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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 124.75 w 24.07 747.9 m 558.15 747.9 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 20.74 685.53 m 561.48 685.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 684.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 684.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 693.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 667.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 607.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 563.19 m 557.15 563.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 515.5 Tm (Care homes for adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 504.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 497.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 483.44 m 160.38 483.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 483.44 m 563.65 483.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 425.45 m 160.38 425.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 425.45 m 563.65 425.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.85 m 565.85 494.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 378.87 m 565.85 378.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.93 m 30.07 377.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.93 m 161.5 377.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.93 m 564.78 377.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 478.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 478.67 Tm (Bonhomie House)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 455.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 455.84 Tm (Dodwell Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 438.26 Tm (Bursledon)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 420.68 Tm (Southampton)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 403.1 Tm (Hampshire)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 385.52 Tm (SO31 1DJ)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 366.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 349.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 330.08 m 358.95 330.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 330.08 m 565.9 330.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 341.5 m 568.1 341.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.67 m 568.1 318.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 342.57 m 30.07 317.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 342.57 m 360.07 317.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 342.57 m 567.02 317.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 325.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 325.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 325.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 325.31 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 306.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 287.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 270.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 270.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 270.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 253.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 253.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 253.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 236.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 218.88 m 315.25 218.88 l S 0.001 w 20.58 w 317.5 218.88 m 565.9 218.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 196.05 m 346.55 196.05 l S 0.001 w 20.58 w 348.8 196.05 m 377.9 196.05 l S 0.001 w 20.58 w 380.15 196.05 m 409.2 196.05 l S 0.001 w 20.58 w 411.45 196.05 m 440.55 196.05 l S 0.001 w 20.58 w 442.8 196.05 m 471.9 196.05 l S 0.001 w 20.58 w 474.15 196.05 m 503.2 196.05 l S 0.001 w 20.58 w 505.45 196.05 m 534.55 196.05 l S 0.001 w 20.58 w 536.8 196.05 m 565.9 196.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 207.46 m 568.1 207.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.29 m 568.1 230.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.46 m 568.1 207.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.63 m 568.1 184.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 231.37 m 30.07 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 231.37 m 316.37 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 208.54 m 347.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 208.54 m 379.02 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 208.54 m 410.32 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 208.54 m 441.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 208.54 m 473.02 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 208.54 m 504.32 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 208.54 m 535.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 231.37 m 567.02 183.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 214.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 214.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 191.28 Tm (Janette Everitt)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 191.28 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 191.28 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 191.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 191.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 172.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 155.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 138.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 126.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 114.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (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 Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 285.18 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (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.csci.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (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 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Bonhomie House)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 (Dodwell Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Bursledon)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Southampton)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Hampshire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (SO31 1DJ)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (02380402168)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 0.001 w 1 1 1 RG 35.16 w 355.5 539.25 m 565.9 539.25 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 509.13 m 565.6 509.13 l S 0.001 w 20.58 w 31.2 463.47 m 353.25 463.47 l S 0.001 w 1 1 1 RG 20.58 w 355.5 463.47 m 565.9 463.47 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 440.64 m 353.25 440.64 l S 0.001 w 1 1 1 RG 20.58 w 355.5 440.64 m 565.9 440.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 520.55 m 568.1 520.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 497.72 m 567.8 497.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.89 m 567.8 474.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 519.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.06 m 568.1 452.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.55 m 567.8 520.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 497.72 m 567.8 497.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 474.89 m 568.1 474.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.06 m 568.1 452.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.23 m 568.1 429.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 428.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 475.96 m 354.37 428.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 428.15 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Mrs Malek D Lakhani,Dr Azim D )Tj ET /F2 12 Tf BT 1 0 0 1 358.35 527.19 Tm (Lakhani,Mr Amin Lakhani)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 504.36 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 481.53 Tm (Mrs Karen Patricia Richards)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 458.7 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 458.7 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 435.87 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 435.87 Tm (78)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 416.93 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 397.44 m 565.6 397.44 l S 0.001 w 41.16 w 31.2 364.32 m 297.2 364.32 l S 0.001 w 20.58 w 299.45 374.61 m 565.6 374.61 l S 0.001 w 20.58 w 299.45 354.03 m 432.52 354.03 l S 0.001 w 20.58 w 432.52 354.03 m 565.6 354.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 386.02 m 567.8 386.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 408.85 m 567.8 408.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.02 m 567.8 386.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.61 m 567.8 342.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 409.93 m 30.07 341.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 387.1 m 298.32 341.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 409.93 m 566.72 341.54 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 392.67 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 369.84 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 369.84 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 349.26 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 349.26 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 320.53 m 297.3 320.53 l S 0.001 w 35.16 w 299.55 320.53 m 431.45 320.53 l S 0.001 w 35.16 w 433.7 320.53 m 565.6 320.53 l S 0.001 w 20.58 w 31.2 290.41 m 297.3 290.41 l S 0.001 w 20.58 w 299.55 290.41 m 431.45 290.41 l S 0.001 w 20.58 w 433.7 290.41 m 565.6 290.41 l S 0.001 w 20.58 w 31.2 267.58 m 297.3 267.58 l S 0.001 w 20.58 w 299.55 267.58 m 431.45 267.58 l S 0.001 w 20.58 w 433.7 267.58 m 565.6 267.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 244.75 m 565.6 244.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 301.83 m 567.8 301.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279 m 567.8 279 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.17 m 567.8 256.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.34 m 567.8 233.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.51 m 568.1 210.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.24 m 567.8 339.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.83 m 567.8 301.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279 m 567.8 279 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.17 m 567.8 256.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.34 m 568.1 233.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.51 m 568.1 210.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 129.36 m 568.1 129.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 340.31 m 30.07 128.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 340.31 m 298.42 255.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 340.31 m 432.57 255.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 340.31 m 566.72 128.28 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 323.05 Tm (mental disorder, excluding learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 308.47 Tm (disability or dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 323.05 Tm (78)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 323.05 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 285.64 Tm (physical disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 285.64 Tm (78)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 285.64 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 262.81 Tm (sensory impairment)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 262.81 Tm (78)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 262.81 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 239.98 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 217.15 Tm (The maximum number of service users to be accommodated is 78. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 194.32 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 179.74 Tm (home with nursing - \(N\) to service users of the following gender: Either Whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 165.16 Tm (care needs on admission to the home are within the following categories: Mental )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 150.58 Tm (disorder, excluding learning disability or dementia \(MD\) Physical disability \(PD\) Sensory )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 136 Tm (impairment \(SI\). )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 114.57 m 315.25 114.57 l S 0.001 w 1 1 1 RG 20.58 w 317.5 114.57 m 346.55 114.57 l S 0.001 w 20.58 w 348.8 114.57 m 377.9 114.57 l S 0.001 w 20.58 w 380.15 114.57 m 409.2 114.57 l S 0.001 w 20.58 w 411.45 114.57 m 440.55 114.57 l S 0.001 w 20.58 w 442.8 114.57 m 471.9 114.57 l S 0.001 w 20.58 w 474.15 114.57 m 503.2 114.57 l S 0.001 w 20.58 w 505.45 114.57 m 534.55 114.57 l S 0.001 w 20.58 w 536.8 114.57 m 565.9 114.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 125.98 m 568.1 125.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 103.15 m 568.1 103.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 127.06 m 30.07 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 127.06 m 316.37 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 127.06 m 347.67 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 127.06 m 379.02 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 127.06 m 410.32 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 127.06 m 441.67 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 127.06 m 473.02 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 127.06 m 504.32 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 127.06 m 535.67 102.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 127.06 m 567.02 102.07 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 109.8 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 91.28 m 565.9 91.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 81.65 m 568.1 81.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 82.73 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 82.73 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 100.9 m 568.1 100.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.65 m 568.1 81.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 101.98 m 30.07 80.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 101.98 m 567.02 80.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 87.72 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 87.72 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 68.47 Tm (Bonhomie is a home for adults from the age of 18 and offers a service to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 51.47 Tm (needs of physically and sensory impaired service users and those with mental health )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 451.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 451.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.15 m 568.1 452.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (disorders. The home also provides care for people with acquired brain injury.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (The service is offered in various units throughout the grounds including nine purpose )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (built bungalows, existing bungalows and satelite units and the main house. Currently )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (the house is in the process of being extended and fully refurbished in a staged )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (programme and as a consequence only sixteen rooms in the house were being )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (occupied at the time of this visit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (There is a large hall in the grounds, which offers activities and entertainment, and is )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (being used as the main dining room and communal area whilst the buildling works are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (in progress. The activity hall building also accommodates a newly furbished sensory )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (room and a hydrotherapy pool.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm (The service users are encouraged and enabled to access facilities in the community. )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (The home is situated in its own grounds with easiy access to the M27 and is in close )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm (proximity to Eastleigh shopping centre and Hedge End village.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 511.47 Tm (Fees at the home range from 358.96 to 3,792.50 per week dependant on needs and )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 494.47 Tm (the amount of support required, The people who use the service are responsible for )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 477.47 Tm (paying for hairdressing, chiropody, college course, holidays and contribution to outside )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 460.47 Tm (entertainment.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 440.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 423.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 555/Matrix [1 0 0 1 0 0]>>stream xMo09.TwjיS#K 45 ;~gÏؚzDv> l`|hP,Csޔ#yDP^]gZ%itٺ\ۄ_ZXŭ&xӽ-hze+RZiJ}f f(2o.ً$!FCꌡ)2(l861\fGUmX0v!:B6+ hT͛jl*GՙZՃNHbeO%휨JM@NVLw#5@GMZs=g/>YqAYiQhMNX~ӽ aȕ|G6ݫ_a7FQNEpm9 vY!.1n_'u>j ʌ mn>H#Fs@le_vۥՙK;Ln}v駷5 endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (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 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 145.27 572.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 503.92 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 469.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 435.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 400.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 366.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The visit to Bonhomie House took place on the 30th January 2009 and formed part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (the process of the inspection of the service to assess the service against the key )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (national minimum standards. The evidence to support the assessed outcomes for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (people who use the service was gathered from the Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (Assessment \(AQAA\), which the manager returned to the CSCI, and information )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (received since the last key inspection of February 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (Prior to the visit surveys were sent to service users, staff, visiting professionals and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (GPs. We gathered information in surveys returned to CSCI from people living in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (home, GPs, visiting health professionals and two care managers. We also spoke to a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (number of service users and staff at the time of this visit.)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 236.28 w 32.32 694.39 m 566.72 694.39 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 30.12 575.12 m 568.92 575.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 574.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 574.05 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (The outcome of the surveys indicated that there was a high level of satisfaction with )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (the service and that generally residents were happy living at the home and the service )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (they received.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (Evidence was also gathered from reading and inspecting records, touring the site and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (from observing the interaction between staff and users of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (At the time of this visit there were fifty one people in residents, the home being )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (registered to accommodate 78 people, owing to the disruption of the home whilst )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (building works are in progress.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (None of the service users were from an ethnic minority.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (The deputy manager assisted us with the inspection, the registered manager not being )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (on site at the time, and the operational manager was also present for part of the day.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (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 699.85 w 32.32 440.9 m 566.72 440.9 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 89.85 m 568.92 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 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 manager and deputy manager undertake a full care needs assessment for all )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (prospective residents, before a place at the home is offered, to ensure the home can )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (meet their care needs. Surveys returned from service users generally told us that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (service users had been fully involved with the decision to come to live at the home and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (had been given information or visited the home before they went to the home to live.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (Observations of the interaction between staff and service users and relationships within )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (the home would suggest that service users are treated with respect and their right to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (privacy was upheld. A survey returned from a care manager commented that 'In my )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (observation the client's privacy and dignity is being respected'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (Care plans detail the service users preferences of how they wish to undertake their )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (activities of daily living in a way they choose to do so. These are kept in the individual )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (bedrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (Service users health care needs are met and the home has a GP visiting the home who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (has commented on having good relationships with the home and that the home does a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (good job and supports clients with exceptionally complex physical and mental health )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (needs)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (Service users are provided with a varied programme of social activities and are able to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (choose when they wish to participate. Service users are supported to go out into the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm (local community and are provided with transport to do so. Surveys returned from )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm (service users all indicated that they are able to choose what they do with their leisure )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm (time and how they spend their days.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm (Visitors are welcomed at the home at any time.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 382.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 367.52 Tm (The chef has created a varied and nutritious menu over a four week period and there )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 352.94 Tm (are choices at every meal time. The cook on duty that day told us that she is familiar )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 338.36 Tm (with the service users' likes and dislikes and that they can choose whatever they would )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 323.78 Tm (like and are always offered alternative meals. Service users spoken with said that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 309.2 Tm (food provided was 'very good' and they were offered a choice at each meal. Service )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 294.62 Tm (users are able to choose where they wish to eat their meals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 280.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 265.46 Tm (The parts of the home that are in use currently and include the bungalows and satellite )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 250.88 Tm (buildings, of those visited, they looked clean, homely and well maintained and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 236.3 Tm (residents had their own belongings and had personalised their living space. Service )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 221.72 Tm (users spoken with said that they liked their rooms.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 207.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.56 Tm (Surveys returned from the service users told us that they know the procedures to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.98 Tm (follow should they wish to make a complaint. Those spoken to said they would go to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.4 Tm ('the office' if they wanted to talk to someone about a concern.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 134.24 Tm (The home has procedures in place for the protection of vulnerable adults and staff have )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.66 Tm (received training in the prevention of abuse. Staff members spoken with knew the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 105.08 Tm (procedures to follow should abuse be suspected.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 439.35 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 177.96 w 32.32 723.55 m 566.72 723.55 l S 0.001 w 20.58 w 32.7 622.03 m 569.35 622.03 l S 0.001 w 518.51 w 33.82 350.23 m 568.22 350.23 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 30.12 633.44 m 568.92 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 633.44 m 569.35 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 610.61 m 569.35 610.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 610.61 m 570.42 610.61 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 32.7 611.69 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 611.69 m 569.35 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (Staff receive the training required to do their jobs and have regular supervision )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (sessions with the registered manager or the senior nurse.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (The service has a comprehensive quality assurance system in place and seeks the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (views of the service users and other stakeholders and have taken action on any issues )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (that have been highlighted in the results of the analysis of questionnaires returned.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (The management have fully involved the service users with the upgrading of the house )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (and environment and have been able to choose furniture and how they want their )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (rooms. Service users and relatives had been fully informed of the changes and the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (progress of the works at residents and relatives meetings and via letter.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 619.92 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 617.26 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 1 569.35 620.48 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 348.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 594.43 Tm (Each person has individual care plans in their rooms with details of how they wish their )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 579.85 Tm (care to be undertaken. These are now signed by the service user or representative, if )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 565.27 Tm (possible, as evidence of their involvement and agreement with what is recorded.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 550.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 536.11 Tm (The care plans are updated at each review and service users are asked on the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 521.53 Tm (questionnaires distributed to them, if they wish to view their records.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 506.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 492.37 Tm (A new care planning is in the process of being transferred to a computer based system. )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 477.79 Tm (The service users will continue to have paper records to enable them to have access to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 463.21 Tm (their files when requested.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 448.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 434.05 Tm (The home has installed a new system for the management of medication. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 419.47 Tm (pharmacist supplies the home with a monitored dosage system \(MDS\) for all service )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 404.89 Tm (users and the nurses told us this is a much safer system for the management of )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 390.31 Tm (medication.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 375.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 361.15 Tm (Medication prescription charts are audited monthly to ensure that nurses administering )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 346.57 Tm (the medication are following the procedures and that a signature or code is inserted to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 331.99 Tm (indicated if the person has taken their medication or reasons for it not being taken. All )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 317.41 Tm (other records were completed appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 302.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 288.25 Tm (The home ensures that all appropriate checks are taken up during the recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 273.67 Tm (process and received before the person commences employment.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 259.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 244.51 Tm (The operational director visits the home monthly and reports on her findings and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 229.93 Tm (records of this are left in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 215.35 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 200.77 Tm (Fire safety and the testing of the equipment and systems are now undertaken at )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 186.19 Tm (appropriate intervals and records are maintained in the fire log.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 171.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 157.03 Tm (During the extensive building works the home has an environmental and fire risk )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 142.45 Tm (assessments that are continually reviewed as changes to the building takes place. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 127.87 Tm (service has all the health and safety precautions in place for the safety of the people )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 113.29 Tm (using the site. The home is visited monthly by the Hampshire fire and rescue officer to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 98.71 Tm (ensure that all fire regulations are being met. The service has its own fire officer who )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 348.68 Tm ()Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 33.82 789.16 m 568.22 789.16 l S 0.001 w 20.58 w 33.45 753.25 m 570.1 753.25 l S 0.001 w 166.38 w 34.57 657.52 m 568.97 657.52 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 31.62 764.66 m 570.42 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 741.83 m 570.1 741.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 764.66 m 570.1 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 741.83 m 571.17 741.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 573.2 m 571.17 573.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 742.91 m 33.45 572.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 742.91 m 570.1 572.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (also visits the site monthly. All staff have received fire training and the procedures are )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm (reviewed as changes take place.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 773.56 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 751.7 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 748.48 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 31.2 655.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 725.65 Tm (The service should produce a Service User Guide and complaints procedure in other )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 711.07 Tm (formats to support people with cognitive and sensory difficulties to be able to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm (understand the content of the information.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm (The service should put a plan in place to improve the number of care staff who have )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 652.75 Tm (undertaken or are undertaking a National Vocational Qualification \(NVQ\) at level 2 or )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 638.17 Tm (higher.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 623.59 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 609.01 Tm (The service is in the process of extending and refurbishing the large old house of which )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 594.43 Tm (half is not in use. The part that is in use and is in need of upgrading, work is due to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 579.85 Tm (commence of this within the next three months.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 558.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 538.65 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 538.65 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 538.65 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 521.15 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 28.35 501.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 481.16 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 481.16 Tm (www.csci.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 492.84 481.16 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 463.66 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 463.66 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 513.83 463.66 Tm (0870 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 446.17 Tm (240 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 Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 \(standards 1 - 5\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Individual needs and choices \(standards 6-10\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Personal and healthcare support \(standards 18 - 21\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Concerns, complaints and protection \(standards 22 - 23\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 541.96 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 521.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 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 Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 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 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 102 w 31.2 576.29 m 563.65 576.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them, what they hope for and want to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (achieve, and the support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (that includes how much they will pay and what the home provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 376.5 m 563.65 376.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 149.97 w 32.32 365.25 m 564.78 365.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 288.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 288.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 289.14 m 566.98 289.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (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 (Service users' needs are fully assessed and they are given the Statement of Pupose )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (and Service User Guide at the time of the assessment to ensure the home can meet )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (their needs and for an agreement to be reached about them going to the home to live.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 195.05 w 33.45 165.75 m 563.65 165.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 254.27 m 565.9 254.27 l S 0.001 w 173.68 w 32.32 153.94 m 564.78 153.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 241.9 m 566.98 241.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 242.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 241.9 m 565.9 241.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 250.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (The home carries out an individual needs assessment prior to service users moving )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (into the home. The home receive referrals from other parts of the country and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (deputy manager told us that she and the manager endeavour to always visit the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (person in their current environment, which can be hospital, other care homes or in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (their own homes. There is a clear admission process and assessments, which were on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (file at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (Four service users' records were case tracked. The files demonstrated that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (assessments are undertaken by the manager with the deputy manager, using a needs )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 Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 636.23 w 33.45 493.29 m 563.65 493.29 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 614.86 w 32.32 481.48 m 564.78 481.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 172.92 m 566.98 172.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (assessment form that covers all areas of their assessed needs and includes information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (on medical history, personal history, any known risks, relationships, health and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (physical abilities, washing, dressing, bathing, showering, medication, behaviour, day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (routine, night routine, likes and dislikes, diet, sight, hearing and continence.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The home also receives comprehensive social care needs and healthcare assessments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (from other professionals involved in the placement and these were also seen on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (service users' files. The deputy manager told us that sometimes when meeting the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (prospective resident, relatives, care managers and health care professionals are also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (present to enable as much information as possible to be shared about that person's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (needs. The information gathered from the pre admission assessment, forms the basis )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (of the service user's care plan. Once the assessment had taken place it is then )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (discussed with other members of staff to ensure that the person's needs can be met )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (within the environment of Bonhomie.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The home encourages pre admission visits from potential service users and families )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (and makes every effort to be thorough in arranging the package of care to suit that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (person's needs before they go to live in the home. The deputy manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (currently the home is assessing a potential service user from the north of the country )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (and they have visited the home once and are going to visit the home again with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (family in the near future, and for the home to be able to meet their needs, a day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (centre has to be arranged before they can transfer to this area.)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 (Eleven of the thirteen surveys received from service users indicated that they had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (received sufficient information about the home before they moved to Bonhomie and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (that they had been fully involved with the placement.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (The Statement of Purpose and Service User Guide has been reviewed as changes to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (the environment have been made and give details of the aims and objectives of how )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (the home will support the service users' needs. The operational director acknowledges, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (that to fully support people with brain acquired injuries, sensory and cognitive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (difficulties, the information must be produced in other formats to support their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (understanding. She told us that the information is in the process of being produced in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (a DVT format and other communication systems and will be done when all the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (alterations to the home have been completed.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (Individual needs and choices)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 85 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (information on which to base decisions.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (because the home has clear policies and procedures that staff follow.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.46 w 33.45 342 m 563.65 342 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 184.96 w 32.32 330.76 m 564.78 330.76 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 31.2 236.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 236.07 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 30.12 237.15 m 566.98 237.15 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Service users know their assessed needs are reflected in person centred plans of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (and that they are involved in the development of the plans to ensure they receive the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (care they need in the way they wish it to be carried out. Service users are supported )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (to make decisions about their lives. Risks are identified in the care plans that inform )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.2 Tm (staff about how these risks are to be minimised.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 246.21 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 143.05 w 33.45 139.75 m 563.65 139.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 202.28 m 565.9 202.28 l S 0.001 w 121.68 w 32.32 127.94 m 564.78 127.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 189.91 m 566.98 189.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 190.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 190.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 189.91 m 565.9 189.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 198.97 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (The AQAA stated that comprehensive person centered care plans are written and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (demonstrate the home's commitment to meet client's needs and are written with full )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (involvement of the service user and or their family. The care plans set out restrictions )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (on choice and freedom which has been agreed with the service user, family and care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (manager, if appropriate, prior to their going to live at the home. Care plans are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (reviewed three monthly or sooner if necessary.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (Care plans were viewed for four service users and these had information on personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (history, relationships and social contacts, behaviour, moods, washing, dressing, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (undressing, bathing, continence, general appearance, oral hygiene, daily routine, night )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (time routine, likes and dislikes, diet and food preferences. It was also observed that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (for some residents the physiotherapist had written a care plan to describe exercises to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (manage the risk of contractors of the legs.)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 service user has a copy of their care plans in their rooms that describe their daily )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (routines and how they like those routines carried out. A sample of these were looked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (at and they had been signed by the service user. Service users spoken with were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (aware of the care plans in their rooms and said they agreed to what the care plans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (said.)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 (Reviews of the service users needs take place with the service user, family, care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (manager, primary nurse and other health professionals involved in the care of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (service user. These people are invited to the meeting or to give comment. The deputy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (manager told us that before a review meeting a folder is made up that consists of care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (plans, risk assessments, current health status, therapist reports and any special needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (stated, to enable the review meeting to have up to date information about the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (user's care needs and how they are being met. There was evidence in the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (users' files of care review reports and these demonstrated that a multidisciplinary )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (approach to reviewing the care needs is taken with reports seen from the occupational )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (therapist, physiotherapist and the mental health team.)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 (Care plans are in the process of being put on a computer system in line with the other )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (homes in the group. Bonhomie, being a large home, it is taking time to do this and to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (train staff as this process is gone through. One of the four service users' care plans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (being tracked, had been stored on the computer but a copy of the care plans were also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (printed out for accessibility. The deputy manager informed us that printed copies of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (the care plans would always be available so that service users have access to them.)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 (Generally the care plans and documentation for each service user is comprehensive. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Some of the residents have been living at the home for many years and the files have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (gathered a great deal of information. The deputy manager told us that all files will be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (reviewed and out of date information be archived for storage. Once the electronic care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (plans are in place all service users will have a folder containing a copy of current care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (plans and current information.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (The surveys received from service users and those spoken to on the day of this visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (told us that they are involved and have their say with the care planning process and )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 they are happy with their care. The surveys also told us that they are able to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (make their own decisions about what they want in their daily lives and where they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (wish to go.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (They told us they have been involved and kept upto date about the alterations to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (house, and their opinions have been sought about their choice of rooms and what they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (want in it and how they want it arranged.)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 (Observation throughout this visit and talking to the service users, established that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (residents are provided with the opportunities to make choices an decisions about their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (day to day life such as preferred daily routines of their activities of daily living and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (where they choose to spend their days.)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 (Observations made of the interaction between service users and staff indicated that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (the staff have a good understanding about the preferred routines of the service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (and interact well with them.)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 (An example of this was during this visit a discussion took place between the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (operational director and the deputy manager about a service user who wishes to take )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (control of all of their money and to store this in their room. This is being respected and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (a safe is being fitted in their room, for which they will hold a key. It was suggested )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (that a copy key be kept at head office as a precautionary measure in case the key was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (mislayed. The regional director told us that it is not always possible for service users to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (open bank accounts easily as they do not always have the necessary documentation.)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 deputy manager told us that a number of service users have families involved in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (their care and support them to make decisions about their lives. Two service users use )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (a local advocacy service to support them with their choices in life.)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 (The care plan documentation identified individual risk assessments with care plans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (written to minimise and manage the risks. An example of this was for smoking. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (care plan described the actions to be taken by the service user and staff to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (the service user could smoke a cigarette when they wished to but with controls in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (place to ensure their safety and the safety of the other service users. Also evidenced in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (the care plans were risk assessments for two service users, who live in the bungalows, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (having been assessed by the occupational therapist to make a cup of tea for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (themselves with a care plan written to guide this. All service users have individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (environmental risk assessment in their care plans.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (Currently their are obvious risks factors to do with the environment and the major )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (building works that are in progress in the old house. The surrounding grounds are also )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 111.35 w 33.45 755.73 m 563.65 755.73 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 89.98 w 32.32 743.92 m 564.78 743.92 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 31.2 696.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 696.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 697.8 m 566.98 697.8 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 (affected. The home has a risk assessment for the site and clearly defined areas that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (are closed off and not to be entered. The areas of risk outside in the surrounding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (grounds are fenced off and clearly marked as hazardous. A closed in walkway has been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (constructed between the house and the main activities hall, to ensure service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (can transfer between the buildings in a dry and safe environment.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (Lifestyle)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.25 w 32.32 584.79 m 562.53 584.79 l S 0.001 w 1 1 1 RG 51 w 31.2 499.79 m 563.65 499.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 473.17 m 565.85 473.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 472.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 472.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They can take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 566.48 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 549.48 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 532.48 Tm (place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 479.23 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 432.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 432.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 432.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 432.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 415.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 316.75 m 563.65 316.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 402.73 m 565.9 402.73 l S 0.001 w 167.46 w 32.32 305.5 m 564.78 305.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 390.36 m 566.98 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 391.44 m 31.2 219.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 391.44 m 565.9 219.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.36 m 565.9 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 220.65 m 566.98 220.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 399.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 374.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 374.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 357.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 337.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 317.19 Tm (The home ensures the people who use the service are supported to maintain an active )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.69 Tm (lifestyle that suits their needs and individual interests. The home ensures the people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 282.2 Tm (who use the service maintain contact with family and friends and socially engage with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.7 Tm (their peers and the local community. Service users' independence and individual )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 247.2 Tm (choices are promoted within their daily routines.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 229.71 Tm (Servicew users are offered a nutritious and varied diet.)Tj ET 0.99608 0.9451 0.76078 RG 126.55 w 33.45 131.5 m 563.65 131.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 185.78 m 565.9 185.78 l S 0.001 w 105.18 w 32.32 119.69 m 564.78 119.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 173.4 m 566.98 173.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 174.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 174.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 173.4 m 565.9 173.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 182.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.72 Tm (The AQAA stated that the home encourages the service users to utilise opportunities to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 140.22 Tm (develop social, emotional, communication and indpendent living skills with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.73 Tm (occupational therapist and physiotherapist input weekly. The home has a range of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 105.23 Tm (individual group and community based activities provided for the service users, such )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.74 Tm (as shopping, visiting the the theatre, cinema, swimming pool, pubs and places of )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (worship. The home encourages open visiting, freedom of choice within the individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (assessed risk taking.)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 (A tour of the site and observation throughout the visit confirmed that the home does )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (provide a range of activities to suit each service user's needs and choices. The care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (plans document a good social history for each service user and what their preferred )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (recreational activities are. The home is in the process of putting together booklets for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (each service user titled 'This is your Life' and details the persons past life and gives )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (information that can be shared with carers to enhance the interaction between them.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The home has a large activities hall on site, which is currently being used as a dining )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (area whilst the building works are in progress. A kitchen area is used as the servery )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (for the meals being served in this area temporarily. However, this area remains the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (hub of any activities, where large gatherings are held such as discos, parties and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (sporting activities. It was observed that several activities were taking place with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (number of staff in attendance. For those unable to participate in group activities, one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (to one activities were taking place with carers and service users, other service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (were sitting around the table ready for their lunch. The notice board in the hall )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (identified the activities programme for the week, although it had also been used as a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (score board for a game the residents had played that morning. There were many )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (photographs displayed on the walls of past events and outings. The home is fortunate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (to have a mini bus that is available most of the time to take service users into the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (community to attend various outside activities or to attend other appointments.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (Service users were spoken with at this time. One service user could not communicate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (verbally but had a communication book which was used to tell me that he was happy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (and enjoyed living at the home. Another service user had a communication aid and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (was able to respond quickly to questions and comments.)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 (The home has also installed a hydrotherapy pool room, which was visited. This was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (due to be commissioned last year but has yet to be commissions owing to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (extensive building works on site, which has left the fire exit to this room temporarily )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (blocked. The physiotherapist was spoken with and she told us that once the building )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (works are completed the pool will be opened up and then she intends to train staff to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (use the pool for each individual service user who wishes to and is able to use the pool. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (The activities centre now houses a sensory room, which has been opened recently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (where service users' cognitive and sensory needs can be stimulated and where they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (can take time to relax.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (The deputy manager told us that there are no service users attending a college )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (currently as the local college has stopped the outreach service, but a music group is )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (still being supervised by one of the tutors. Two service users have their own )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (computers. One was spoken with and he informed us that he is only in a temporary )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (room whilst his is being completed and once he has moved in he will be able to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (reconnect to the broadband for his computer to keep in touch with friends, although he )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (commented he must monitor the cost and budget for this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (A record is kept of who attended each activity and the outcome of the activity for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (individual and the group. The home seemed a busy place with a great deal of activity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (going on throughout the day.)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 (Surveys returned from service users told us that they always make the decision about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (what they do each day and they do as they choose during the day and evenings every )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (day of the week.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The home has an open visiting policy and visitors are made welcome to the home at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (any time. Service users can meet their relatives in their rooms or in the communal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (areas, although currently that is the activities hall. The home has built relationships )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (with relatives and friends of the service users who have been resident for a number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (years and are confident that service users are well supported to maintain contact with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (their friends and families. The AQAA states that the home has specialist guidance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (available for personal relationships if required. Two of the service users have formed a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (special relationship and this has been guided and supported by the home and the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (manager as to their decisions and choices as to how the relationship has developed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The service users are encouraged to develop and maintain independent living skills. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (The occupational therapist will assess the living skills and those living in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (bungalows, which are self-contained, and allow the service users to assist with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (domestic tasks. Until the building works are completed this is difficult as some of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (bungalows are accommodating two service users, where normally they would be sole )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (occupancy.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (The kitchen was visited and the cook spoken with. The kitchen was clean but is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (surrounded by outside building works which has closed off one of the windows.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (However, this has not prevented the cook from being able to produce the meals of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (choice and a nutritious diet. The cook spoken with has worked at the home for some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (considerable time and is familiar with all the service users' likes and dislikes and will )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (produce 'whatever they want'. The full time chef who was not on duty at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (this visit, will speak to each new resident to find out about their food preferences. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (menu is displayed in the activities hall and this evidenced a choice of meals with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (alternatives available. The cook said that snacks are available all day. The lunch time )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (meal was observed and was well presented and nutritious. Those meals that were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (pureed were done so in separate portions for the service user to see the colours and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (taste the different textures of the food. There were a number of service users who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (needed help with their food. This was observed in one of the bungalows and the nurse )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (assisting was sat with the service user, who was eagerly accepting her food, discussing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (the meal with her.)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 (One service user was observed to be giving the cook a meal to heat up as he had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (chosen to buy his own ready made meal. Records of what service users eat are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Two service users were being fed via a tube and the care plans demonstrate that a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (dietitian has been involved with monitoring their nutritional status.)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 (Service users weights are recorded monthly and if a problem is identified a food chart )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (is kept to monitor their intake and a risk assessment is undertaken and a GP referral )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (will be made if a risk has been identified.)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 (Service users communicated with confirmed that they enjoy the meals. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (states that religious and cultural dietary needs are catered for if requested. The deputy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (manager told us that the home was not accommodating any service user with a special )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (dietary need through culture or religion.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (Personal and healthcare support)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 155.25 w 32.32 618.79 m 562.53 618.79 l S 0.001 w 1 1 1 RG 68 w 31.2 576.29 m 563.65 576.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.17 m 565.85 541.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 540.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 540.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 500.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 500.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 500.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 483.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 393.5 m 563.65 393.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 470.73 m 565.9 470.73 l S 0.001 w 149.97 w 32.32 382.25 m 564.78 382.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 458.36 m 566.98 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 459.44 m 31.2 305.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 459.44 m 565.9 305.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.36 m 565.9 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 306.14 m 566.98 306.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 467.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 442.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 442.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 405.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 385.19 Tm (The home has a person centred approach in supporting the people who use the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.69 Tm (with their personal, emotional and health care needs in a way that they prefer. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.2 Tm (home supports the people who use the service with their medication and comply with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.7 Tm (the procedures for the safe management of medication.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 212.05 w 33.45 174.25 m 563.65 174.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.27 m 565.9 271.27 l S 0.001 w 190.68 w 32.32 162.44 m 564.78 162.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 258.9 m 566.98 258.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 259.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 258.9 m 565.9 258.9 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 31.2 267.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.22 Tm (The AQAA told us that the staff provide personal support that is flexible and sensitive )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.72 Tm (at all times taking into account the preferences for clothes, hairstyles and personal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.22 Tm (appearance. The service users have access to advice and information regarding their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.73 Tm (health care needs and there are robust polices and procedures in place for the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.23 Tm (administration and management of medication.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.24 Tm (The care plans describe the level of personal support each service user needs. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.74 Tm (care plans that were in the service user's rooms described how the service user liked )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.25 Tm (their personal needs to be met and their preferences of how their routines are carried )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.75 Tm (out. Service users spoken to said the staff were good and that they were supported )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (with their care how they chose to be supported. One service user said he chose to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (have his breakfast late and that he would have his lunch at a later time and this was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (being respected. Service users were observed to have their own individual style and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (chose what clothes they wore and if they wore make up and jewellery. A service user )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (spoken to told us very happily that his dad had given him a hair cut the previous day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and that he did not much hair left.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The home employs a mixed gender and mixed culture of staffing. The deputy manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (told us that there were no service users specifying which gender carer they preferred.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The deputy manager told us that the home has good links with the primary care and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (specialist health care teams. Care plans describe the health care needs of the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (user and that they are regularly monitored and reviewed. All visiting health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (professional visits are recorded in the care plans. The GP visits weekly for a clinic and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (sees service users who request to see the doctor or who are assessed as needing a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (medical review. A survey received from the GP commented that he considers 'he has a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (good relationship with the clients and staff and together they make things happen'.)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 (Surveys distributed by CSCI to visiting professionals and were returned said.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ('The clients have extraordinary needs and within the financial constraints a good job is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (done'. 'I have a good relationship with the clients and the staff and the service copes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (well with the client's complex needs'. 'With regards to the service user I monitor, who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (has complex needs, the service provides flexible care to meet their needs. They )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (monitor the health and social care need and responds quickly and appropriately to any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (concerns. The home has good working relationships with outside agencies and family )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (of service user and ensure concerns are responded to and needs are met'. 'Once the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (building works are complete this should improve provision'. 'It is my observation that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (the clients privacy and dignity is respected'. 'The service has managed to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (accommodate my client's diverse needs and provides an appropriate service'. 'The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (service has a person centred approach, multidisciplinary working and liaises with other )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (professionals)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (The psychiatrist and community psychiatric nurse \(CPN\) visit the home. They are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (based close to the home and will visit when requested and will notify the home if they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (are visiting.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (The home has a designated occupational therapist and physiotherapist who visit the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (home weekly to assist service users and staff with moving and handling, posture, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (positioning and ordering and maintaining equipment. The care plans demonstrated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (that those service users who were at risk of pressure sores were provided with the )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (appropriate equipment such as profile beds, pressure relieving mattresses and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (cushions and treatment prescribed to prevent sores developing. The physiotherapist or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (occupational therapist will write specific care plans and these were evidenced in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (care plans viewed. The physiotherapist was visiting the home at the time of this visit. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (She told us that she assesses mobility and moving and handling and will be supporting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and be training staff when the hydrotherapy pool is opened and in use.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The service users have the availability of a visiting chiropodist, a dental clinic locally or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (one who will visit the home if required to do so.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The home has systems in place for the administration of medication. The home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (policies and procedures to guide practice and were viewed by us and noted to have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (been reviewed recently. The home has recently changed the medication system to a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (monitored dosage system \(MDS\) which is supplied by a large pharmacy. The nurse )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (spoken to told us that this system is much safer for the person administering it. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (main house has a room that the medication and trolley are kept locked in. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (bungalows and satellite rooms each have a locked environment that medication is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (stored in and this is administered and managed by the registered nurse who is in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (charge of that area each shift.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (The medications are administered by registered nurses only who has received training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (from Boots on this system. The medication administrating sheets \(MAR\) were viewed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (and had been documented appropriately. There was evidence that medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (prescribed on an 'as needed' basis \(PRN\) that care plans had been written to describe )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (the trigger factor to observe for when PRN medication should be offered. It was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (observed that the medication trolley stored individual \(PRN\) medication for each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (person it had been prescribed for.)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 (Controlled drugs were stored appropriately and safely. The controlled drug register )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (was viewed and checked and the balance documented in the register matched that of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (the stock held. The medication fridge was clean and temperatures were monitored and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (recorded daily. Medication storage cupboards were observed and were clean and tidy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (with no evidence of stock piling of medicines. The nurse told us there were no service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (users choosing to self-medicate)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (The home has a contract for the disposal of waste medication and this was seen by us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (with the records of the medication disposed of and the signature of the person taking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (the medication away.)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (Concerns, complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them, know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Their concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse, neglect and self-harm and takes action to follow )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (up any allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.63 m 566.98 426.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (In general service users feel their views are listened to and acted on and they are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (protected from abuse.)Tj ET 0.99608 0.9451 0.76078 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (The AQAA states that the home has a robust complaints procedure that is displayed on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (the notice board and is also sent out with contracts. The complaints procedure is also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (contained in the Statement of Purpose. Currently the complaints policy and procedure )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (does not take into account the cognitive and sensory needs of the current service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (users and the home is considering how this may be addressed by producing this in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (Makaton and on DVT. The fifteen surveys 'Have your Say' returned from service users )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (indicated that most service users know who to go to if they have a complaint. For )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (those who indicated they did not know, the carer had stated that they had informed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (the service user of his rights to complain and how to do this. A service user spoken to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (said they would go to the manager or deputy if they were not happy.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (The deputy manager said that the manager and herself have an open door policy and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (she reports that the service users are not hesitant in coming to the office to discuss an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (issue if they are not happy. The deputy said that the home has good relationships with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (relatives and the management are always available to discuss any issues that arise.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (The home has a complaint log which was seen and recorded one complaint since the )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 653.73 w 33.45 484.54 m 563.65 484.54 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 632.36 w 32.32 472.73 m 564.78 472.73 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 31.2 154.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 154.35 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 30.12 155.43 m 566.98 155.43 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 (last inspection which was resolved within the 28 day timescale. No complaints have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (been received by the CSCI since the last inspection. The home has a Whistle Blowing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (policy that all staff are made aware of and their accountability and rights to protection. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (The AQAA states that the home makes available, access to advocacy and interpreter if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (requested.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The home has policies and procedures in place in respect of safeguarding service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (from risk of harm. Staff receive training and are required to read the local authority )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (procedures for the safe guarding of vulnerable adults, at the time of their induction )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (and this is followed up by further training. The induction programme records and staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (training matrix evidenced that this has taken place.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (The AQAA records that seven safeguarding referrals have been made to social services )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (over the last year. Four of these have been investigated and concluded.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The CSCI have been involved in three of the issues which have been concluded.)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 (The home does use restraint in the form of bed rails or lap straps and this is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (undertaken within a risk assessment framework and documented in the care plans the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (reasons why they are used and any discussion that has taken place with the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (user or their relative.)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 deputy manager told us that most of the service users' monies was being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (managed by the relatives. For those who monies are managed by the organisation, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (their allowances are paid into head office from which the monies are distributed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (individually to the appropriate service users and they sign for these as evidence that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (they have received the monies. These records were seen by us and demonstrated a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (straight forward recording system for monies in and monies out with a signature of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (service user on receipt of their money . Most service users have bank accounts and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (money is paid into these directly. The home only keeps small amounts of monies for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (service user's. A sample of records were viewed and the records balanced with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (sum of money being stored in the individual containers that are kept in a secure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (environment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (There is a court of protection for one service user and money is distributed to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (home for the service user's expenses)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 85 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, comfortable, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (pleasant and hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 445 m 563.65 445 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 114.98 w 32.32 433.75 m 564.78 433.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.14 m 566.98 375.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (The staff are endeavouring to make the home as clean and comfortable as possible )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (whilst the building of the extensiosn and refurbishment of the home is in progress. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (Infection control systems and training are in place.)Tj ET 0.99608 0.9451 0.76078 RG 281.04 w 33.45 208.74 m 563.65 208.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.27 m 565.9 340.27 l S 0.001 w 259.67 w 32.32 196.93 m 564.78 196.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.89 m 566.98 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.89 m 565.9 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.21 Tm (The AQAA states that the home provides a homely comfortable and friendly )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (environment during the refurbishment as is practicably possible. The site of Bonhomie )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (consists of the large house, bungalows and satellite rooms next to the large activities )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (hall that houses the hydrotherapy pool and the sensory room. The whole site has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (disrupted during the extensive building works and refurbishment programme and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (therefore there are no areas of the home that have not been affected in some way of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (other.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (The large house is in the process of being refurbished and extended. One half of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (house is affected whilst the other half remains occupied and this will reverse within the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (next two months when service users start to move into their new rooms. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (programme for the refurbishment and extending of the other part of the house will )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (then commence. The service has not taken any new admissions for some time and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (outcome is that there are currently only 51 service users in residence. Some residents )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (from the house, whose rooms are in the first phase of the refurbishment programme, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (have moved to the bungalows and are sharing accommodation with one other service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (user. The deputy manager told us that this has been done in full consultation with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (service users and their significant others and that they have ensured that the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (users have been in full agreement with whom they are sharing.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The service users have been well informed about the changes and a large plan of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (building works had been displayed on the old dining room wall for a while before the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (works began. This generated a lot of questions from the service users and their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (relatives and the manager has written to all relatives informing them of the proposed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (changes. Service users spoken to said they are excited about moving into new rooms )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (and having all new furniture and new facilities. The operational manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (she considers the service users and relatives have been constantly informed about the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (changes and comments from them have been considered.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The project has been being planned for some years and therefore every aspect of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (programme has been considered. Risk assessments are in place for the whole site and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (a Hampshire Fire and Rescue officer visits the site once a month to monitor safety. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (home has appointed their own fire officer who is also monitoring the site regularly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (The site was toured and new areas viewed. The home will be divided into smaller )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (groups with a dining room and lounge to service a number of rooms in specific areas of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (the home. The plans and vision for the home predict a transformation of the site with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (more of a small community village feel to the home.)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 service users continue to have access to the parts of the site they would need to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (go and the building works does not appear to inhibit their movements around the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (home as the building areas have been boarded up and fire curtains and boards erected )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (from the roof space to the ground floor.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (A new laundry is to be erected. Currently the laundry is a large wooden hut in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (grounds of the home., and although fuctional is not fully fit for purpose. All bedding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (and household laundry is sent to an outside contractor with only personal items of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (clothes are laundered in the laundry. This will change when the new laundry is built, it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (is anticipated that all laundry will be washed on site.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (The kitchen is to remain in its current position and will be the last area of the home to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (be redecorated.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (The surrounding gardens of the bungalows have been landscaped with a water feature )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (in the courtyard. It was observed that there are various items of metal sculpture )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 408.78 w 33.45 607.01 m 563.65 607.01 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 387.41 w 32.32 595.2 m 564.78 595.2 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 31.2 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.37 m 566.98 400.37 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 (constructed of pots and pans and general metal objects around the grounds that are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (reported to be musical instruments used by the service users when the BBQ season is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (in progress.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (The home has a maintenance team who are responsible for the day to day repairs to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (the home and ensure that all fire alarms and equipment are tested at appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (intervals.)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 (The areas of the home were observed to be as clean as possible in the main house )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (considering the dust that must circulate in the air. The bungalows were visited and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (were clean. A group of cleaning staff were observed to be in this area. Surveys )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (returned from service users indicate that they consider their environment to be clean )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (and fresh.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The home has policies and procedures regarding infection control. Infection control )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (training is part of the induction and annual mandatory training and this was evidenced )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (on the training matrix. Hand washing facilities and protective aprons and rubber gloves )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (were observed to be available in appropriate areas.)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 (It was observed in one bungalow that a cleaning liquid had been left in the kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (area. The senior carer was spoken with and acknowledged this as a mistake and put )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (the bottle in a locked environment.)Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 34 w 31.2 593.29 m 563.65 593.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 436.25 m 563.65 436.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 132.47 w 32.32 425 m 564.78 425 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 357.64 m 566.98 357.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (The home ensures the residents are supported by sufficient numbers of skilled and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (competent staff iwho have undergone training. The service users are supported and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (protected by the home's recruitment policy and practices.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 263.54 w 33.45 200 m 563.65 200 l S 0.001 w 1 1 1 RG 22.5 w 31.2 322.77 m 565.9 322.77 l S 0.001 w 242.17 w 32.32 188.19 m 564.78 188.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.4 m 566.98 310.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.4 m 565.9 310.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 319.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (Observations of the relationships and interaction service users have with staff were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (observed throughout this visit. It was observed that the service users felt relaxed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (enough to chat to staff and interact with them in a friendly way and that staff were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (knowledgeable with their care needs and how they wished to be interacted with. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (Service user surveys returned to CSCI told us that service users consider the staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (always treat them well and listen and act on what they are saying.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (On the day of this visit the numbers of staff on duty were sufficient to meet the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (users' needs. The rota indicated that three registered nurses were on duty throughout )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (the 24 hours period with 24 carers on the a.m. shift, 20 the p.m shift and 13 during )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (the night with 3 extra during twilight hours until 1100p.m. These numbers of staff do )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (include those that have been funded for one to one care and some who have two to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (one care. The site is divided into three areas, the house, the bungalows and the )Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (satellite accommodation so that one registered nurse is always allocated to one of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (these areas throughout the twenty four hour period. The home employs separate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (domestic staff, a cook, kitchen assistant, a laundry assistant, a maintenance team. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (The registered manager and deputy manager are also on duty five days a week.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The deputy manager told us that agency staff are used every day but they are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (supplied by a regular agency and the same people attend the home and they are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (familiar with the service users' care and integrate well into the staff team. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (operational manager told us that the home is anticipating using less agency staff in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (near future as they are liaising with the local job centre and hope to recruit more local )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (staff, and that the organisation is on a continual recruitment drive to recruit more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (permanent local staff into the homes. The AQAA informed us that all staff commencing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (work at Bonhomie House receive a job description and are inducted within their roles )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (using the skills for care induction. National Vocational Qualification \(NVQ\) training is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (ongoing and all new staff are employed according to legislation regarding references, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (criminal record bureau \(CRB\) and protection of vulnerable adult \(POVA\) checks. Three )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (staff files were viewed. These demonstrated that newly recruited staff undertake an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (induction programme based on the Skills for Care induction training and this is guided )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (by a book that staff work through and are signed off by their assessor or mentor. Two )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (of these induction booklets were in the staff files completed. This induction programme )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (along with the buddy system used with all new staff, would allow staff to gain an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (understanding of the service users' needs over the induction period of twelve weeks. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (The induction programme covers all aspects of care and the carers roles and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (responsibilities and information, significant to the running of the home. During )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (induction the staff receive training such as moving and handling, first aid, fire safety )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (and food hygiene. There was also evidence of staff training in specific needs of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (service users such as diabetes, acquired head injury, schizophrenia and psychosis.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (The home is also issuing a new corporate booklet titled Practical Steps for New Staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (members and volunteers and is an information booklet on specific policy and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (procedures in relation to health and safety, security, first aid, smoking and the use of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (mobile phones.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (The home has a training programme in place for the coming year and this was seen by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (us. It was observed to include all mandatory training. Staff files evidence training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (certificates for various training sessions such as COSHH, mental health act, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (osteoporosis, emergency life support, diversity and equality. The staff nurses spoken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (with said the staff have various opportunities to attend training to maintain their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (professional portfolios and are encouraged to do so. They also confirmed that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (receive regular supervision from the manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ()Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (The AQAA reports that only 8% of the care staff have achieved NVQ level 2 and above )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (qualification. The deputy manager acknowledged that the home is not reaching the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (expected standard of 50% of staff trained to an NVQ level 2. The deputy manager told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (us that the home is endeavouring to recruit more local staff who will be encouraged to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (undertake NVQ training. Currently there is one care staff undertaking their NVQ level 3 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (and 2 requesting to undertake the level 2. The operation manager said that training is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (discussed at interview and the home would like to recruit staff who have achieved this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (qualification.)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 (Supervision and appraisal records were in the notes of staff tracked and these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (evidenced that training needs are discussed at this time.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (A sample of recruitment files were viewed. \( AR JM DC\). These staff were more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (recently recruited and all the necessary checks for CRB, POVA and two written )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (references had been received. The application form did not evidence any gaps in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (employment history. The records demonstrate that the home employs a mixed gender )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (and mixed cultural workforce, and service users may indicate if they wish to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (attended by the same sex carer which would be documented in the care plans and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (respected. The deputy manager told us that currently, none of the service users have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (a preference for a particular gender carer.)Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (Conduct and management of the home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 85 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately, with an open approach that makes them feel valued and respected. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (things should be done. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 402.74 m 563.65 402.74 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 97.48 w 32.32 391.5 m 564.78 391.5 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 31.2 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 340.55 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 30.12 341.63 m 566.98 341.63 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 (The home ensures the service users live in a home that is well managed, which is open )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (and inclusive and is safe to live in.)Tj ET 0.99608 0.9451 0.76078 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 0.001 w 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 294.39 m 566.98 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 295.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 295.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.39 m 565.9 294.39 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 31.2 303.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (The AQAA states that the home operates in an open, positive and inclusive atmosphere )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (with good leadership.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (The registered manager is a registered general nurse and a registered mental health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (nurse and has completed her Registered Managers Award \(RMA\). She has previous )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (experience of working with people with nursing needs, mental health needs and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (learning disabilities. The manager has now appointed a deputy manager to support her )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (management role. The manager continues to update her knowledge and delivers all )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (the mental capacity act training to all her staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (The manager was not present throughout this visit and the inspection process was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (assisted by the deputy manager and operational manager. Observing the relationships )Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 82 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (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 (and interaction between the deputy manager and the service users, it was evident that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (she is very familiar with their special needs and has good relationships with them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (having been at the home for a number of years. She demonstrated good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (communication skills with those who had communication problems and was eager to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (show us various communication systems used by some service users to communicate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (with. One service user was eager to show us how his worked and the system enabled )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (him to communicate and respond to our questions and he told us he was happy living )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The manager and deputy have an open door policy and service users are aware of this. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The deputy manager told us that the service users feel confident to come to the office )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (to voice their approval or disapproval of something and it gives them the opportunity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (to discuss any other issues.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The home undertakes an annual service audit that is an annual review based on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (AQAA with systems and records being audited at stipulated intervals. An action place )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (was seen by us of the audits that are to take place in the coming year.)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 (Questionnaires are distributed to service users, relatives and other stakeholders. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (results are analysed and published and these were viewed by us and told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (generally there is a high level of satisfaction with the service.)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 operational manager visits the home regularly and once a month writes a general )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (report which is kept in the home and seen by us.)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 residents have a monthly meeting and one of the residents is a spokes person. It )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (is at these meetings that issues can be discussed, the progress of th building work, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (being the main topic currently and service users are kept well informed of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (changes. Staff meetings are held monthly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (A sample of servicing certificates for systems and equipment were viewed. These were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (observed to be current.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (The fir log was viewed and this demonstrated that the fire alarms and equipment are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (tested and serviced at appropriate intervals. There were records that the fire alarm )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (had been activated by the toaster on occasions and these are recorded appropriately )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (and used as a fire drills for the staff. The training matrix and staff records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (demonstrated that staff receive regular fire training.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (The building has a fire risk assessment that has been drawn up with advice from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (Hampshire Fire and Rescue officer. The fire officer visited the site when building works )Tj ET endstream endobj 83 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 84 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (35)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 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (commenced and contacted CSCI to raise concerns about fire safety issues that had not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (been addressed initially. As a result of this visit and subsequent visits to the site the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (appropriate fire safety precautions were put in place. He now visits the home monthly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (to inspect the building works to ensure that the appropriate fire precautions are in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (place as the building progresses, for the safety of the people living in the house and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (staff. He visited the home on the day of this visit and reported to us that he is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (completely satisfied that the home is reviewing all the necessary assessments and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (precautions for the safety of the people on site.)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 (The home has an appointed fire officer who also visits the home monthly and is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (available for adivce and to review the fire risk assessment as and when it changes. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (operational manager told us that the manager receives a report each day from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (project manager as to area the builders have been working and how they have left it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (secure and safe.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The service has individual room risk assessments and these are in the service user's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (care plans.)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 accident records were viewed and these are completed appropriately. All incidents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (are reported to the CSCI on Regulation 37 reports.)Tj ET endstream endobj 85 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 87 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (36)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (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 ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (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 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immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 477.47 m 566.2 477.47 l S 0.001 w 18.15 w 31.2 432.49 m 91 432.49 l S 0.001 w 18.15 w 93.25 432.49 m 197.4 432.49 l S 0.001 w 18.15 w 199.65 432.49 m 566.2 432.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 442.69 m 568.4 442.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 568.4 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.69 m 568.4 442.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 422.29 m 568.4 422.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 513.34 m 30.07 421.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 443.77 m 92.12 421.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 443.77 m 198.52 421.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 513.34 m 567.32 421.21 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 496.07 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 478.49 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 449.33 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 431.51 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 428.51 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 428.51 Tm (Good Practice Recommendations)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (38)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 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 (0845 015 0120 or )Tj ET /F2 12 Tf BT 1 0 0 1 213.36 759.6 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (0845 015 2255 )Tj ET /F2 12 Tf BT 1 0 0 1 198.12 739.6 Tm (or )Tj ET /F2 12 Tf BT 1 0 0 1 214.75 739.6 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.csci.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 92 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 93 0 obj[6 0 R/XYZ 0 265.42 0] endobj 94 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. 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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 $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 95 0 obj<> endobj 9 0 obj<> endobj 96 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,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 97 0 obj<> endobj 98 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 99 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 86 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[ 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 107 0 obj<> endobj 108 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/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><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 110 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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