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We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 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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 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 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 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Abingdon Court Care Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Marcham Road )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Abingdon)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Oxford)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (OX14 1AD)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01235535405)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01235535386)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (sherrie.hume@carebase.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 540.17 m 564.77 540.17 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Carebase \(Abingdon\) Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (64)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 435.43 m 564.47 435.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 446.84 m 567.8 446.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.67 m 567.8 469.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.84 m 567.8 446.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 567.8 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.75 m 30.07 402.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.92 m 298.32 402.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.75 m 566.72 402.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 453.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 410.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 410.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 388.64 m 297.3 388.64 l S 0.001 w 20.58 w 299.55 388.64 m 431.45 388.64 l S 0.001 w 20.58 w 433.7 388.64 m 565.6 388.64 l S 0.001 w 35.16 w 31.2 358.52 m 297.3 358.52 l S 0.001 w 35.16 w 299.55 358.52 m 431.45 358.52 l S 0.001 w 35.16 w 433.7 358.52 m 565.6 358.52 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 328.4 m 565.6 328.4 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 377.23 m 567.8 377.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 568.1 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.06 m 567.8 400.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.23 m 567.8 377.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 568.1 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 294.16 m 568.1 294.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 227.59 m 568.1 227.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.13 m 30.07 226.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 401.13 m 298.42 338.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 401.13 m 432.57 338.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 401.13 m 566.72 226.51 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.87 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.87 Tm (64)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 361.04 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 346.46 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 361.04 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 361.04 Tm (64)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.63 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.8 Tm (The maximum number of service users who can be accommodated is: 64)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 277.97 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 263.39 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 34.05 248.81 Tm (care needs on admission to the home are within the following categories: Old age, not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.23 Tm (falling within any other category - OP Dementia - DE)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 212.8 m 315.25 212.8 l S 0.001 w 1 1 1 RG 20.58 w 317.5 212.8 m 346.55 212.8 l S 0.001 w 20.58 w 348.8 212.8 m 377.9 212.8 l S 0.001 w 20.58 w 380.15 212.8 m 409.2 212.8 l S 0.001 w 20.58 w 411.45 212.8 m 440.55 212.8 l S 0.001 w 20.58 w 442.8 212.8 m 471.9 212.8 l S 0.001 w 20.58 w 474.15 212.8 m 503.2 212.8 l S 0.001 w 20.58 w 505.45 212.8 m 534.55 212.8 l S 0.001 w 20.58 w 536.8 212.8 m 565.9 212.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 224.21 m 568.1 224.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 201.38 m 568.1 201.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 225.29 m 30.07 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 225.29 m 316.37 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 225.29 m 347.67 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 225.29 m 379.02 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 225.29 m 410.32 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 225.29 m 441.67 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 225.29 m 473.02 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 225.29 m 504.32 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 225.29 m 535.67 200.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 225.29 m 567.02 200.3 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 208.03 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 189.51 m 565.9 189.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 179.88 m 568.1 179.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 180.96 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 180.96 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 199.13 m 568.1 199.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.88 m 568.1 179.88 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 30.07 200.21 m 30.07 178.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 200.21 m 567.02 178.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 185.95 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 185.95 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 166.7 Tm (Abingdon Court is a purpose-built care home, registered in November 2006. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 149.7 Tm (is situated on the outskirts of the busy market town of Abingdon, and has good road )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 132.7 Tm (links to the city of Oxford approximately 4 miles away, and Newbury to the south. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 115.7 Tm (accommodation is over 3 floors with 20 single en-suite rooms on the ground floor and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 98.7 Tm (22 on the first and second floors. There are spacious lounge and dining rooms on each )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 81.7 Tm (floor and assisted bath and shower facilities. There is a hairdressing salon on the first )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 64.7 Tm (floor. The laundry and kitchen are on the top floor. At the rear of the home there is a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 47.7 Tm (courtyard garden that offers residents activities they can get involved with including a )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 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 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 723.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 723.08 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 28.99 724.15 m 568.1 724.15 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 (beach area, chickens, garden shed and a vegetable )Tj ET /F2 12 Tf BT 1 0 0 1 348.4 783.47 Tm (plot.)Tj ET /F2 12 Tf BT 1 0 0 1 375.55 783.47 Tm ( )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 (Fees range from 900.00 to 1,050.00 per )Tj ET /F2 12 Tf BT 1 0 0 1 297.22 749.47 Tm (week.)Tj ET /F2 12 Tf BT 1 0 0 1 332.81 749.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 531/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN EюL+R'I.5I:GC?ٟ\dSt@2M(hm-h] UeF>s C걳oT<#Ӳ"eW+LU6$ .vŞ> 8)辣:;x.]0UeFQk%{]г[JEj˱kws?Çû_q:_LJbd]& JgUN-_|].o; lW!4}344w6 N\(ˊ3M`6~;:c9lwΡY_vgk3 endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 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 (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (This was an unannounced key inspection process generated from the adequate findings )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (identified at the last assessment of the quality of the service by the commission in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm (September 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (This inspection process included reviewing information provided by the service in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (Annual Quality Assurance Assessment and any returned surveys to the commission )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (before a one-day visit to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (An annual quality assurance assessment \(AQAA\) is a self assessment and a dataset )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (that is filled in once a year by all providers whatever their quality rating. It is one of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm (the main ways that we will get information from providers about how they are meeting )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (outcomes for people using their service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (The AQAA from this service was returned within the required timescales and had been )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 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 (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 338.34 w 32.32 643.36 m 566.72 643.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 473.06 m 568.92 473.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 471.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 471.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm (completed satisfactorily.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (The registered manager was present when we visited the service on 20th August 2009, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (between 10:00 and 18:15.)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 (During the day the records for care planning, recruitment, and administration of the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (service were assessed. Five of the people using the service were involved with the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (inspection process. We met with approximately twelve staff, and a small number of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (relatives.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (The people who use the service and the staff who provide the support were also )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (consulted about their opinion of what is provided, through surveys. Of the fifteen )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (people who are in receipt of support that we contacted, we received eleven responses )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (at the time of writing this report, eight staff were also contacted through surveys, of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (which four responded. Two health care professionals who regularly visit the service )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (also contacted and responded to the surveys.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm (From this visit it was found that a number of requirements and recommendations that )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (were made to improve the service during the last inspection process have been met. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (There were a few areas that will need to continue to improve as to protect the people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (they support and two requirements were made to reflect this. A number of good )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm (practice recommendations were given at the time of the inspection and can be found in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm (the body of this report.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 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 (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 414.24 w 32.32 566.7 m 566.72 566.7 l S 0.001 w 20.58 w 32.7 347.04 m 569.35 347.04 l S 0.001 w 93.48 w 33.82 287.76 m 568.22 287.76 l S 0.001 w 20.58 w 33.45 228.48 m 570.1 228.48 l S 0.001 w 151.92 w 34.57 139.99 m 568.97 139.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.46 m 568.92 358.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 357.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 358.46 m 569.35 358.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 335.63 m 569.35 335.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 335.63 m 570.42 335.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 239.9 m 570.42 239.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 217.07 m 570.1 217.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 239.9 m 570.1 239.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 217.07 m 571.17 217.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 336.71 m 32.7 238.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 218.15 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 357.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 336.71 m 569.35 238.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 218.15 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (The people who use the service can expect:)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (That their concerns will be listened to and that they will be protected from possible )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (abuse or harm by the systems in place.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (A pleasant modern comfortable environment that is able to accommodate their need's )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (and has the necessary equipment to do so.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (Staff are friendly, welcoming, and supportive and have started to be provided with the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (training and knowledge to care for people with diminishing mental health.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (The staff are very encouraging and enable relatives and supporters to be involved with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (consultation processes and any activities going on the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (Comments from residents and relatives included;)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm ("Provides good quality care" and "Liaises with relatives as appropriate")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm ("We as a family are more than happy with Abingdon Court and the care our mother is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm (given.")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.58 Tm ("Creates overall a dignified, relaxed and harmonious environment for my mother, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438 Tm (catering well for her mental, and physical health. Specifically she is safe, secure, warm, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.42 Tm (well fed and most of all receives the necessary medical attention.")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 408.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 394.26 Tm ("Friendly staff and look after my needs well.")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 379.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 365.1 Tm ("Generally no complaints about the care of my husband.")Tj ET /F2 10 Tf BT 1 0 0 1 568.97 565.15 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 344.93 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 342.27 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 345.49 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 286.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (The introduction of new care planning tools will assist staff to develop person centred )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (care that looks at supporting individuals in a holistic way.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (The employment of an activities organiser has already made a difference to the daily )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (lives of the people who live there. A wider variety of activities is on offer and all staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm (are being encouraged to be involved to provide it.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 286.21 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 226.93 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 223.71 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 138.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.88 Tm (The information about the home could be given in a format that is more applicable to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.3 Tm (the needs of the people they support.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.14 Tm (The needs of potential residents should be assessed thoroughly and there should be no )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (gaps in information as to ensure that senior staff make the correct decision that the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (individuals needs will be met if they come to live in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm (A resident should not be admitted to the home without a basic plan of care provided to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm (staff as to ensure that they will be able to meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm ()Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 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 (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 32.16 w 34.57 796.45 m 568.97 796.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 779.24 m 571.17 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 778.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 778.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (The Registered Manager should ensure that the services obligations to inform the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (commission of any deaths, illness and other events are met.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 764.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 744.69 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 744.69 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 744.69 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 727.19 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 707.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 687.2 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 687.2 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 667.2 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 667.2 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 647.21 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 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 (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 386.74 m 562.54 386.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 84.36 w 33.47 375.5 m 563.66 375.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.19 m 565.87 332.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (The people who use the service have their needs assessed before they are offered a )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (place in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 316.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.3 w 34.6 194.17 m 562.54 194.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 297.32 m 564.79 297.32 l S 0.001 w 202.93 w 33.47 182.36 m 563.66 182.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.95 m 565.87 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 286.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 286.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.95 m 564.79 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 294.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 269.27 Tm (The Statement of Purpose and Service User Guide provided to prospective and current )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.77 Tm (users of the service was identified at the last inspection process as not holding the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.27 Tm (required information about the home. The current documents for this purpose were )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.78 Tm (reviewed during this inspection process as to see what the service has done to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (address these concerns.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (From what was provided and information given in the AQAA prospective residents and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (their representatives are given a copy of the Statement of Purpose, Service User )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (Guide, and a brochure about the home. In addition, included is a copy of the most )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (recent menus and activity programme to give them a sample of what is on offer.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm ()Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Looking at the Statement of Purpose and Service User Guide the documents are quite )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (formal documents that give the majority of the required information. However, there )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (remain some gaps in the Statement of Purpose document such as the full detail of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (registered provider and the age range and needs that they can provide nursing and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (personal care support for.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The Service User Guide or Residents Guide is an eighteen page document that gives a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (profile of the key points about what is on offer in the home. Looking at the content it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (does not give much information about the areas that most residents and their families )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (would be interested in such as the local GP practices that can attend the home, local )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (religious representatives who can support individuals with the pastoral needs, or the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (days and rates of the visiting hairdresser and the facilities available for this. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (reader is not provided with sufficient information about the overall provision of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (activities that will appropriate to the specific needs of the individual or as generally )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (provided as a group. This is particularly relevant to meeting the needs of the majority )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (of the residents who have some form of deteriorating mental health.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The documents are not user friendly and the content is not focused on delivering the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (information the people who use the service. Some of the information in both has not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (been amended to reflect the changes that have occurred in what is provided in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (home, this is in particular to the provision of activities and arrangements for meal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (times. A better picture of the provision in the home could be found on the services )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (website, which is not accessible to all.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Eleven of the respondents to the commission's survey confirmed that thought they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (were provided with sufficient information about the service to help them to decide to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (use it. Although the majority of the respondents were relatives and supporters of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (people living in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (During the last inspection of the service the processes for the assessment of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (individuals needs were reviewed and there were some areas identified that could be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (improved. This was mainly about the lack of a holistic approach to seeking information )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (about the person such as the personal history or their social interests or their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (emotional well being. The AQAA states that the pre-admission assessment is usually )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (carried out using information provided by any health or social professionals involved )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (with the person concerned and that where possible prospective residents are given the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (opportunity to visit the home prior to being admitted.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (Three care records for individuals who had been admitted to the home during the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (seven months were reviewed to see what the quality of the pre- admission process )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 301.31 w 34.6 660.75 m 562.54 660.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 279.94 w 33.47 648.94 m 563.66 648.94 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 506.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 506.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 507.85 m 565.87 507.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (was and if it provided staff with sufficient information about the individual. From )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (information given by the Registered Manager the assessment process is usually )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (carried out by herself or the Care Manager. The sample reviewed supported this, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (although there was a variable quality of information recorded across the three records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (that were reviewed. The document tools showed that key questions were to be asked )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (about the physical health needs, medication, mobility and personal care assistance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (that will be required. There is also the opportunity to note the personal preferences for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (food, interests and social activities and their chosen daily routine. The depth of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (information actually recorded was brief in parts and some sections not completed for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (one person which did not support that staff would be provided with sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (information to plan the persons care appropriately. They do have an assessment tool )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (to identify the person's mental state and cognition and for one resident this had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (completed and gave a good indication of the individual's mental health. In all those )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (records sampled the depth of information about how the person's dementia affected )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (them is not recorded in great detail. One record did have a good summary of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (person concerned at the conclusion of the assessment document.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 394.5 m 562.54 394.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 136.85 w 33.47 383.25 m 563.66 383.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 312.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 313.7 m 565.87 313.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (The people who use the service cannot be assured that they will have a planned )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (programme of care and support that they need as the quality of the record keeping )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (does not provide sufficient information for staff to do so. Parts of the safety of )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (medication administration and storage practices have improved there are still areas )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (that need to continue to be developed.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 298.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 205.81 w 34.6 184.93 m 562.54 184.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 278.84 m 564.79 278.84 l S 0.001 w 184.44 w 33.47 173.12 m 563.66 173.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 266.46 m 565.87 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 267.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.46 m 564.79 266.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 275.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (Comments made in the surveys returned to the commission in regard to the care and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (support provided, were;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm ("Provides good quality care," and "Liaises with relatives as appropriate.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm ("We as a family are more than happy with Abingdon Court and the care our mother is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (given.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (There were also added comments about what the respondents thought the service did )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (well;)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ("Creates overall a dignified, relaxed and harmonious environment for my mother, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (catering well for her mental, and physical health. Specifically she is safe, secure, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (warm, well fed and most of all receives the necessary medical attention.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ("Friendly staff and look after my needs well.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ("Generally no complaints about the care of my husband.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (During the previous inspection assessment of the service it was identified that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (care plans did not have a person centred approach or an effective evaluation process )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (to identify that people are in receipt of the care that they need. Information from the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (returned AQAA states that the home has introduced new documents to begin to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (address this and make the care planning more holistic. The risk assessment process )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (was also identified at the last inspection as being weak especially for falls )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (management and nutrition, resulting in a requirement made to improve this area of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (care planning. A sample of four care plans were reviewed, to evaluate the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (effectiveness of the new process and that staff are provided with good information of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (how to support the person, in accordance to their wishes. The sampled records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (included those used to explore the quality of the pre-admission assessment, and those )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (for a person with complex physical and health needs who had been living in the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (for over two years.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (From looking at the new document tools in place the intended outcomes for people will )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (be focused on supporting individuals through the daily activities of living such as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (bathing, dressing, continence, mobility, communication, psychological support and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (sleeping. The new record tool, PAL\(Pool Activity Level\) is used as an individualise )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (action plan to meet their needs. They have also in place a seven day care plan which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (is introduced for the first days of the residents stay with a brief outline of care needed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (for staff to follow whilst further information is obtained through observation and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (supporting them. From the information gained through this, the intention is to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (complete the more complex PAL care record.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The records reviewed show that there is a very mixed quality of record keeping from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (excellent detail in parts to nothing recorded at all. This was particularly concerning )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (where it was identified that an individual had been admitted to the home over )Tj ET /F2 12 Tf BT 1 0 0 1 511.2 166.74 Tm (forty-)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (eight)Tj ET /F2 12 Tf BT 1 0 0 1 64.56 149.24 Tm ( hours earlier and there was nothing recorded about the planned care for this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (person and the information from the pre-admission assessment was lacking in detail. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (What could be understood from talking to staff and listening to care staff passing )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (information on verbally they do have a far greater understanding of the care 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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (support for people than is necessarily recorded. The deficits in the care planning were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (referred to the Registered Manager during the day and we were provided with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (evidence before the end of the inspection visit that the lack of documented care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (planning for this person had been resolved.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (One resident put in a returned survey a comment, "I have to wait for someone to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (empty my stoma bag which could be a number of hours. Feel a burden and have to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (wait till a carer has time. Don't receive any exercise for muscle wastage." They did )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (also indicate that they usually obtained the care and support that they needed but )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (only noted 'sometimes' to the questions about staff availability and their responses to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (requests.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (A relative stated as to what they thought the home could do better;)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ("Managing individual needs. Glasses, teeth, general minor medical detail gets )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (overlooked.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The two GP's who responded to the commissions survey stated that the service was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (usually efficient at monitoring and responding to the health needs of the people they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (care for.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The new care records support that there should be routine monitoring tools for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (individual's weight, nutrition, dependency or care and nursing needs. The records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (examined showed that there is an inconsistent approach to completing them, with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (gaps in the information about blood pressure, weight and the use of the MUST )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (\(Malnutrition Universal Screening Tool\).)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The outcomes from visits by the individuals GP or specialist healthcare practitioner is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (noted and each practitioner is encouraged to record this information themselves which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (is a positive step to having a central record for the person concerned. It was difficult )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (to establish where they will record the routine external health support such as eye, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (foot, and dental care as these records could not be seen in those sampled.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (At the last inspection there were areas of poor practices for the storage and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (administration of medications. This was particularly with reference to the recording )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (and disposal of Controlled Drugs in the home and a requirement was made to improve )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (practices. Information provided by the home indicated that the concerns had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (rectified through retraining for staff and an implementation of a new concise )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (medication policy and procedure. A review of the records for the administration of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (medications relevant to the sample of records already review supported that the )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 213.83 w 34.6 704.49 m 562.54 704.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 192.46 w 33.47 692.68 m 563.66 692.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 594.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 595.33 m 565.87 595.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (MAR\(Medication Administration Records\) charts are completed correctly. One record )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (book for Controlled Drug administration showed that a staff member had not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (completed an entry in accordance to guidelines and this observation was passed back )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (the Registered Manager during the inspection visit. Additionally, senior staff were seen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (have left a set of medication keys unattended for at least ten minutes before they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (were taken into safe keeping.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The care records that were reviewed did not support that staff are asking, where able, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (about personal choices for how the individual wishes to be cared for at the end of their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (lives and after their death. The new document format does have an area in the PAL )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (tools for this but the information that was seen was either brief or had not been noted.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 428.5 m 562.54 428.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 136.85 w 33.47 417.25 m 563.66 417.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 346.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 346.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 347.7 m 565.87 347.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (The people who live in the home are given the opportunity to exercise choice over )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (their lives and be able to maintain some of their interests although this is not )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (necessarily identified in their planned care. Mealtimes are an enjoyable part of the day )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.26 Tm (for residents and the menu planning generally meets their health needs and personal )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 356.77 Tm (choices.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 332.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 239.81 w 34.6 201.93 m 562.54 201.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 312.84 m 564.79 312.84 l S 0.001 w 218.44 w 33.47 190.12 m 563.66 190.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 300.46 m 565.87 300.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 301.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 300.46 m 564.79 300.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 309.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (There were some elements of weak practices seen at the last inspection for ensuring )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (that staff had good information about the personal and social history of the individuals )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (that they care for. There was also very little information about how they planned and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (implemented activities appropriate to each persons needs. The AQAA shows that the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm (use of the PAL document tools will assist them to identify the interests, abilities, likes )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (and dislikes of residents. They have also stated that during June 2009 they have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (employed a new activities co-ordinator to develop and lead staff in what is provided in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (the home. A requirement was made during the last inspection in regard to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (provision of activities at as it was an area that residents were possibly missing out on )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (the necessary stimulus that would meet their needs, preferences and capacities to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (participate in.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm ()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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (A comment from a relative in a returned survey in regard to what they thought the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (service could do better was, "Perhaps some thought could be given to activities of a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (more adult nature which might result in co-operation and friendliness between )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (residents who share similar interests, and the extension possibilities of the very small )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (garden.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Another put, "Have activities to stimulate residents as when we visit there is little )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (activity going on at weekends.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (One resident wrote, "More activities on level two.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (A relative commented, "Routine monotonous with little opportunity for outside contact )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (or excursion without the support of family or family." They also noted, "This is a very )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (kind, gentle environment but as with many homes very female. Male pursuits not well )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (catered for. Activities not very imaginative, small group outings such as shops, pub )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (etc, would greatly improve the quality of life for the residents." However, they thought )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (that what the home did well was the annual outing and the recent garden party.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Other positive comments were;)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ("Arranges displays, open days, visits from 'Pat a dog', guides, etc. Residents taken )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (into the garden when weather nice.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ("Spiritual and pastoral needs are well catered for.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (All of the respondents to the survey indicated that there were some activities that they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (and their relatives could join in with.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (From reviewing the sampled care plan records it was apparent that the new document )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (tools have the capacity to include the assessment and planning to support individuals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (with continuing or enabling people with their interests. However, those reviewed need )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (to be expanded and personalised to the people concerned. Information about the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (choices they may have for their daily routines, such as rising from bed, where they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (like to eat their meals, and when they like to retire to their rooms is not noted. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (However, from observing and through information given by staff, individuals personal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (choices appear to be adhered to and supported by staff. The care planning documents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (also had also an area where staff can record the participation of the person concerned )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (in an activity or social event but this was based on scoring method and did not give a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (holistic picture to the individuals enjoyment, involvement or understanding of what )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (they had participated with.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The new activities organiser has implemented some changes in the way that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (support and planning for activities provided in the home. Staff are given an activities )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (programme to follow independent of the activities organiser being in the home. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (has only recently started and is still in the early days of development. The programme )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (incorporates both sedentary and physical activities for residents to join in with such as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (music, memory games, and practical craft or art activities. Through discussion with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the activities organiser she is aware that not all activities suit individuals and stated )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (that when the improved personal histories and profiles are complete, this will assist )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (with developing this further.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Throughout the comments included in the surveys returned to the commission it was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (apparent that relatives and friends of the people living in the home are encouraged to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (participate and take an interest in activities and social events going on in the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (This was further supported by the minutes of the most recent relatives meeting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (provided to the commission by the Registered Manager. Recent activities have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (included trips out to the Cotswold Wildlife Park, blue bell walk, and a cream tea at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (Toad Hall Garden Centre.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (The garden which is accessible through the dining and lounge areas of the ground )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (floor of the home has been adapted to stimulate residents. Although not suited to all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (residents it provides areas of interest for them to look at and interact with. This )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (includes a washing area, garden gate, water feature and a garden shed, where they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (can enjoy using the items such as the mangle, tub and potter in the potting shed. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Staff have also placed a car in the garden for those who wish to revisit the enjoyment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (of caring for a car. There are two chickens in a pen in the garden which staff care for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (with the assistance of some of the residents. The Registered Manager stated that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (there were plans in place to raise the level of parts of the garden beds as to enable )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (more of the residents to participate in growing vegetables and flowers. On the day of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (the inspection visit the garden was not in use by the residents as the weather was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (cool and wet. However, there was a schedule of music and movement activities going )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (on in the home which from observation both residents and staff were enjoying )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (together.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (The meals and menu planning were identified during the previous inspection process )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (to be an area that needed to improve to offer residents a greater variety, portion size )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (and not too repetitive supper meals as these were areas pointed out in comments )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (made by residents and relatives. Since then a new chef has commenced working in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (the home and from information provided by him, he is supported to create new menu )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (plans with the guidance of the Registered Manager. The meal plans are on a four )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 406.28 w 34.6 608.26 m 562.54 608.26 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 384.91 w 33.47 596.45 m 563.66 596.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 402.87 m 565.87 402.87 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (weekly rota, and the content is mostly traditional English fare, with a roast at the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (weekends and fish on Fridays. The recorded menu plan does provide information that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (there is usually a choice of two main meals at midday which very rarely )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (accommodates a light or vegetarian choice. The chef confirmed that the kitchen did )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (not routinely hold information about personal preferences, dietary or religious needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (about the residents in the home. The care records examined supported that brief )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (information is taken about dietary requirements and personal choices when the person )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (arrives in the home and some, but not all of this is transferred into the PAL care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (planning records. The chef did give information that personal choices and wishes were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (adhered to if the kitchen were provided with the instruction from the nursing and care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (staff. Staff usually ask the individual the day before their preferences for the meals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (the next day.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (From observing the midday meal it was apparent that all residents, where able, are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (encouraged to participate meeting others in the main dining rooms. Staff also support )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (individuals to eat their meals in the rooms should they wish or are more comfortable )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (there. The staff providing more personal support and encouragement with the midday )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (meal to some of the residents, were doing this sensitively and patiently and it was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (obvious overall that the majority of the residents were enjoying their food.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (One resident put in a returned survey about what they thought the home does well, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (put, "Meals.")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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 488.25 m 562.54 488.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 119.35 w 33.47 477 m 563.66 477 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.2 m 565.87 416.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (Residents and their relatives can be confident that their concerns or complaints will be )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (listened to and acted upon. The service has systems in place to protect the people )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm (living in the home from possible abuse or harm.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 400.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.3 w 34.6 236.18 m 562.54 236.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.33 m 564.79 381.33 l S 0.001 w 286.93 w 33.47 224.37 m 563.66 224.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 368.96 m 565.87 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 368.96 m 564.79 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (The processes for managing any concerns or complaints made to the home were )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (reviewed as comments from those who completed the survey for the last inspection )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (process showed that there was not full confidence that their concerns or complaints )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (would be listened to or acted upon. Since the last inspection there have been nine )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (complaints made to the home, according to the AQAA, all fully investigated with one )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (upheld.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (From what information was provided by the Registered Manager the complaints )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (process is on display in parts of the home, included in the Service User Guide and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (relatives are reminded of the 'Open Door' policy to expressing concerns should they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (arise. Four respondents to the commission's survey did state that they did not know )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (how to make a formal complaint. One relative very clearly stated that if they had any )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (concerns that it would be addressed to the senior staff. Others made comments that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (they felt the staff were generally approachable.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (One relative put, "Friendly manager, head nurse and administrator always willing to )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 406.28 w 34.6 608.26 m 562.54 608.26 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 384.91 w 33.47 596.45 m 563.66 596.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 402.87 m 565.87 402.87 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (discuss and act on requests or criticism.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The records for managing and addressing concerns and complaints were reviewed. For )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (the formal complaints the documentation supports that appropriate investigations and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (actions were taken. Reviewing the method of logging general complaints there were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (areas that they should improve to protect confidentiality and assist with monitoring )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (trends of concerns. This observation was passed back to the manager during the day )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (of the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (The Registered Manager provided information in the AQAA that there are policies, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (procedures and information provided to staff to protect residents from possible abuse )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (or harm. There is a continual rolling programme of training given to staff to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (that that receive this as part of their induction and that they revisit the topic )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (periodically.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The Registered Manager was reminded at the last inspection assessment of the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (to ensure that any concerns or referrals to the local authority in regard to suspicions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (of abuse were notified to the commission. Since then the commission has been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (informed of any event that has been raised to a concern or protection of a resident, in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (all only two of the five referrals were investigated under the safeguarding procedures )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (of the local authority. The information provided showed that appropriate action was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (taken following the investigations.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 89.36 w 34.6 497.49 m 562.54 497.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 66.86 w 33.47 486.24 m 563.66 486.24 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 450.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 450.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 451.69 m 565.87 451.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (That the home is maintained well and meets the needs of the people who live there.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 436 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.79 w 34.6 253.92 m 562.54 253.92 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.82 m 564.79 416.82 l S 0.001 w 322.42 w 33.47 242.11 m 563.66 242.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 404.45 m 565.87 404.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.52 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.52 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 404.45 m 564.79 404.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 413.51 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 388.76 Tm (Comments from relatives in regard to the home were;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 371.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm ("Well maintained and many attractive features.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm ("Provide a safe, secure environment for their residents.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm ("Bright cheerful environment.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (To what they could do better;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm ("A bit more effort in the garden to prevent it deteriorating.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm ("Room security.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm ("Repairs prompt but basic.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (The home was purpose built in 2006 and is in a central area of Abingdon, close by to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (one of the main road links, A34 through Oxfordshire. The building offers residents )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (accommodation over three levels and provides them with good sized private bedrooms )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (with en suites that are practicable and accessible. Each floor has its bathrooms, toilets )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (and communal spaces similarly positioned to offer residents continuity as they move )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (from the residential area on the ground floor to nursing on the first and second floors. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (The majority of the communal areas are comfortably furnished and care has been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (taken to ensure that there is an element of homeliness for residents to enjoy. Two of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (the dining rooms appeared to be welcoming with a central mock fireplace, furniture )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (and fittings. One was less inviting as some of these features had been removed to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (offer space for group activities and a drop down screen for watching films etc.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Residents have the opportunity to bring personal items of furniture when they come to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (live in the home. From observing a number of bedrooms some have brought personal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (property with them others have utilised that which is provided by the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Information given by the Registered Manager was that there is a rolling programme of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (redecoration as and when a room becomes vacant. There was no information as to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (whether residents have any choice to the decoration of their bedrooms or soft )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (furnishings. However, the Registered Manager was able to confirm that they were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (consulted in regard to decoration in the communal spaces through the residents coffee )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (mornings. The AQAA indicated that some improvements to the signage around the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (home to make them particularly relevant to those with dementia had occurred since )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the last inspection. Additional information was given about changes to some of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (flooring in some bedrooms to assist with keeping it clean, and aiding the control of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (infection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (During the last inspection process it was highlighted that were some issues about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (maintaining cleanliness and eliminating odour of urine in parts of the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (Registered Manager stated that this had been addressed previously, although a new )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (concern had arisen within the last few weeks due to the changed mental health of one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (resident, they were again seeking advice on how to manage the situation. Throughout )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (the home the facilities appear to be kept clean and well maintained. There were a few )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (comments in the returned surveys about the cleanliness of the home. In regard to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (what they could do better;)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ("Cleaning of rooms,")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm ("Some aspects of cleaning, such as the upholstery in lounge areas and the lifts.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (There were some previous concerns identified at the last inspection process about the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (poor laundry practices where clothes were damaged. This has now been rectified and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (an additional comment was given by a relative was for what they thought the home )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 73.86 w 34.6 774.47 m 562.54 774.47 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 52.49 w 33.47 762.66 m 563.66 762.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 735.29 m 565.87 735.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (did well, "Make sure that residents clothing is nicely washed and ironed." Another )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (commented in the last relatives meeting that they were pleased to report that it was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (now very good.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 101.85 w 33.47 468.75 m 563.66 468.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (That the home's staffing levels appear to meet the needs of the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (service but there are gaps in the specialist training that they require for caring for )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (those with dementia. The recruitment process has been carried out appropriately.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (Comments in the returned surveys about the staff working in the home included;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm ("My mother is ninety and has settled well. She has a smile for the carers and is very )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (relaxed. The carers chat to her even though Mum can't take much in, they do their )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (very best for her.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm ("The staff are kind and caring and do all that they can to help their residents be happy )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (and feel at home and communicate well.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm ("Kind and sensitive staff.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (As to what they do well;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm ("Unfailing calm, cheerful and efficient response to the demands of residents, some of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (who are not mentally capable of appreciating the privacy of others.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm ()Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ("Kind helpful staff.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (And what they could do better;)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ("Always ensure that a member of staff is present when the lounge areas are occupied )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (to prevent confrontational situation as they arise.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The staff rota for two weeks and the information in regard to the recruitment, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (employment and supervision of staff were reviewed. This was to see if the concerns )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (about sufficient numbers of staff seen previously at the last inspection process, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (including those for domestic and laundry activities in the home, have improved. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (AQAA stated that they have increased the staffing levels since the last review of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (service and that they no longer use agency staff when sickness or annual leave )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (occurs. They indicated that the main improvement has been increasing the number of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (staff by two for the morning shift to ensure that residents obtain the personal care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (and support they need at one of the most, busiest times of the day.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The duty rota reviewed showed that over the fortnight period that there had been a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (number of amendments to the planned shifts, especially for night duty where at least )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (fifteen duties were accommodated by the use of agency or bank staff. All covered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (shifts were for maternity or annual leave requirements. Most nights the home is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (staffed by five or six staff including one registered nurse. What could be seen was that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (there was some continuity of the agency staff supplied. There is team of domestic, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (catering and maintenance staff that ensure that carers and nurses are able to focus on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (providing the direct care to the people living in the home. It was unclear from the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (information provided that the dependency needs of resident's, where assessed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (individually in their care planning, is used collectively to evaluate and implement the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (necessary staffing levels for the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (The skills and qualifications of staff were reviewed as it was identified at the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (inspection visit this was below the required standard for staff to have achieved for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (NVQ. The AQAA gave a figure for this and these were checked during the day to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (establish the most accurate numbers. Of the staff employed, including those for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (domestic, catering and administration of the service, those working in care, twelve )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (had achieved NVQ 2, and two, NVQ 3. Additional qualifications attained by other staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (were, two NVQ 2 in Housekeeping, one NVQ 2 Multi-skilled hospitality, and one NVQ 3 )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (in Business Administration. This is an improvement from previously seen numbers of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (staff with care qualifications. The home employs eight Registered Nurses, including )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (the care manager to provide nursing cover for the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The recruitment records for three staff were reviewed to assess how robust the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (recruitment and employment practices were and if they protect the residents from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (inappropriate staff supporting them. The records for all three were organised well, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (show that the necessary information has been obtained and provided supporting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (evidence of the proof of identity, Criminal Records Bureau and Protection of Vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Adults list checks having been carried out. For two members of staff it was recorded )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (well the decision to employ them, for one this could have been evidenced in better )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (detail. This observation was passed back to the Registered Manager during the day of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (The staff training information was reviewed as to see what staff are provided with, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (with special emphasis to looking if they have had the necessary training to care for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (people with dementia. The Registered Manager gave information that of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Registered Nurses only the Care Manager, the one member of staff with qualifications )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (in mental health nursing \(RMN\) and herself had attained a Diploma in Dementia. At )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (least two of the members of staff who responded to the survey indicated that they felt )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (this was an area of improvement that should be implemented. There is a rolling )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (programme of training provided to staff for the core health and safety topics and to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (assist with this the home now has two members of staff trained to provide Moving and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Handling regularly to staff. There were a few gaps in the sampled employment records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (to support that they had attained the necessary training within the first months of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (induction as the information to detail this process were minimal. However, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (manager was able to provide information that they have reviewed the induction )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (programme and have recently commence using the Local Authority\(Oxfordshire\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Common Induction Standards Framework to ensure that every aspect should now be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (covered.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The professional training given to the registered nurses was sampled only with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (reference to the individual's recruitment records that were reviewed. This record )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (examined did not show that the member of staff had had their medication )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (administration skills assessed or that they had completed all the necessary core health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (and safety topics, such as first aid, food safety, control of infection or fire safety. They )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (had recently attended training and assessment for the management of Percutaneous )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Endoscopic Gastrostomy \(PEG\) nutrition.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (The home does not currently use a 'training needs analysis tool' to assess and plan )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (individuals training needs. This is done through the supervision, appraisal process and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (through monitoring of the training records. From looking at the three sampled )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (employment records the supervision process has not been implemented as effectively )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (as required, for one new member of staff employed in the last few months nothing has )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 56.36 w 34.6 783.22 m 562.54 783.22 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 34.99 w 33.47 771.41 m 563.66 771.41 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (been recorded to show that they have been mentored, observed or supervised closely )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (since they commenced employment.)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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 403.74 m 562.54 403.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 84.36 w 33.47 392.5 m 563.66 392.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 349.19 m 565.87 349.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (The weak practices in the provision of documented care plans shows that the service )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (is not always managed in the best interests of the people they support.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 333.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 241.3 w 34.6 202.67 m 562.54 202.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 314.32 m 564.79 314.32 l S 0.001 w 219.93 w 33.47 190.86 m 563.66 190.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 301.95 m 565.87 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 303.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 303.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.95 m 564.79 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 311.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 286.27 Tm (Comments in the returned surveys included;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm ("I take the responsibility for my mother's continual care and happiness very seriously. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (Abingdon Court share the same objective.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (As to what the service does well;)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm ("Liaise with relatives.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm ("Administration.")Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm ("Always willing to listen to suggestions.")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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ("Liaises with relatives as appropriate.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ("Very helpful administration staff who answer the phone and deals with everyday )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (queries.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ("There has been regular discussion meetings and a desire to make improvements, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (care supervision of staff, high standards of food and hygiene.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ("Holds relatives meeting to discuss matters of a mutual interest or concern.")Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Since the last inspection process there has been no change in the internal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (management structure of the home. The Registered Manager is a Registered Nurse )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (and experienced manager and from what information is given in the AQAA has )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (obtained an NVQ 4 and a Diploma in dementia care. The Registered Manager is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (supported by the Care Service Manager who has a part leadership and clinical role in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (As part of the inspection assessment of the service a number of key areas were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (reviewed as to identify if the service is run well and in the best interests of the people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (who use it. This process included looking at the overall management of the home, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (compliance to the regulations, and the consultation processes with the people who use )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (the service. Additional records for the management of any personal monies that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (residents hand over for safekeeping, supervision of staff and the practices for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (maintaining the health and safety of the people living, working and visiting the service )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (were also reviewed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (From looking at the records that the service is obliged to keep and use to inform the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (commission under the conditions of their registration it was apparent that they have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (improved in parts. The commission has been informed effectively when a serious )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (incident or injury has occurred that effect's the well being of the people they care for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (and the service provided information that they have acted to appropriately in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (response. This was an area of deficit identified at the last inspection process. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (However, it was also evident that the service has not, as it is required to, informed the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (commission under Regulation 37 notification, of the deaths of the residents it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (supports. The Registered Manager provided information in the submitted an AQAA on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (the 18th June 2009 that in the period of twelve months since the last self assessment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (there had been thirteen deaths in the home. The commission had not been provided )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (with this information as required by law. This deficit does not have an immediate )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (effect upon the people living in the home although the commission may consider )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 581.24 w 34.6 520.78 m 562.54 520.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 559.87 w 33.47 508.97 m 563.66 508.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 227.91 m 565.87 227.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (taking further action against the service if it continues not to meet its legal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (responsibilities.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The home has a number of processes for auditing the quality of the service that it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (provides. As previously identified at the last inspection they have some formal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (methods for seeking resident's opinion of the services provided using surveys with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (participation of individual's relatives or supporters. They have continued to develop on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (this and have regular 'coffee mornings' with residents to enable them to participate in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (commenting about the service and engaged a number of relatives in periodical )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (meetings to obtain information from them. Regular staff meetings also occur. Looking )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (at the most recent minutes of these meetings it could be seen that there was a wide )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (range of topics discussed and that actions are planned and carried out to improve the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (service. In addition the organisation carries out the provider visit, under Regulation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (26, to audit the service. However, reviewing the quality of some of the care planning )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (records in the home this is an area that they will need to assess more robustly as to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (improve as to ensure positive outcomes for the people in receipt of support.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (We were informed that the home does not hold any monies for safekeeping. Any costs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (or expenditures incurred, such as hairdressing, specific activities, chiropody are either )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (invoiced to the individual or their representative.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The AQAA states that formal supervision for staff has improved over the last twelve )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (months with six meetings per year planned for each staff member including )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (observation of clinical practice. As identified earlier in this report there were significant )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (gaps in the sampled employment records for some of the new staff to support that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (they have had sufficient mentoring and supervision. The Registered Manager stated )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (during the inspection process that sickness and annual leave in the recent months for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (some of the senior staff had effected the planned schedule.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (A sample of the systems for safe working practices, were assessed to see if they have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (the necessary practices and procedures in place. The records seen show that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (service has a programme for fire safety, electrical and appliance checks in place.)Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 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 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 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 28.99 592.84 m 568.3 592.84 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 90 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 91 0 obj[6 0 R/XYZ 0 318.87 0] endobj 92 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: 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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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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