC](b'`%WTԷMŃcQ}JY^xC9溠іfnĠZr=nVx&>|tFCr䊧+$wy@ t+ˍa:ˋ.e.Qq6]Y7aGbS!]~ u:?!W]Fn85x:TV兑 ?洢E}@<sϋmTFk_2Sq F96 CvkPiyn.[s[v4)vp7+oC(gu$ft.ΝwU*pjG(g;{ |3PʺyEڞ_g&-髁Onht4ET-`42_S#:o|z6H擲Yg@Vsua;^xwLn@z v63K|$I-dp7(|D^h3# r C~ ȱـxk>E"B >' a< o묿amqZSM-{/W29("< [_͇HKp\.ĭxJ@q=Tؚ%ILcLg=5w'Y@xkQnpF|X2'Q*y,Bd뙪^g h)+'0LqbV0Op{ 4e)pN:~R R2ހTxn#0]7-YB3,JtZ̆ `s3H~Cw/Ni'(h#4redD>dCM]zُmmX?=?Ufqv:ɱ公%ICg~M) i{NDG1g'خ(DЋuޝrȁ& W=W u\m&EO'-ȵ}KhdyϗNcLFf8FhLv)-OrﳡNr9iUyJ7 &À,s6#]Q`E\> Ma z)"lOkw)}g"#^| 9[5b";NcsY.db,_YƋw]Di}9KWQ>O1k[:"?Km ¾|jVbr˂@?g}#׭LRQp1i?Yn_&CE7G%.)zľTI0柨o:5\Fh>hak?6`J̬SkdcBR4B{hz qV#$jg䰴$gIP#ŦGkzC.cTcy|,wm"w8|/ +h.B..OUtc5'UcIcH܏>mCob$:ɧ.Qo j=QѳӵiZڒiXΕf)cd";&k)=(y߽bᗿ0a᩽@ʍ%]y|c#܈;EN`xTӬKzek(hc8J"p5,ڨjeʹ2L;IKl*#=Sȁt1jDȋbyZư2"^`}Lk8 d£B)󕷐S~n wh )3w"]{CR"51i ;g.{PRP2%N5"I%v }8pd^2S?ߟy_hqcN :A\fCk1g*>qp\UC9ހ$_"ρY~+i1yUH1?@I5[9M2a!@5 =ep*sr*Ď[8<XRk%^eR.qtpDH{]ޟWub+UU+3f,HxKp58d|';I>ÿ/qb@IبڢEfihQ R©ˬ$\5g īҏnS"ӌWQʤwُHLxF]" B`<y իt.X '=ݸ] K˒1 4,p\ žA#R>{ɼ<5];A1d‚ \[CB4a= [f `a'Ig[_g? HUU<DžV|xqб ?\<ɿjkoHб!4B[${ͮMWދ1 {EXhe_<;e`:A0e,B;ES kct`'ޱ>q(~#}@*u֜F~ZY3Wt }\je*/" A# `0!NZyx9eІ;+USp^ʿ=;t1mڜ M5|obNQR\g!5JG|^ί ( FGwȢal1LJ-[ZD$s<P >2ʔXiVsyy@?\ 駹߳q]0{/1ʹ]vXPFoj %Ϳ7٪+߼9l$PxМՎt=UY)D=³v7jfyNyLJQ6[p \I+!9 L5d;=$xtJa7ݓ9l=fצdtJCM\CwO5a}ܯ캆HoO(0}/҉"2e~@xTev,9=%BK$b|Z>P[39B&QHfH]6ŝTܔ¼[Brz("ZҥYϊX/ \|qp+n6 z?'(x4~I[C&HNPYՒ}BW\{g'l{ؤ3i&(gct,-{}JuZp,~X]R3ɸȦ,ZР Rsa8-@?/Tt| rpkTF6n3#2y3m՛,*s=`Pߐ7o& gƼ/cshtc(} :ǘDѲ(h_ܽoy &KV-UO#&uln(/u*1-  Qb#x3fޅ|YQW8VEԂ=,Ɛ/ ['(Sps 8|QWfHw|% ~]廨ejKީvm6xMYG] ;!#{07z|̪΍p\p)!*.{P mŻnr|匓wCM( g*VƷ`Y9!F E JDrT4䕥"(سp)ϱQ5jF9m&0 !*2YC5 MtOۮU [ˊuZL <"{6RO_Nt{ͨ0P?GpSQ.# 7ډ)*4%|bxV5Y|qҹi54ȼmAHŕTɩF\F:9[i`< ,_9F0@yҍ`Og?5byިvn (4b;<u_:n<>o bF0j Rw+s!7x.։ZCq j*C_qsQ9'fzy3 lDqG${.a|"2E+,57FvwH_Ћ0PE|Z2{΄}!{IHۤR۷x{W^@D//GxL+WykBe_^NU{` Z&N<>+!(Br+Iwqa!Atl@)Vh–(1Rڌ`&us6l7]Hc vVpp $롗ǃZgj䧞o _LlbdڌsӭR. ٧ J:³]i7]m8;I?:I) A-Cl'8ngo<9FJs#}SҞ$swBCfte7}\,aݰ23(Q @RUg=4mDAT, TLjacxnſhMǃ~V!T&u^mj&V*i9^bV'*ёL?ހ@;Ю(u㢇:*1s\ …ҟ z!`N;  D1#}FѿsO]1$pEVvm!Jwa(DVR-$VčId g   YE]~f6\)?ֽJ 6 WO UBеܷ, o#ez@Bf RYM^ĐM܊vcոijr G^0a'=S[K NZ0`MP]vQ ~YkCr@<3J(xsha;\[t`Ns˼[knݴiKY֟m)`!]̥+<>~2j gfϬ:Ď;s[Ҋ|Aԣܮg&Ph%S8a Ź4i5ipE}plOsC٧ 0鑭 X[\ 5_< yorW:okIK\;=RqhowPMvoͱ\hV:.OMA+y'? oD5pU#vb۪͇h#˻3Wbx]sτ NFd9-(TzJREi(j1C K̹aJq -h]8ڤnڞn蘺BZ"4rIFry+Іb:0_08~߶*=5:>4L;;}F^!Y nxDӊh AG$ߵcn^0^kJDz?4݀=nKΏhb"!M*K$̛ԌIS\6}oUK\G~BYl2nAZ*q9Yk f_[!=hJcH`x3j 2`ŽGuqC,+&o0tb/WxLk{'ٺs_HoAa!4yPYKP*I+H@yS e^*{Β)T5NtmX~Iai.N7ƺZSel^ F "Z-0mӰļɠIom5\iHGvVg8 [J6xP@k {>%.6f!bYf-O<P}'vx %Y0EմB[ .I _[;iNyN2cu2E˟! I4/P-Ǵ~B-4FDbɽhol{]= _M(e:Y)b|:H*!_rR6Tad͔<}`wW7Z~.Zb\H O DZG *N?T 8GT8__?wyR릳;'dۨoim^ [=11J?;Nq8n e"JuN]2̅HEk te~9o!@Z_Χ.8H8J>R #7j5UV-pb=a|>325bs g[3ć@Kd|xދۛj542v(Fv6s0R{S6$.1Y``H+63+r#WkLἣ&Ht$7~e[n+h|,|¶A7cs d=3'Q\N>O6mպ]hEx#3U)$2iڭz[fe^J5Feİ:5dP%|s?x#tǎS@+ ir|SҘCB73zL񗇏>)S䄨nBHЗ, m%| 'B_\"(HRyΐ"ەFHGν3SKw~}ƀ 6DPҕ~iޡJYZ S{/j$t8m5+mJt&sS7zW >[BsRX5+@p%qmbL:GN {C`Qfo>lȥa`e lԓqʠT"etŘNh Or,+c -rǿFiNpLFQќd18Ņ4'ퟚ>LNU9NN޻12^ +.LZPO}MOA8xܤ,ӯqj,ڬSmQ|Z/p%,L :%#NE>Xd1I,.JTt$[l&'jW9q$)e!x$!BEQҿ<݀R%)&^Q &!YO]οTH[ό$yr>U(ɆDZeuȾv1|0<\fr@D9-rc~(6F` V8 ̹J[ Qqk/AW)ALI#@kڞ/u nulf F-*&88j-(bNIY$}kidhHYkmg]shf =~S?Kp7ku>9':ͣJJ5T{"A FnMWAٻkOWR+B[n`.ӯ֌7H`^9ڰ Ni#ƢDPHַmkZnF+8K@Jľa&W¾00Hՙ!u_8 B囊{yW³t4]bpk&/|DGY/ydAi  ϳ\Qsġ8ŘF-·koΛ#{*n9>x1-7I#8КqƀU3r-&cςલM}stL̡_XUHٿ<-Iih OӅSʻMZM51j\Q-4jRlʑ ّ>ms!Bi+ba :a}iP/<9n5iP\P%4C4CY,Ϋf7ө}پ}*x$b!ưf~K.i{ Ƃw;͕DZsqj"=Rl.Nwe/{ysX5OLns ,䦵3'EVRShAXk-)e*)acI(T|YBJbio$7jT\?J|6-Lrq蔽$mޥÀYS9EJX 8;Tb?TΪt|+, 9-sk_IJ%tp^U<.ͤĿSzXuA~rD`'dQd, >gI: 75+8 \۴yp oÏ(),SK|Qy |-OJt 0;h=aT3}8 WK kϠ*\[1b Ig)0NGOJgGiuy=bonIu53sf-p_hsoɭ@H ]5pIv’$4L{m$b^ UdXQ^qNX?rU}\7&Rf$@ i%]3蓠+ɺ;Pyo<41lq_ wURkzؑv@q]fC`"K2bfս* 8n3N%dF$9ў1U3R L?l!TJ2QZF7dSdʍAηor|Ԧ 4htF ~;G(k'E5ۉBO9(_"BgD]LO585tp?{)>;}ܸWΚ@ }p" mPVrd(VbeiF:] nHCiw6wϖ5BxK}zM6Jн ^`dttq bvJ^P0~@k[kFg lp=M8AC^hC4@k% :Hhگ̭s-wQD>P#ux|<)+>/[ۍbANTSLWFPT:֭%u`؎/OB$!dq/VB@]z8:c)ӯ<(o3ȫ$,ҦLgQ^+Rv㜵 `F:" jr?LK`T-f3D~'O@px`H ":4G_^LxxA˗Re~iRwX`PhSjz<݆-ѡhƟѰN+R
s@dmrCyH4w;J18*s1HFr/ |~ƌlhBw :-s/k Le5ՎPNf䥊$ת_4? C)L`Fsnwͮ\24WLPB~bۏnlẆ?t7%RjDT@Fy3!l!*]!xuvydy&WCn ;0Vռ/ %#d7x$ ޠʎ ih׼ \DOO}ՉK7|GV8Us6jqf,$F]Ǻ%kD:> s-rt\ږ؅nzV95[ɞ-{v"z@"A?ջ߃1>zL9jda;M=f~ܟ('_{EssH${FȆm{ _T*{pe>rSNеk 8vdWP#W -/ֺ5Y|:bh4c$9Zy`?}bŲoreMT*ubA::NǢ]ߧ%[N-~XO੫3ƒ+F=S<[<|m# =h^Ad+j)Yo!lQG92# .7҆N*%ݖTTz&E+?ۥP4tѥJdǀj:e7P/t(Iҍ9Pφ<8>A(vfCyLÆ(칡\ wtNYα9 |c~Nn}|;5!=2SF_If5.M+uh^|kp+w<@Rg mLe+36#w\M3!6Z8bL, 2OMz$ٙMYz֑"'N܌>gYst<qWU0HTH3kjsB?IU-#XcZ -?;#+mA"֞FgcѦ0{C@$TOOBuEWv{9l9v݇ KZ' 栦T_㭛of=͇%c)nQb[._1ڃz5{%nTA3boC׾ b`vM*xS5%ڃ,?92_@Iשͫ)705frK%׷[kKNd:@EP2KEҖP,Lj!EbF[. 5^8vu~@É7Osy4:]ûrl{SO`Du\ $ VX `3F`Q[k[k`*>AslR7ho59Q77t7Cu~fN"?>n=^Sl61 ~>ON x0_V8e2dOsUb<К1W<$wMhȧE@?y2BO㣌'B1}X^ޝ82*l%l"6V]uv@Tc^iB^: 6Pdj'SG4) 7󱼮6BMzpN*l Hzx +K?(Kh@Ze( pX>'O5jAkE\qG\#("vY{nݚQK1ϞP3td![M\Fx }Ga^`Ht"px:iWV7̠=tqDN^@T]69) sN| i٧Vv)fWB8 9r~']w0pҴӠ֖j`sK.a^rQQQvZ% k!0VS&wZFL*D*`}H(um@7͘LZ2Oo)HgQ]AA-{y [< jnRX=;:#R=֥mu,O+쩰aB0)=!udhZ| d|qE"Ep,zޅ[C|6ƥއ윺+z;4TXȲX3YEKQL֏{"MK:Mȅ ҆NЉD|BG1 Sּgh: e0ۏ뗳g:˹ag ٸych7VKNϯ!9fZSfա"ÒN+1ՕMMvV{vIH)xeq~@m%O+痷e66̠_KS6DlJ!Iu?0ήA:F {UH*_FUNт_NQGO _ܙH6m5iߊפ㨫RܳߺH[ܽϧ j֌ ?'#euDZyux[u:s`r&NaxAl mI0@<>"{0MoPR7 懥NKuVovzr_A4I%l Dcc)Oqϯ}TJVt]xWo9Y(vXch]H?4o𼋮àrchSej@*h!bL|hvgX pXFj81+VE*n8*W@2 "aJnǯ|CvmiW|ޠDŽ9sk_'bM3Ћ/O;Y rZJ:"һCnvXz@M^୩uivJ{E7_w2^0TOfɌ]iҹ\4 0+u:iME Gy9:¦=Bcc>?[ 06ϛbb-5|Xw]T 7lR**7iPlp7G}{c NC@cۨPi0Sy.Y͋~sf됑{=$)yeښN(ow"R h?WX°N ط-C۶v Ai㧩Τ|m)qLx;Oj2 En_Y">nqOWZEtky""mxů2 'Ϋ:Ž/hO rCs 5 Y#-geD;!C(X:êٯJ<GnBciޓzݎ")ڽ1KULBqK]ˎuEV0+7x:=X(GH6,974>\F[uG3W ci-A/iE8l7D6 /",U6: (CX fJHKxf'ۋKvtRa@ kɲEK-E]p$L3""Vo\yWC8f[({]t! fR8s6lρdGzSZPI9{ЉKL=L8" ᓔ6,Xbkg{)rǸ&(}KR*+B.v$8n6w&_IcyAMWȄ0jm8;'wbڹex81Xߋ˪ H܀]rָƢ#3GMo9*_qM>I!pMTIUJR3Q?yFs57S 4 ,dE SN?o(}X Ũ%xD]3nH b\u~ e#Jf=6-G7ZZx ~K::9f";w6xk%JeᮡCD5YySA63aF3JpStS=QNHJ'J$N4^7 J݁DxSLMD)1 :S@Bz,/SPmaC=ՓI3D/bpC% s8IFEwJP9j:!æJ*8/=&b-Pc|,&~9h]`*ӵlDwiQ˅ - Dz(=t2s92 3O/D $oX@vڊC*쩜:4<ƁLu Z[(Ikzb-$.5o1TX3quSr{/ňiEIVj!G(訚?\ ;=V KLvfΌԬ +X(b(1bG`ݹ9Ue76N+Vz&_l?V&'v=aApfXd7gqz[_d])B뿐ڣ5@(M`єZh 7(% nJtzT.̅5›pkcpv*83\/3ҜeNrc0W|/TZ+"πE%xxKyİ`0op( r ^VK_dGyұ]]z&a];iiN`>I)Abo)L8K15OzlmV 5]EoF ,tGٓ 1( (B75 q2PV\ KRy i&;IUOHNUw"u*J=xҨ ?b݄,Wܜ@t~ `$mst*,Dcrn TJ 1 M4t7pv$2wS3ˎTp@}qY^!T}?հƿ-/ގ ]΅O;>lCH7b(~o a_|W9zÓ(֎ ~a(kƟ<w5+$Nn1$W6_;4۴%~6xH-tM`v _6!&-H ;at1 V 뵾Nw[unF.(^ T1h!E[i5$.b]/x]}p{![,eR/W*vQРT)|:7 QJ ?(,y$_ -A"q~`BX@-&: `lj_k~-MT,G ́ ?"-UϠWR?Ycx Z$lYAm^#tVp\OY F<~%ROU*<(xN .x+XcзģKKYŕFߚRv+z1qEMZxk"Gd,(MG2˛DyD2ua,s@\S૮uH &~ X* ݵ1mϘ~'Fs&$^"UW:̈KFIҜBfTe@S%Rt`ch`[lߧë 2J5LJMcmS@GJdo%2Mt#LZ xjltb:׉ɭ1dC?Xal'C8Q/gm qGtA}IVCcFclĥ mCj`o- iXw8ZK4-p8'\)U͕6(I䅝q[>FD4+hSCP=/=nk䨕T]͢ޒT- z+Td^opA$].lQK/}8(c[$Z^-샥3^ 8F'KtMIG92 can0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 103 0 obj<> endobj 17 0 obj<> endobj 104 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 ?tEn96$UD[d,-2;9!%fk̩Qhš?–LI?ӗӊFZJn|dƈ8G?)M/LUEVo/޺T}4_TWך߉ID{pwnq)9R*s!s E/%uW8xԇ)U'/ĝShH==pUs.C[ F`֕tn^Rk||ϲ)r`[K[ VhDr0$80G7_i♝>zneisH%)(iB5Ső-3늈yP.V@10osi4H<,n}E8+zCגwA4KS b*q57g4"l])cj08֣ySݣ,Y7B,yʦr qͭQ38q\ㅣ]TEbS.!Aے~2't%X(!<0 jJbLFVLh265p@%FG4!ݥZ|]s2zG6O$DɌSyv[;zlQ@¡P[G2/XV&2ȀyP 7C~6Tܕs9+9LutFR횤_3ۄv209j!C:ŏC/CC0 YIeWPu2@#.\NqUWN@"!Z՘ +hX8.]vxu;^uAӑ_V(<") 8;F'M`pkQF j(>Og\pHNtf֢w2E0 kf?bLC-<(9OYK}1gR4 3԰c"xwO6Mxq X~utHPZo화ǀ]~zЌ}}z}@uf@Eu~:,lX9?u0z"ฮg4ob|fa0*$XR\qػ@#U# AY?rk!h, k;vl.g=u>5p4XptJ2n^kQ?tH > [8MnVQ G7H`btBiJȗu&6U[|5zHh /¥+T3$N)'("닚dϋqczg b Jɧ7df4O`޻;.KX CJJw`Ds5^9qZ#0lf7~P ˕!%=iZ BvR\ E}/ ycگj_ 'Mm9eS 4j7-W.jM}o"گߥ%kjm,e4E-u{Rh@ϙf,/jm ]&:H{?wOA&!KCmM$&$(5o:Uר 8pw(DZq>I@Λ ]Tﶟ*v=7dT!Yڡ}:Cc18N+9S Ws%K ҕ) 1!6~'(.~3#2{ahB13GLTj6% ,X͟HjN]ta '4KAE8ll*H1;x;r-yAg*"W @HJ. `UݓT9O#%O?;lԋndž\ ay34p$זZIFeQÉ.&um(lM"zX<ѤG< P89u;Z/MPZ@>\="#~j]\XP1 MR6woVUz&77ǦQJϢ8ֈtq;.a:H}Num^ V~A09 +uմl*Tɕ<*>&”l1f*C+{&ḿCIFZ%K$-aYX#⚊&)K^"9zTkE F\;(|Q0K7.Jvo!m*M`ԇ̢`?),ҭ"l!$YE3K՛lPoi m:YvѦ ޮ*,X;%ƙQ( 8wm2)G&"K;&`<\f \Mlyp}6gAП&3Q7,g&)wCVc|J}p9xXsqfї_s9QvH6(r,{3jʨLDk8}faFFT^Y\hBDy knJ!]]*!&McxF vgR-"o1V$iղWИ C aA]@ uڎp}ITa<[4)7y$(1N_z=LιC.gc$"v VO>?x՚_`qe4y*>d*̼RiDx0_pXG656n<5#Q9^y+'z7V la9 2ɮn,q``7gr |o9hdU[D-sך%dkۧ4b$ixf7-=N+!^sAJAy$,]$?_|9fH@C#oާ/Lku/\6]%:8VJr|G(s7R|= ]kQ'\ '%#S|}`un'Pdm6)¢;;Hybט1 2={.$r͕ɨ'ӵಫE!&mY:bC37mRiJ`&n%6;#K95WaTvHk,fjk_<)+Fܚ*@+(.|zH足cpPbdqad t Xq|'RfZ *?ۍbX.Gt~97L.Jj 2C(I:7OZR}}!XQdU?7jDSMśga#7GƗBǦyc4IEГ(3tp=mRc{{5ͣJ}pזE8MQ{HvozC958soJ5]i1I%nQ1f 7k g/"^ j# [Rd'`2t>̓I+tzXbd 1BH9^+8_OʻoHo gߺz q%ʄ `$Ck Ęiyt k*qUcf8ޠk U)JSܗmgVKr.chhg6djQ?/:93ЈG;,FvMe=)ED|xG-ЕxXXqt[ c"Rqktj?A/*G{r urǡSGT  _t\R7S>_^-A*لWpGfUyRĀJ{E)u,-Jm79*<׾S3 3^wOS( <0a-L7מXtWVIawzGFw<$Kug n3ܮ4$a &)hؓփ+.7jKCK5F%r b]'AMg^A58}+u:čom,l}fF.70QfO!"j)%3} S#Pr쇶:Z_ EMx=W7HJτK :$-A/`Juh 3p0R /ǧL{+[]u}IRN~@f 馯qp)*;ڻh a3hyq41kɝ*y٠ur_ip}=>h,d.śg.YjUX-3gMOFL1Yq Sdry`_Cf$"dG'!M OQs"rVM*ƘVo$6eCJІ}Q:Miր ˷p g{o3pKR FC(u'3$(e^:ԨZsKrǙ 0 &j2Cge`jnk2\^#c$Ϟ&#s͈/!tm jPH6\lfuZ-W[Ym?"Mz7hDlT'4(_*SbJF.Rm񕵼䗯Mh8Lmi{']eAlcWb@$g GR;"gU"h}o< M)ь_>`.-c - tGTW9C-+>)jOF8\긡I$C\wL6%J;j,Ș;'ܜLgajOFxD9h9iePcV{J xVgSSz3v㍭; …keP8x;>\/1hJBad/G%"rb8,Պ:b%z>{n^AGfG6 U\QP@g=\\HZxQx`Ŗ1puBENpX4TglұifȂ7YX迺 oX 9Ȅ5Sru [>ރ k6Lr_A@ JБlzC*Un!B^=@:k 7{HH}g5b3;) Pk;5‡?YcE6)SSZZ6Ȼ  {m+>ܷ6MӝwGTյIEh@o?zModE{lYj"i4XzFd :g!kzU }H_Tw@sЎU%w uuv)n]hO O RGxJLV+'z-C3N&*Xҍ9dVQw6WQ2;O%ӐZ~QЦ<[ՃȷU;45]>Ɂ18VSX{Oyж4(} Rn @ZA~6;}JqwjvfQ{rr"Յ-MC ݪ^&wLDj/"%W-rT54*E ۲$Sg#R AG2L M=dtSi']rmV'@,q_7@҃.aWnײS>p$ ,!ҧ:'^\zʓdȖ1;m VCFn[!\:#I禁͌և46}P G[Yk lIixjTQK.<@N ,=rrF&!oX''Uʴ gg$-kvvQsk{ffDPď옛:~4_yҬيھ5s?+ Ğħ"zGrB]kn/Bǘ@(Qv]w&</'gQ`X]NyP6ȉ7]Dm|‚,}0d&2#*VTjq@U0>r߶mŤ>wVuO"6ӏ-\w )F 4nRzO*^3 mVM8c`k2Xێf֮dE0ؖ#,Q`?t n.g4C7F W֞aAVߙ(zXNJ์h[sY8 0B& ܸJeot9 8n(wI]p7aV9C©iOS&& RxM9)"{h Ld~ YWq|stJ*w8 w䂩-O ؝qma KMye褸7N{ m7]" cMHT%(m"~"Zǰ<G*=y'(GQ1O w*YQ)'F0+O8dhgTOl-ú'̛W x<(7!$IPizф*DzK`{3 ݐQ)C"]¡Oqfǀq`D Ru'E[j#$}E0|EI.]"̲O G/|ޗ 17D 9k~;8&܎6qE2qRDH X^d 'BکA-bRξse&EpJ_{Wi;Y<~2A,Jbe\P7=qb _>ڮ݇8\ q<R2mW ٢m̏ijHtrFh#SŊjNvɞş5vI%gg@ u4 0m,5J@k:ؽ&Rn]4^;D_Z435#FlXy}v xZfn1 nYHzj%6kÐݺJTJjl4i^Oؔh16](9B8|Cjnl=ޙ脁 nO 7Tjh m䠽sá.zA\kxAq]H'@(z1ܭPQh+H^ N/)8NVw^Cנp:)Հ!8|~B5n-_[+!V4,qND4ߟ`!0ɾO6񥥃DZڨlC+D_1 >@"9,Hǩ l}u~ O VᄌB|zrP_`1/WNWsq:Rqĥ9TOC ?MT a帻^yЇƌۦSe12{ژww*@GDV?"O=蝕΄ I>$]mvq&֖+tr㭔A!\~4!Ix2K z{0yy%@:VS]C7<=r?WsdgBwyG(Q|x e:4\jӑc<){fa8=$= c|y!榝W;/CM֞/RZGP-tgGvlk9ӨeŲ="R\% PyӖщpFE.o70IP-URwt=< ZdC(aYh( h>[qXLST'ĴN=_SDE:ɿdf= fJp(f(t,Oytk^. 4d#˘B6 RCW؜L|$ޓ?ѣ4WE{ NX P }: ה.Qc:Y` KSn@ҐK,@h,MLֲg 4ߊ'y6Ä#J{@8Ao}H՝;Kb}p5bLinʃ]lBrEÔ*dvXTFʂ#~ >#_[\iS`B_o e14¥~\SNC-yD߼F#PA^Uޗ($8 5<ڞP8h~gz;sidoGgv@Q/Gv&ݼwVЈSŸw0D)i34FU$ (۞y2.7FnC4vZ===#6óx7!(P]T~I\|$ ul R"i~E,R`R8>aXw ##Ϟ)#:,͑DIiМeG\х[r"=@!rrY* E|uTY|ZS81Ɍrg?l<$a^I ?c4J] T jO& (Qu0.HR>P||21|4-1l δ%P\d+T:Pm2׺ٓƑ9)+5\<_N>}ik-bУ__HӘ8d5:.Kq"cn@V<2?=S>Jnh /,عQts}ѻ4ߖ =ղP jXeIJ)3_Kf#}h>8b? 31pa EcFKD1={M@``(!lP02EGX@hYl B =f!CH*>6׏^Z.F[|q0H|Weܨ H6n;[O_p/p2a=cSلB-B.O0’b=n`̑x=.`<"y;{tbxN j\T26ܨjTt;í {v =/:T~(#]%!3n ~|xV$}lή#Qی-fbCysx~Eluq`%ˊ6j pw1Gw5pIYB.M1$(vPeaI$4&yDiFЂIA#*+}GzyogЈKEp*J܈CẍOiq"a9-G:A~րMuK/mGp&|+DF^cϽǽDžm6ﮖÓLQT&CRx"` GG`d˴n(DU!NX| q0 mO-u%ں[ny:M:HwȟP8"y]%A됹XlȉZg\çüOeld>н\>W8­ !龦ۨ"+ %Yj! 4!\[m~!Y"Ma⟿г')ߦ P . ou$$Ohu"gn:9B9>0)g- ]LBKJT 6--eA{51O+ڶdؽf&v|H1Ȝ*t,{v:S&`XVB/rx3}څyTѯ$~eӛ@n)yΠ 1=B4NS#L1W}a<_8ǹaƋ甡~ELtW&# jZ~TZù}Q+t ]oY.԰&q#[oO(x!I%"~Fnn@-g\/su$>S<p80{7UOShS7>uReT]Q䩈jfy-$V4>cqx#ܵT\l}9n2j [8ə,&ɃŕH3LzB{ m`Z"5H%z$Q!̟SgjFN.ļy8eYԝW2c JrRiܢ_aaߖ;ȅQ({r|4[Ztp?sHdCj3[ %R-^FЧ; jϿ2iWvv [P =Ms.pĘsb2H%*RDŚ!sDf,o^VtpW1tX+Rc WhNwqҾ vrqG473i'eg6+zaxd]&SShbF{/u%eHZdTeotQxs5yx*槏oI):ra1kcEHz DM%!_MZ]+v %)>R_;"=t9pnop)ԝ.o;Wdoo]Ӿɱ=ޜBtʓ&͆H[xSLw|Kk}}bKw蕮2e^&d}Ѭ.gޏ;ܰRYFULɔC+…vzBhOOm~(f?,P:p. .CAGX.lWū,*r 7IJܷw|eAuxka4ڿpæuRHx;-"Ҟ'7Jd~Ѓ ZdbS7@Bj vqY3&3_s_9z>QBt5 %.W(VC: nHHy/بMpJQh#ѐwzWm.Y eiǰVTwV缥9(2B7$?7 _-I.@/X^R`É Ǡ}:5f4"ƒ.*yHCl=MzBi cg!`֡P 5#zնjpm©.yU|Ѳ&rYD@bHNX-k*b9{hmH{bWewYj͜L9 :o' #w#Oٻ.#E,6{-[a'Z'r<&ŌGc ^!3"K%MuQhY`@Ǎg#3Y報R[}40^VB{`7x)\Q7sW2׬w] YuTWJR )鍨>M& 0>khc_Hә%w%h#טe%zfc*ىKǛ",LJ{eNaE{P f|;* 3n_3>v!ȝX_;ٵ8NU{Hwt[wۣؓ׫%!j`RfԚwBEo^iR !QH,0c< XqX;K&.g jbYNոϣ dJ@3ɆW)L@\:PUpbn_'!!ֱhB14NiIkCԿbq{[ӧff#ap}\Ra z1' :ޑ^N<[IoDڧO깿C='6|}@.*m3Oul e%'-WS>wMmt{?;ۮZ8=oRA^)Ӛ *AIUFU$ N ^j~*V" 7Z8a%@I־mK- C^~N;.mc1{ ~`*QO*~T)q^ܨPD=MMۨJ,7Z'v~Hy#?J3:) `27W w0alX5t n><0i.+e2*[am2y"! | i _Ȗ+yrWa *q@Ids!cTnض5qS/=ۺTYoiUqE&inө_oE:1/8'LHRvm6~C{0POLPK.BM$:~ɯp:]b{v jJök)I@[dk0̄#G[cAvMY{mL? GcSoqیO5RGW!e V u3`ZHn@=V-'5ڍ<8e}O *=]K2,~$ 9{_ʷkĄ iiMUQE zJnCݎ}@-!)fW6[Vƪ/ͭEs5&GuFMM6Goq&,p"z®$u 1n$׳芄rlZ)OGV#,Y"_< +$o q#Y,=y7If?h;0T9Ƙ96oh :)]%0eO}^f~|Q40yR~Z[4uipMWdt5۟=\[Bˬ{6k6";?+9~jJ[ʭOCg/F:Pr빆D^w_ؿ  dv&p2avS)f}寺x\4YD M3G܏H esCӯ3l,z*@ ߰:U,H*C~gjOKT|+#¢ IpGƜ $WOFݪ.4)8Y$l4Зŷ-IcEth%[Y&((Yc-^!JY1Cε%kn#7!Җ !6k¸*4^s=%}kAxpY h~f_=N:h^Vz>ǼYH5\ !A\QZ_Mi[FǺÞ+#'DFwk:>^\W+ӗߣ2T )% M9'>+:%חOY/ZXifRSر`׮Ti0CJս3Ҋpfr!h- 3*ljy#q[5:-dlmj~ǧi"E7(R >b921VFhN0&:j])|+QQ[pl)q#Ï7P!˭Ӊ0ŗ`?%#k\5g-v`VLjQ4~D#dyšI)"}4$:]ȏ*eL@ohݥixҫs_lw[Qubaתk5E5r}aZs2W&__LTRcEfqnwdܺZw%9m?]ceNv{Ӛ-"%2!-xi7@o\fy>yZqGɻQ?1aLxlfU^1T;,d-aetH_{fR\boO0+/#L!Jg#{Pkw,8CFcIď±lL=f/G쩁aǁ@=A )ߎ2F)/򞻁0W WޅG' Yi%)Ӿ=vۼ96ⲧ.'TtJrRY6e. y#ojA0_3}s^ҞX5oFw$Zi0/cS**]|c˻xζs-]Az]!] s(PweUу45lgJ`B%GSm$（s;}[TL`&zD菓xr8@@v{O줵.I%F1=mM!qȱ]RƖ+ɵ}=l5 ]b-]=wri_5 "]9x@G"XRv…67TKkҔsSdb} _WÉ9# C{Z>FV^v/G%M m56<=Z̩oYaV-g3;HLzWLeojUu'"xbn\ %$jظؐ GT$˃2FuvLpf@M'X.**~֣`ZE(,>q$Y:A~.j{TǺ|3m:}EZa~ӶY{'D€p'^&d#}"d*QGv>YX咣| iBo+tt.ȤĮ~b?$1Dw"{8s,6BFn5_0(בy E-|gQ(n#׿.7=b&4$0c[tʈbVy%13Gݺ>D+ ;=ፊO?FgMOX' 3*Yj; w~}lڞ$N/DUޑ7iwJTp0< ׇW6 zw h M,Ld!Sؽ |C`%xݴ_ *yiN'"uy 5^d p w ?eh0Y>N! LF}M ߞ %E'W?n}$lg1HBs }ٕ,),rqB-AHCrf!]vx.H x"n,6\O)FG=oNXLϤ$oǤ5xiP6 cXr,xW6A1I/?@ѵ}|6DMk7\8 Li$hu/,ZPpEo_I4 0B#\Gnnqk+5SHĺfo$؉qb;~l+0vi^v(< ;nҖx hHC~3xJa昐 X[[,D|14^^NH@Z{Ӌ2QiPT0%mujB1c!>73V zeKo7VWBlL<|d`{ܮē0jQyܒصȍOptNp@eSb= nvO 3Dv`Ogfi?FujH2#F@9P  N:.J4[4#(%$mXgY@~d`ñ}V$pбSa&vѠ\U@-$L:&,GZr!aʝʹg3PVT0?+m:~تo\xkx Жj\\3>Zl ӥz :S`F G(O{ աˡ3HJBrEu70pCzOd#H6+#T<֋T4Ks^C٨CAeB"C=)?0Sge!X(><+Eg4pr\ƌz_H^zR5IcF$уUhfzo}YBӎEM^ :"% E~$6$|B^t\:T&Y]7(ou&rzOU$`.@ŪÌ#1dEi!8 uXؗvA{o o쭺8*IϿcʒ,F[bdW3PI!:$-p31/_7v2dsoF2f6-HCaj>_lU4HqFa="QT, ?|Vbd j;[&̢ %[rU_Qpܥ^&@8k%^+#IzsFK~7GϽBAnxO4D]$y;0?[")X NFʼn(5FׁK%!k6BD"c&z#aoAb( +qt.B!#`>cD>LZZP%8,b"N7PȲ:ƚo0J zvAj[ԉ8dog7XxtփmMw*έLފӲV`E*V-Ữ  /&.SQ`q2ɸxAM gV>5~"ceLMDCRBϯ/k*cqX;vD=oD4]IU%qJ> ¥7s#1Ur*)ӆaØ׻$ CocfYzalS~]E3k+vQ]2B`DoB":6V?N  l ڊӌoIcWn'tj?*:NCCI}:DrL2w!8uqI 6jw)I VrjSuX d 3h\m0 r_cσAg彜.5?A Uz4VbɎݪj@r$'bC0plDS-ȱRyvJ2v,oHAaYin~]FZvae2c'T?9 ڧ}jk5ݕ (NJ7>B\&PupȺ=΁~ Cfv By1^lbN^yϚ|nNi7C<,ɓ0P%,q94BrByÄ` 0KzG;Tz𲀶) ߧ#jShfHn tS͋!\ #[<<$9A-)kGho$D?,E]b aEiI9 ;Al^ofrׯ'`\D o FQӟ>M3`ouKhHk]bn N:7f!&Tm$cGmr_v$McnvS;$۩4Ŀov엂 VƟq>#P}#[fCE~ȕ h?Y=cZcgiGz(S'h 1B2p#{ 42h,{WUaeao¤i<͑( | K>aHc?/} MZʚ|*yNaql!oIcp87`HZyb~>@l$ʁsb1B38b P%2Pov|2ؔqeflkǨ>Am=n/rЧYע>k}+v(b .|(bz؉Z3+:@ D 3TOA %L-TiȱmpvZjfarüY8#?/}!23Gp>kwOu]Rܻ56k$9Vv𧌰y"J^#MAОXېɅq o &d҂JșZw7x6.'S7JGTBʶjj_`휱<_;жBƏ0)[ό۲ZuW2^/woC㛟'ޙ]EusN(?yn)#X],'Tִ3#" }~#k]u`WKfT7~a8o#h ׈>M9ݐ1ӌ *~q(pӎQLٔLhD H@5Aٺ4{SdZ-jhZWM7MLr#fVML8*9Dx}ȃYpK=/Vj.l:(Tt#vW3#lЁ8wǫihm&Z(pB<# pۯ߂I˝ؾQ*HJͽiPG\#r+Z/L5h/*#a<8 G(<Ң0_(K׳8f*N3p<0+s-]1"}^ZuP; 6rgbPqwb 釞 W.]J~ ;=/![_j J26U\I4m6BG`Tnhr3[[-2ffy9Ew$ Y} "KaEB `m/ 1;>H՝u NV=apnYxFoܼħdž̀u_5*\ů_cމGCg3Vk@ncEtK4TS=ZdSL<ߗx2A`l6`eRhGFߦjVCov?ѵKRNQfF>DxH!#s%trY\i)Zpd|y!' ^?C4@(=r hCarS#ɹ 20&\VaBo6 )6S Q iIE LhI:+"HzI Yq={6 kCD))jBdfjPcwW!ret2?Z;Y@J8H8r(H?RRfTG1E6+J!^HqG_Oa߅} }5W1~L\_dԭ]CHƲ b|uae6> 7D(BD{v-d'kA}shzĆh9.S^ֳ.LX92sBÔUO?)Cڰ}'UݾqsK^N􀘊#1 C,&h[X|K[19v`oYI]Ηbf?Bm=d]#wBI6=Ϭx(yJNH'-PMMHXZ%RNV|v){z!6Gp.`a{t.0*a9+wS+)ϐV63Ew` eliV}qԥvWIu@ʔ h%kNːv-cLz{z68vΝ^u<}EZBݨV$GK93Fj˅G¦~#F#?J|6hU3m6@O CVw߼H$$2s6k=G ߈rAg`Xb=Om<̭(6~"H4w30VJ\IǫkK~D$Y8?N*@ "E4tgejDۚ<~i*EX{+w8RL%hV]o)@5Hgt\Aw"cJb0rXa28zb++j `#9Kr.S)cfU)iF,^'+Am1Sjt$}^N_a󒠀s5H㘠!chwI!c26Z_#13uHW'sbS M./9inɥd|mŊ? s6x+p]^@i%_OE ۞ ȔVTu.bH ͕fF+}kOOb5ʹk}|f,1Yݔ,GuaoL%Ob4 n` {_dhA!rgmﱨJxu`%faLwqr"95[M`^#߄8u PY:&''9{5k9eP>SSUZoXtMÛpGF PpGn|˓_`?G[~\s.\A4f)$@x9Fp}#H&יYBbwx4,`њy' +Dj&!uTfzsSlĢbbba/kTjb WI;{$7{ǝ70/:`U5Zp *M%5(:)Mh|J~^ߣ5dqoۜ>KRi9mfM=uC,TftDΩTswh.xϾxW1ې'y#|/T(}M/&xR`R`1Qd1T/ \){V(WɝEh]3XRgp7RKa@Ev06S 0d{)xb*tׯ•:\`h#lCjsUqۺ5vX\!C{o u7: }" w$>{y+f>5a*Rthq #p?Ùܜ/q&Nє{p$9 *1*;rhr>kF 1l呑m!Y]%Gr $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 105 0 obj<> endobj 9 0 obj<> endobj 106 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 107 0 obj<> endobj 108 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 109 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 110 0 obj <>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;: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! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 111 0 obj<> endobj 112 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 113 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 8 0 obj<> endobj 33 0 obj<> endobj 55 0 obj<> endobj 76 0 obj<> endobj 114 0 obj<> endobj 115 0 obj<> endobj 116 0 obj<> endobj 117 0 obj<> endobj 118 0 obj<> endobj xref 0 119 0000000000 65535 f 0000000015 00000 n 0000010818 00000 n 0000424031 00000 n 0000283686 00000 n 0000445375 00000 n 0000033510 00000 n 0000027384 00000 n 0000445504 00000 n 0000395841 00000 n 0000033718 00000 n 0000033855 00000 n 0000040487 00000 n 0000040678 00000 n 0000044749 00000 n 0000044916 00000 n 0000055882 00000 n 0000362069 00000 n 0000056049 00000 n 0000056801 00000 n 0000056889 00000 n 0000060816 00000 n 0000061016 00000 n 0000061581 00000 n 0000061739 00000 n 0000068627 00000 n 0000068785 00000 n 0000074797 00000 n 0000074955 00000 n 0000081380 00000 n 0000081538 00000 n 0000083717 00000 n 0000083875 00000 n 0000445633 00000 n 0000086131 00000 n 0000319364 00000 n 0000086299 00000 n 0000093025 00000 n 0000093203 00000 n 0000097211 00000 n 0000097370 00000 n 0000103913 00000 n 0000104091 00000 n 0000110125 00000 n 0000110284 00000 n 0000116422 00000 n 0000116581 00000 n 0000122524 00000 n 0000122683 00000 n 0000126102 00000 n 0000126261 00000 n 0000133215 00000 n 0000133393 00000 n 0000139041 00000 n 0000139200 00000 n 0000445764 00000 n 0000145999 00000 n 0000146177 00000 n 0000150559 00000 n 0000150718 00000 n 0000157518 00000 n 0000157696 00000 n 0000163445 00000 n 0000163604 00000 n 0000167657 00000 n 0000167816 00000 n 0000174463 00000 n 0000174641 00000 n 0000180717 00000 n 0000180876 00000 n 0000184926 00000 n 0000185085 00000 n 0000191978 00000 n 0000192156 00000 n 0000198032 00000 n 0000198191 00000 n 0000445895 00000 n 0000204495 00000 n 0000204654 00000 n 0000210578 00000 n 0000210737 00000 n 0000216613 00000 n 0000216772 00000 n 0000217350 00000 n 0000248552 00000 n 0000217509 00000 n 0000225418 00000 n 0000225587 00000 n 0000233106 00000 n 0000233265 00000 n 0000239605 00000 n 0000239764 00000 n 0000242373 00000 n 0000242532 00000 n 0000242567 00000 n 0000247746 00000 n 0000247925 00000 n 0000248140 00000 n 0000248684 00000 n 0000283514 00000 n 0000284238 00000 n 0000319192 00000 n 0000319487 00000 n 0000361887 00000 n 0000362202 00000 n 0000395668 00000 n 0000395964 00000 n 0000422562 00000 n 0000422753 00000 n 0000423104 00000 n 0000424165 00000 n 0000444595 00000 n 0000444777 00000 n 0000444981 00000 n 0000446011 00000 n 0000446085 00000 n 0000446133 00000 n 0000446168 00000 n 0000446230 00000 n trailer <]/Root 117 0 R/Size 119>> startxref 446461 %%EOF