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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 124.75 w 24.07 747.9 m 558.15 747.9 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 685.53 m 561.48 685.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 684.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 684.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 693.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 667.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 607.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 563.19 m 557.15 563.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 515.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 504.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 497.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 483.44 m 160.38 483.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 483.44 m 563.65 483.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 425.45 m 160.38 425.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 425.45 m 563.65 425.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.85 m 565.85 494.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 378.87 m 565.85 378.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.93 m 30.07 377.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.93 m 161.5 377.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.93 m 564.78 377.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 478.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 478.67 Tm (Ridgeway Nursing Home)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 455.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 455.84 Tm (Crich Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 438.26 Tm (Ridgeway)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 420.68 Tm (Belper)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 403.1 Tm (Derbyshire)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 385.52 Tm (DE56 2JH)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 366.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 349.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 330.08 m 358.95 330.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 330.08 m 565.9 330.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 341.5 m 568.1 341.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.67 m 568.1 318.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 342.57 m 30.07 317.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 342.57 m 360.07 317.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 342.57 m 567.02 317.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 325.31 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 325.31 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 325.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 325.31 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 306.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 287.36 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 270.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 270.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 270.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 253.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 253.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 253.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 236.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 218.88 m 315.25 218.88 l S 0.001 w 20.58 w 317.5 218.88 m 565.9 218.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 196.05 m 346.55 196.05 l S 0.001 w 20.58 w 348.8 196.05 m 377.9 196.05 l S 0.001 w 20.58 w 380.15 196.05 m 409.2 196.05 l S 0.001 w 20.58 w 411.45 196.05 m 440.55 196.05 l S 0.001 w 20.58 w 442.8 196.05 m 471.9 196.05 l S 0.001 w 20.58 w 474.15 196.05 m 503.2 196.05 l S 0.001 w 20.58 w 505.45 196.05 m 534.55 196.05 l S 0.001 w 20.58 w 536.8 196.05 m 565.9 196.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 207.46 m 568.1 207.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.29 m 568.1 230.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.46 m 568.1 207.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.63 m 568.1 184.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 231.37 m 30.07 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 231.37 m 316.37 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 208.54 m 347.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 208.54 m 379.02 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 208.54 m 410.32 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 208.54 m 441.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 208.54 m 473.02 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 208.54 m 504.32 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 208.54 m 535.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 231.37 m 567.02 183.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 214.11 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 214.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 191.28 Tm (Susan Richards)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 191.28 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 191.28 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 191.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 191.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 191.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 172.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 155.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 138.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 126.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 114.24 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Ridgeway Nursing 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 (Crich Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Ridgeway)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Belper)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Derbyshire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (DE56 2JH)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01773853500)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01773853957)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (paulabrowne1@hotmail.co.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 546.54 m 353.25 546.54 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 523.71 m 565.6 523.71 l S 0.001 w 20.58 w 31.2 478.05 m 353.25 478.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 478.05 m 565.9 478.05 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 455.22 m 353.25 455.22 l S 0.001 w 1 1 1 RG 20.58 w 355.5 455.22 m 565.9 455.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 567.8 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 567.8 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 534.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.64 m 568.1 466.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 567.8 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 567.8 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 466.64 m 568.1 466.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.81 m 568.1 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 442.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 490.54 m 354.37 442.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 442.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Sudera Care Associates Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Ms Paula Browne)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 473.28 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 473.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 450.45 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 450.45 Tm (37)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 431.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 412.02 m 565.6 412.02 l S 0.001 w 41.16 w 31.2 378.9 m 297.2 378.9 l S 0.001 w 20.58 w 299.45 389.19 m 565.6 389.19 l S 0.001 w 20.58 w 299.45 368.61 m 432.52 368.61 l S 0.001 w 20.58 w 432.52 368.61 m 565.6 368.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 400.6 m 567.8 400.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.43 m 567.8 423.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.6 m 567.8 400.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 357.19 m 567.8 357.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 424.51 m 30.07 356.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 401.68 m 298.32 356.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 424.51 m 566.72 356.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 407.25 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 384.42 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 384.42 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 363.84 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 363.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.4 m 297.3 342.4 l S 0.001 w 20.58 w 299.55 342.4 m 431.45 342.4 l S 0.001 w 20.58 w 433.7 342.4 m 565.6 342.4 l S 0.001 w 35.16 w 31.2 312.28 m 297.3 312.28 l S 0.001 w 35.16 w 299.55 312.28 m 431.45 312.28 l S 0.001 w 35.16 w 433.7 312.28 m 565.6 312.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 282.16 m 565.6 282.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 330.99 m 567.8 330.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.58 m 567.8 293.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.75 m 567.8 270.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.92 m 568.1 247.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.82 m 567.8 353.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 330.99 m 567.8 330.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.58 m 567.8 293.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 270.75 m 568.1 270.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.92 m 568.1 247.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 181.35 m 568.1 181.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 354.89 m 30.07 180.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 354.89 m 298.42 292.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 354.89 m 432.57 292.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 354.89 m 566.72 180.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 337.63 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 337.63 Tm (37)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 337.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 314.8 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.22 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 314.8 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 314.8 Tm (37)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 277.39 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 254.56 Tm (The maximum number of service users who can be accommodated is 37 )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 231.73 Tm (The registered person may provide the following categories of service only: Care Home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 217.15 Tm (with nursing - Code N to service users of the following gender: Either whose primary )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 202.57 Tm (care needs on admission to the home are within the following categories: Dementia - )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 187.99 Tm (Code DE Old age, not falling within any other category - Code OP)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 166.56 m 315.25 166.56 l S 0.001 w 1 1 1 RG 20.58 w 317.5 166.56 m 346.55 166.56 l S 0.001 w 20.58 w 348.8 166.56 m 377.9 166.56 l S 0.001 w 20.58 w 380.15 166.56 m 409.2 166.56 l S 0.001 w 20.58 w 411.45 166.56 m 440.55 166.56 l S 0.001 w 20.58 w 442.8 166.56 m 471.9 166.56 l S 0.001 w 20.58 w 474.15 166.56 m 503.2 166.56 l S 0.001 w 20.58 w 505.45 166.56 m 534.55 166.56 l S 0.001 w 20.58 w 536.8 166.56 m 565.9 166.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 177.97 m 568.1 177.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 155.14 m 568.1 155.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 179.05 m 30.07 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 179.05 m 316.37 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 179.05 m 347.67 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 179.05 m 379.02 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 179.05 m 410.32 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 179.05 m 441.67 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 179.05 m 473.02 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 179.05 m 504.32 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 179.05 m 535.67 154.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 179.05 m 567.02 154.07 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 161.79 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 143.27 m 565.9 143.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 133.64 m 568.1 133.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 134.72 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 134.72 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 152.89 m 568.1 152.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 133.64 m 568.1 133.64 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 30.07 153.97 m 30.07 132.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 153.97 m 567.02 132.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 139.71 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 139.71 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 120.46 Tm (Ridgeway Nursing Home provides nursing and personal care for up to 37 older persons )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 103.46 Tm (and with dementia. The original large detached brick house has been extended to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 86.46 Tm (provide purpose built accommodation standing within it own ground in a pleasant rural )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 69.46 Tm (setting. It is located close to a public transport route and within two miles of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 52.46 Tm (market town of Belper.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 587.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 587.08 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 28.99 588.15 m 568.1 588.15 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 (There are thirty-three single and two double/shared bedrooms \(with one of the shared )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (doubles being used as a single at the time of the inspection\). All bedrooms rooms have )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (wash hand basins, although no en suites are provided. There is a choice of bathroom )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (and toilet facilities and lounge and dining rooms and a range of equipment and )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (adaptations to assist those people who may have mobility problems, including a )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (passenger lift to the first floor and an emergency call system throughout.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (People are provided with care and support from a team of nursing, care and hotel )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (services staff and including a part time activities co-ordinator, led by the registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (Information about fees charged and what they cover can be obtained directly from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (home and the range of fees charged per week is also specified within the summary )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (section of this report.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 576.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 559.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 531/Matrix [1 0 0 1 0 0]>>stream xMo0>eGJ%NrCnRVgJX*";kי~&l#jWFC +e2!c2 Xft=|愒%4j2R)n!UպE+I<Z׃s{efBkvkjO/l|%Y4 P4siEj"aw&WHcb+K03wl3HƓ MPvPATATG)7^MlyYyFۧe]+ EʮV2#lH6t]첋=Ilgwt5KfjBk;jMֺf/+zqYiӹH6t9vkbqx󞾸#]4нs1axs:Mۻx?\psQlʹ/6= ٥:m\Xcg0[8|[p YO~ߜY]pBL;p/moN[j]3shWny~vYڄ endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The quality rating for this service is two stars. This means the people who use this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (service experience good quality outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (For the purposes of this inspection we have taken account of all the information we )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (hold about this service. This includes our annual quality assurance assessment )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (questionnaire \(AQAA\), which we ask the home to complete on an annual basis in order )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (to provide us with key information about the service. We also received some survey )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (returns from people who use the service, their relatives and staff employed there.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (We also received a number of comments from people who use/visit the service. Some )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (of these are referred to below.)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 542.46 w 32.32 541.3 m 566.72 541.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 268.94 m 568.92 268.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 267.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 267.87 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (The meals are good. Staff always come when I ring my call buzzer. They help me in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (the way that suits me. The manager is always approachable. Always on the ball and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (deals with any issues raised.)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 (We used case tracking as part of our methodology, where we looked more closely at )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (the care and services that three people receive. We did this by talking with them, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (observation of staff interactions with them, looking at their written care plans and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (associated health and personal care records and by looking at their private and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (communal accommodation.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (We were assisted by an Expert by Experience. We somtimes engage the services of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (such an Expert to provide us with an independent view of the home. Our Expert spent )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (time with people, looking at how their rights to independence, choice, respect and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (dignity are promoted within the context of their daily lives. And with particular focus )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (activities, meals and staff approaches towards people.)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 (We spoke with staff about the arrangements for their recruitment, induction, training, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (deployment and supervision and we examined related records. We also spoke with the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (manager, who has managed the home for a number of years, about the arrangements )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (for the management and administration of the home and we examined associated )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm (records.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 467.38 Tm (All of the above was undertaken with consideration to any diversity in need for people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 452.8 Tm (who live at the home. At the time of our visit all people accommodated are of British )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 438.22 Tm (white backgrounds and of Christian religion.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 423.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 409.06 Tm (As at the date of this inspection, the range of fees charged per week is:)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 394.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 379.9 Tm (345.52 to 364.31 pounds per week for personal care only. The actual fee charged here )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 365.32 Tm (is dependant on individuals assessed needs. 480 pounds per week standard rate for )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 350.74 Tm (nursing care. There are also additional charges where an individual is accommodated in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 336.16 Tm (a double room for their only use as a single room facility. Rates for these start at 550 )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 321.58 Tm (pounds per week, the full amount of which is dependant on individuals assessed needs.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 307 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 292.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 277.84 Tm ()Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 297.6 w 32.32 642.02 m 566.72 642.02 l S 0.001 w 20.58 w 32.7 480.68 m 569.35 480.68 l S 0.001 w 355.92 w 33.82 290.18 m 568.22 290.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 492.1 m 568.92 492.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 491.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.1 m 569.35 492.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 469.27 m 569.35 469.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 469.27 m 570.42 469.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 111.1 m 570.42 111.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 470.35 m 32.7 110.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 491.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 470.35 m 569.35 110.02 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (People are mostly well informed and supported during any enquiry process and their )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (admission to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (Peoples personal and health care needs are usually effectively accounted for.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (Peoples daily living arrangements usually accord with their chosen routines and known )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (lifestyle preferences. They are provided with a range of activities they can join and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (nutritious food that suits their needs and expectations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (People can be assured that any complaints or concerns they raise, will be taken )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (seriously and acted on by the home. And that they will be protected from harm and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (The home is clean and comfortable and odour free and reasonably well maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (People may be assured that their needs will be met from staff that is effectively )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (recruited, inducted, trained and deployed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (The home is well managed by a highly competent and dedicated manager who strives )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm (to promote peoples best interests at all times.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 640.47 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 478.57 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 475.91 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 479.13 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 288.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm (The Service Guide/Statement of Purpose for the home has been developed to better )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm (inform people about the home and the services it intends to provide, and is now )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (available in a large print format.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm (The requirements we made at our last key inspection of the service are complied with )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm (at this visit, relating to specified areas of record keeping and some environmental )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm (improvements.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (Work has commenced to develop an enclosed outdoor courtyard area to provide a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (sensory garden there and there are also some improvements to environmental )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm (security.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (Arrangements for staff training and support have continued to develop, including )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (access and undertakings of care staff towards the achievement of care relevant NVQ )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (training and with regard to clinical supervision arrangements.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (The results of the homes most recent satisfaction survey to residents and their )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (relatives are published in the Service User Guide, providing existing and potential )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm (service users and their families with the views of people who use the service or who )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (have an interest there.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm (The registered manager has achieved a recognised management award.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 117.74 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 570.47 288.63 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 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745.48 Tm (is fully detailed in the Service User Guide, so as to best inform people.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 730.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 716.32 Tm (Address issues arising from this inspection relating to an identified area of medicines )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 701.74 Tm (storage, policy guidance for verbal instructions for medicines administration and in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 687.16 Tm (providing a quality assessment system covering all aspects of medicines management )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 672.58 Tm (and handling.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 658 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 643.42 Tm (Ensure that any environmental risks identified are always best accounted for. Ensure )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 628.84 Tm (repairs to hot and cold water systems are completed and continue to upgrade and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 614.26 Tm (modernise the environment so as to promote best quality there.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 599.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 585.1 Tm (Develop the environment, by way of aids and adaptions, including decor, to maximise )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 570.52 Tm (the independence of and to meet the needs of service users with dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 555.94 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 541.36 Tm (Address areas of staff training that remain outstanding. Concerned with dealing with )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 526.78 Tm (challenging behaviours and the use of control and restraint and continue to develop )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 512.2 Tm (dementia care practise. So as to increase staff capacity and confidence in supporting )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 497.62 Tm (people with dementia. Thereby promoting their best interests.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 483.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 468.46 Tm (Ensure the full operation of the quality assurance and monitoring systems on a )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 453.88 Tm (continous cycle, including in respect of full systems audits and the monthly visits from )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 439.3 Tm (the registered provider. These should be demonstrable from records kept.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 424.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 403.51 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 383.52 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 383.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 383.52 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 366.02 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 346.03 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 326.03 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 326.03 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 326.03 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 308.53 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 308.53 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 308.53 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 291.04 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 368.74 m 563.65 368.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 97.48 w 32.32 357.5 m 564.78 357.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.63 m 566.98 307.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (People are overall suitably informed about the services home intends to provide and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (their needs are well accounted for. )Tj ET 0.99608 0.9451 0.76078 RG 213.54 w 33.45 174.99 m 563.65 174.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.76 m 565.9 272.76 l S 0.001 w 192.16 w 32.32 163.18 m 564.78 163.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 260.39 m 566.98 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 261.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 261.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.39 m 565.9 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 269.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.7 Tm (At our last key inspection we found that people were reasonably well informed and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (supported during their admission process and their needs met, although we made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (some quality recommendations about the provision of key service information in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (alternative formats that may better assist some people.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (In our annual quality assurance questionnaire completed by the home, they told us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (they continue to provide people with a service information pack, which is now available )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (in large print format and ensure their needs are suitably met prior to their admission.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (However, they also told us that they are seeking to introduce a revised more detailed )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 513.76 w 33.45 554.53 m 563.65 554.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 492.39 w 32.32 542.71 m 564.78 542.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 294.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 295.39 m 566.98 295.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (version of their service information. And they gave us some statistical information that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (we asked for about the people they accomodate at the home, which assisted us in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (planning of our inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (At this inspection, people told us they received most of the information they needed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (about the home to assist them or their relative in choosing to live there. And that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (usually receive the care and support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Our expert by experience saw that a range of service information was provided in one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (persons room they visited. Although the information provided was dated October )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (2006. Information was also included, about how to access the most recent inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (report and the noticeboard, which was visibly located, provided people with names and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (photographs of staff who work at the home and other photographs of service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (taking part in activities organised at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The manager provided us with a copy of the recently revised service guide, to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (introduced. This gave people with most of the key service information, although the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (range of fees charged per week was not specified and people were not informed as to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (the arrangements for payment of any free nursing care element of the fee that may be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (apply.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (We saw that people's recorded needs assessment information was comprehensive and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (person centred. A revised format was introduced to account for the home's recent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (change of registration category to include care and accommodation for people with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (dementia. This revised format is person centred and also includes focused )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (consideration as to people's individual capacities to make key decisions about their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (lives and to consent to their care and treatment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 411.49 m 563.65 411.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 79.98 w 32.32 400.24 m 564.78 400.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 358.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 358.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 359.13 m 566.98 359.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (Peoples personal and health care needs are usually effectively accounted for.)Tj ET 0.99608 0.9451 0.76078 RG 265.03 w 33.45 200.74 m 563.65 200.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 324.26 m 565.9 324.26 l S 0.001 w 243.66 w 32.32 188.93 m 564.78 188.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 311.89 m 566.98 311.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 312.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 312.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.89 m 565.9 311.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 320.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 296.2 Tm (At our last key inspection we found that peoples health needs were effectively )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (promoted and met from staff that treated them with dignity and respect. We made two )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (requirements relating to medicines administration record keeping and risks associated )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (with the use of bedrails. We found that these are complied with at this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (In our annual quality assurance questionnaire completed by the home they told us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (about some of the things they continue to do and improvements they have made to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (ensure peoples health care needs are met. The latter refers to developments in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (needs assessment and care planning formats to bring them in line with current )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (practise concerned with the care of older people, including those with dementia. And )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (some specified areas of staff training, delivered to assist them in effectively meeting )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (people's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm ()Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (They also told us about further improvements they aim to make over the coming )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (months, to be effected by way of staff training and they gave us some statistical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (information that we asked for.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (At this inspection people who use the service, or their relatives told us that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (usually receive the care and support they need, including medical support.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Our Expert by Experience spoke with some people, who gave positive feedback in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (respect of their personal and health care arrangements. These included for their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (access to outside health care professionals and for the purposes of routine health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (screening. One person said that their own chiropodist and hairdresser visited them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (regularly and that staff supported them well in their preferred daily hygiene routines.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Comments received told us that staff are caring, responsive and treat people with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (respect. Our Expert saw that staff responded in this manner with a resident who had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (fallen during our visit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Care plans that we looked at were, for the most part, person centred and formulated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (in accordance with peoples risk assessed needs and reflective of recognised guidance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (concerned with the care of older people and for the most part, including those with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (dementia. And they had regularly recorded reviews. We could also see developments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (in these that the provider told us about in our AQAA, including determining effective )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (nutrition for people.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The arrangements for the management and handling of peoples medicines were found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (to be overall satisfactory. Although the home's written policy and procedure confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (by staff, in respect of any verbal instruction from a GP for the administration of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (persons medicines, did not fully accord with recognised medicines practise standards. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (And we found that the supply of medicines by staff to one person who managed their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (own, also did not meet with recognised practise standards.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (We discussed these with the manager who agreed to take the necessary action to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (ensure that these were rectified.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (However, discussions with staff and the content of some care plans told us that benefit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (may be obtained from additional training for some staff. So as to further assist them in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (determining and/or delivering care interventions to people with dementia who may be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (resistive to care and/or have wandering behaviours. We have referred to this under )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (the Staffing section of this report.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ()Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 41.37 w 33.45 790.72 m 563.65 790.72 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 20 w 32.32 778.91 m 564.78 778.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 767.79 m 566.98 767.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 428 m 563.65 428 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 114.98 w 32.32 416.75 m 564.78 416.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.14 m 566.98 358.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Peoples daily living arrangements, usually accord with their chosen routines and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (lifestyle preferences. And they are provided with nutritious food, which suits their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (needs and expectations.)Tj ET 0.99608 0.9451 0.76078 RG 264.04 w 33.45 200.24 m 563.65 200.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.27 m 565.9 323.27 l S 0.001 w 242.67 w 32.32 188.43 m 564.78 188.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.89 m 566.98 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.89 m 565.9 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 319.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (At our last inspection of this service we found that people benefitted from the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (importance the home placed on promoting activities and community contacts and in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (ensuring they receive nutritious meals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (We made a recommendation that information be provided for people about how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (access advocacy services and found at this inspection that this is achieved.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (In our annual quality assurance questionnaire completed by the home they told us that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (their activities co-ordinator is suitably trained via a nationally recognised organisation )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (concerned in the promotion of suitable activities for older people. They also gave us a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (range of information about activities they provide for people, working with volunteers, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (their inclusion of famlies and friends and access to local community groups and for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (religious worship.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Improvements they identified over the last twelve months, include purchasing a pet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (rabbit and starting to develop an enclosed courtyard area for people to access. And )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (over the coming months they tell us they aim to provide a sensory garden in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (courtyard area and to purchase a large screen TV to enable easier viewing for people.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (At this inspection people told us there are usually activities they can join if they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (choose. We saw a certificate displayed, which told us that the home is a member of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (NAPA \(National Association for Provision of Activities\) which promote therapeutic )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (activities and training and networking opportunities for the activities organiser and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (concerned with older people.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Our Expert saw that there was a range of equipment provided to assist in activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (and she observed that people chose when to switch the TV on. Some people told her )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (about their preferred daily living routines and arrangements for meals and mealtimes, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (which they said are flexible and usually accord with their preference and choices. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (People also advised her that a hairdresser visits the home regularly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (We saw that there is an activities programme Monday to Friday, providing a range of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (activities that people can join. These include manicures, reminscence, sensory music, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (afternoon teas, skittles, board garmes, reading circle, talking books and a visiting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (library. Chair based exercises, letter reading, magazines and newspaper reading, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (singing, seasonal crafts and celebrations. There are regular visit to the home from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (representatives of local churches and with church services organised there.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (Entertainers regularly visit the home and one person comes in to read seasonal poetry )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (to residents, which som particularly said they enjoy. The local dancing school put on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (an annual show and there are regular visits to the local community using Community )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (Transport to local shops, places of interest and garden centres.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (There is also a monthly newsletter to residents and their relatives to keep people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (informed of current and forthcoming events.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Our Expert found the activities co-ordinator to be very enthusiastic about her job and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (that the home provided a good collection of materials and equipment to assist in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (promoting activities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (Many residents enjoy the fish tank, a small pet rabbit and two dogs regularly visit the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (home with their owners. One person told our Expert that she likes to walk in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (gardens with staff support and people told us they like to watch the natural wildlife )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (there, including the birds attracted by the bird feeders that are placed so that people )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 391.29 w 33.45 615.76 m 563.65 615.76 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 369.92 w 32.32 603.95 m 564.78 603.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 416.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 416.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 417.87 m 566.98 417.87 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (can view these from inside the home as well as outside.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (People who were able told us they usually enjoy the food at the home. One person told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (our expert that they choose to have their meals in their own room and with a glass of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (wine at lunchtime.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (Menus that we saw provided a nutritious and balanced diet with a full breakfast choice, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (main set meal at lunchtime and a lighter tea offering a hot and warm alternative. Mid )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (morning and mid afternoon snacks and drinks are also routinely offered, together with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (supper drinks and a snack box is left out for people to access when they choose. There )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (is also a large cold water dispenser with cups that people can use.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Although lunch is a set meal, we saw that the chef consults with people on a regular )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (basis in order to determine menus. And also on a daily basis, where an alternative the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (the main meal can be ascertained for anyone who does not wish to have this. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (observed at lunchtime two people sitting in one of the dining rooms, who had an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (alternative to the main meal offered. We also saw that people chose where to take )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (their meals and that people who needed, were appropriately assisted and supported by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (staff in accordance with their individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 479 m 563.65 479 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 114.98 w 32.32 467.75 m 564.78 467.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 408.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 408.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.14 m 566.98 409.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People may be assured that any complaints or concerns they raise will be taken )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (seriously and acted on by the home, and that they will be protected from harm and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm (abuse.)Tj ET 0.99608 0.9451 0.76078 RG 315.04 w 33.45 225.74 m 563.65 225.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.27 m 565.9 374.27 l S 0.001 w 293.67 w 32.32 213.93 m 564.78 213.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.89 m 566.98 361.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.89 m 565.9 361.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 370.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (At our last key inspection we judged that people could be confident to raise concerns )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (or complaints and that they were protected from abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (In our annual quality assurance questionnaire completed by the home, they told us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (they operate an open door policy to encourage good communication with people who )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (use the service or with people who have an interest there. And, that they promote a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (message of zero tolerance of abuse and ensure prompt responses and action to any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (complaints they receive.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (At this inspection, we saw that the complaints procedure is openly displayed and that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (information about how to complain is also provided within the home's service user )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (guide. People told our expert that they were confident in raising complaints with staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (and the manager. Comments made include,)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (I would tell the manager, who would definitely do something about it. She is always on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (the ball.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 391.29 w 33.45 615.76 m 563.65 615.76 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 369.92 w 32.32 603.95 m 564.78 603.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 416.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 416.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 417.87 m 566.98 417.87 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (The manager is always quick to respond, I have no concerns about my mothers safety.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Staff spoken with were conversant with their roles and responsibilities concerned with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (handling complaints, recognising abuse and procedures to follow in any such event of. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Examination of staff files and training records showed us that staff receive regular )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (training and updates in this area.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Information that we hold about the service and examination of the home's complaints )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (records tells us that there has been three complaints about the home since our last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (key inspection there. Two of these were investigated via joint agency safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (vulnerable adults procedures and one internally by the home manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Of the two investigated via joint agency procedures, one was partially upheld and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (other is awaiting an outcome. The complaint received by the home was upheld. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (could see from discussions with people and from the home's records that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (has taken the necessary action in respect of these to ensure people's health and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (welfare is protected.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Overall the home is clean, comfortable and odour free and reasonably well maintained. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (Although some environmental risks identified, are not best accounted for and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (environment does not maximise the independence of people with dementia.)Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (At our last key inspection we found the home to be clean and comfortable and for then )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (most part, reasonably well maintained, suiting peoples overall needs. However, that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (the state of some floor coverings and commodes undermined overall environmental )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (quality and potentially undermined the promotion of good infection control.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (We made some requirements relating to these, which we found to be met at this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (In our annual quality assurance questionnaire, the home told us that they provide a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (safe, comfortable, clean and homely environment, which is odour free. That people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (have a choice of communal space, with safe access to outdoor garden and courtyard )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (areas.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (They told us about some of the improvements they have made, to further assist in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (promoting peoples choice and satisfaction within their environment and their security )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (and safety. And said they could do better in terms of decor and furnishings )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (modernisation and by providing some en suite accommodation.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (However, improvements they have told us they aim to make, focus on the ongoing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (carpet renewal to bedrooms and in developing their sensory and herb garden in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (courtyard area.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (At this inspection we saw that a homely, clean and comfortable environment is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (provided for people, which overall was well maintained, safe and odour free. And that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (bedrooms were personalised and for the most part, suited people's needs. Although, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (people were not able to access one of the bathrooms due to the bath requiring repair. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (We were advised that arrangements were in hand to address this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (We saw where carpets had been replaced with new since our last inspection and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (manager advised of others that were to be replaced. However, we saw that some beds )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (and mattresses were old and worn and discussions with the manager told us that there )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (is no method for testing mattress viability or to link into a programme of renewal.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (We also saw a notice in one of the bathrooms on the ground floor stating that all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (showers and some baths have suitable control valves fitted to the hot water outlet for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the purposes of safely regulating the temperature of hot water emitted from these. But )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (that some bathing outlets do not. These notices also reminded staff as to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (procedure to follow when running a bath for any service user to assist in reducing risks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (of scalding. We advised the manager at our visit that all bathing hot water outlets )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (must have suitable control devices fitted to prevent risks to people from scalding.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Since our last inspection the manager had engaged the Infection Control nurse from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (the local primary care trust to undertake an audit of the premises and had fully )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (implemented the action plan arising from that audit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (The laundry room was kept locked and was clean and in the main suitably equipped, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (although there was no rollator iron provided to assist with larger items, such as sheets )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (and bedlinen. Suitable hand washing facilities and equipment is also provided for staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (and in communal bathrooms and toilets.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (Our Expert saw that pictures of items from the past were hung in corridor and lounge )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (areas for people to identify with. And that picture signs were provided on bathroom )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (and toilet doors to assist people in their orientiation.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (However, observations and discussions with people told us that a full assessment of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (the premises and facilities had not been undertaken, to determine the need for further )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 268.82 w 33.45 677 m 563.65 677 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 247.44 w 32.32 665.19 m 564.78 665.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.34 m 566.98 540.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (environmental adaptations that may be necessary to meet the needs of people with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (dementia and to best assist them in their orientation.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Our Expert also saw that when carers served tea during the afternoon, that there was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (no staff member in the large lounge for a well over ten minutes and that some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (residents were not able to open the door as they tried, which had a key pad type lock. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The manager advised the Inspector that people should not be left unsupervised here.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (The Inspector discussed the potential risks to people from the electric fire with free )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (standing fire guard in the large lounge. The manager advised that there was a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (recorded risk assessment in place in respect of this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (People may be assured that their needs will be met from staff that is effectively )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (recruited, inducted, trained and deployed. Although the completion of specified staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (training should further increase staffs capacity and confidence in supporting people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (with dementia. Thereby, further promoting peoples best interests.)Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (At our last key inspection here we found systems and arrangements for the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (recruitment, induction, training and deployment of staff in the home to be satisfactory. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (We made one recommendation that at least fifty percent of staff achieve at least NVQ )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (level 2 or above. We found at this inspection that this is almost achieved, with five out )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (of sixteen having achieved this and a further seven staff in process of undertaking )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (these.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (In our annual quality assurance questionnaire completed by the home, they told us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (they ensure a good staff retention rate, with staff from diverse backgrounds providing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (a wide skill mix. And that they promote a climate of respect and tolerance from staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (that is committed to their continual training and development so as to promote high )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (standards of care.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (They told us about improvements they have made since our last inspection, which )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (includes a variety of specified staff training, including in respect of dementia )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (awareness, safeguarding vulnerable adults and the Mental Capacity Act 2005. Along )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (with training in respect of specified medical conditions of service users and areas of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (clinical update and training for the registered nurses they employ.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (They also told us about improvements they aim to make concerned with manpower )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (planning arrangements and in ensuring ongoing staff training.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (At this inspection people told our expert by experience that there are always plenty of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (staff that always respond when needed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (One person said, staff are really caring and are quick to respond. When I press my call )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (buzzer staff always come to me.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Our expert observed staff to demonstrate a caring attitude to residents and to treat )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (them with respect.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Staff described satisfactory arrangements for their recruitment, induction, training and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (deployment. And associated records that we looked at reflected these.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Some staff said they had requested the manager to proivide further more indepth )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (training relating to dementia care and specifically in respect of dealing with challenging )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (behaviours and control and restraint.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (We asked the manager about the progress made in providing this training, given their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (agreement with us to do so within two months of our registration approval in June )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (2008 enabling them to accommodate people under the category of dementia, DE.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (The manager advised that some but not all staff had undertaken this and with further )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (planned. However she was not able to locate the training plan, which was said to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (with the regional manager and we did not see any certificates or evidence of that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (specific training provision. The manager agreed to provide us with a copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (training plan.)Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Overall, the home is well managed and run in peoples best interests, with their health, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (safety and welfare usually promoted and protected.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (At our last key inspection here we found the home to be well managed, with peoples )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (best interests, health, safety and welfare suitably promoted and protected.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (We made a recommendation. That the registered persons publish the results of any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (satisfaction surveys. We found at this inspection that this is achieved with a summary )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (of the results of the most recent survey detailed in the revised Service User Guide. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (These included that from surveys that were completed and returned, one hundred )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (percent of people felt the home meet their needs. One hundred percent were happy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (with the quality of food provided. Eighty percent said they receive the assistance they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (need. Ninety percent said they do not want to go on organised group outings and one )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (hundred percent said that their visitors are always made welcome. Results also detail )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (where areas for improvement are identified, together with action taken by the home to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (address these.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (In our annual quality assurance questionnaire the home completed, they told us they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (operate and open door appraoch to management. With an ethos of openness, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (transparency and accountability, where personal development is promoted and with no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (blame culture.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (They told us about some improvements they have made since our last inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (These include staff clinical supervision arrangements and practise and that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (manager has achieved the Registered Manager's Award, along with other areas of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (specified training and with a focus on dementia care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (They also told us that the home has qualified as a quality premium service with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Derbyshire County Council, their local funding authority for service user placements )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (there.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (However, we found that reports of monthly visits to the home that are required from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (the provider or their representative so as to form an opinion as to the quality of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (nursing care and services that people receive there, were not provided in the home for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the manager or for our inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Aims for further improvement focus on management networking systems.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (They gave us some statistical information that we asked for about the servicing and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (maintenance of systems and equipment at the home, arrangements for infection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (control promotion and service user admissions over the last twelve months. And we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (saw at this inspection from speaking with people at looking at associated records that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (these are mostly satisfactory.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (However, information that we received from some service users or their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (representatives, indicated that there may be problems with the hot water supply to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (sinks in some peoples rooms. Discussions with the manager and examination of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (recent servicing records and a quote for works required, showed this to be the case. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (Although there was no date specified for these works to be undertaken.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (At our visit we looked at the arrangements for quality assurance and monitoring in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (home. We found that reports of the required monthly visits to the home from the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (registered provider so as to ascertain an opinion of the quality of nursing care and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (conduct of the home were not provided. And with no service audits recorded since )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (November 2007, with the exception of that relating to infection control.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 496.26 w 33.45 563.27 m 563.65 563.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 474.89 w 32.32 551.46 m 564.78 551.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 311.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 311.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 312.89 m 566.98 312.89 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We looked at the arrangements for the management and handling of peoples personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (monies via case tracking and found these to be satisfactory, atlhough records of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (income and expenditure on individual service users balance sheets had only one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (signature, of the staff responsible. We recommended that for good practise, where )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (possible there should be two signatures, the second being either the service user or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (their representative or a witnessing staff member.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Staff described overall satisfactory arrangements for ensuring safe working practises )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (at the home, including the provision of necessary equipment and related records that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (we examined were reflective of these. And, with the exception of matters detailed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (under the Environment section of this report, regarding hot water emissions from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (some bathing outlets, we saw that the home was free from observable hazards to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (peoples safety.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (At this inspection all people spoke very highly of the registered manager and staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (described suitable arrangements for communication in the home and for their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (supervision and support. We saw a number of positive comments made in survey )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (returns and plaudits relating to the management of the home, including,)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (I have always found staff to be patient, good humoured and extremely caring. I would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (have not hesitation in recommending Ridgeway under Paula's management to anyone.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 255 w 31.2 422.13 m 91.05 422.13 l S 0.001 w 255 w 93.3 422.13 m 197.4 422.13 l S 0.001 w 255 w 199.65 422.13 m 289.45 422.13 l S 0.001 w 255 w 291.7 422.13 m 473.8 422.13 l S 0.001 w 255 w 476.05 422.13 m 566.1 422.13 l S 0.001 w 229.48 w 31.2 177.64 m 91.05 177.64 l S 0.001 w 229.48 w 93.3 177.64 m 197.4 177.64 l S 0.001 w 229.48 w 199.65 177.64 m 289.45 177.64 l S 0.001 w 229.48 w 291.7 177.64 m 473.8 177.64 l S 0.001 w 229.48 w 476.05 177.64 m 566.1 177.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.4 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 584.39 m 92.12 292.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 584.39 m 290.62 292.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 584.39 m 475.02 292.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.51 m 568.3 293.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 652.3 m 568.4 652.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.31 m 568.4 583.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.76 m 568.3 550.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 293.51 m 568.3 293.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.38 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 551.84 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 584.39 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 551.84 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 551.84 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.38 m 567.32 60.7 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 639.11 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 619.11 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 604.53 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 604.53 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.95 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (5A)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (The range of weekly fees )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (charged by the home must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (be specified within the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (service guide and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (information provided there )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (as to the arrangements for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (payment of any free nursing )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm (care element of the fee that )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 401.57 Tm (may apply.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 384.57 Tm (So as to fully inform people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 367.57 Tm (about fees charged and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 350.57 Tm (what they cover, to assist )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 333.57 Tm (them in choosing to live at )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 316.57 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 299.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (31/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 280.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 280.32 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 280.32 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 280.32 Tm (Service users medicines )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 263.32 Tm (must not be removed from )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 246.32 Tm (their original labelled )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 229.32 Tm (containers dispensed by the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 212.32 Tm (pharmacy supplier for the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 195.32 Tm (purposes of their storage. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 178.32 Tm (Whether this is for storage )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 161.32 Tm (by the home on behalf of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 144.32 Tm (any service user or to give )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 127.32 Tm (to any service user deemed )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 110.32 Tm (competent to manage and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 93.32 Tm (store their own medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 280.32 Tm (31/03/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 280.32 Tm ()Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 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So that the service effectively )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 495.7 Tm (measures its own success in achieving its aims and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 481.12 Tm (objectives.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 458.29 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 458.29 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 458.29 Tm (Records of income and expenditure kept in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 443.71 Tm (individual service users personal monies that are stored on )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 429.13 Tm (their behalf by the home should, where possible record two )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 414.55 Tm (signatures witnessing these. So as to underpin safe )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 399.97 Tm (practise.)Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 89 0 obj<> endobj 90 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 91 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 92 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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+Y#B#B endstream endobj 97 0 obj<> endobj 98 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 99 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 71 0 obj<> endobj 100 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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