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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 461.32 m 160.38 461.32 l S 0.001 w 1 1 1 RG 90.9 w 162.63 461.32 m 563.65 461.32 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 565.85 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how well a care home)Tj ET /F3 12 Tf BT 1 0 0 1 389.13 323.23 Tm (is meeting the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 306.23 Tm (people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 138.93 306.23 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 147.37 306.23 Tm (We give a quality rating following a full review of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 517.67 306.23 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 526.12 306.23 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 289.23 Tm (call this full review a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 272.23 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 0.001 w 20.58 w 317.5 254.75 m 565.9 254.75 l S 0.001 w 1 1 1 RG 20.58 w 317.5 231.92 m 346.55 231.92 l S 0.001 w 20.58 w 348.8 231.92 m 377.9 231.92 l S 0.001 w 20.58 w 380.15 231.92 m 409.2 231.92 l S 0.001 w 20.58 w 411.45 231.92 m 440.55 231.92 l S 0.001 w 20.58 w 442.8 231.92 m 471.9 231.92 l S 0.001 w 20.58 w 474.15 231.92 m 503.2 231.92 l S 0.001 w 20.58 w 505.45 231.92 m 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0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (30)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F3 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (30)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm ( Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (30)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 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 /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (The Limes)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Glebedale Road )Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Fenton)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Stoke-on-trent)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Staffordshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.3 Tm (ST4 3AP)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01782844855)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 566.03 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 499.76 m 564.77 499.76 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 20.58 w 31.2 500.88 m 565.9 500.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 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 568.1 489.47 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 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 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 /F3 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Limes Fenton Ltd)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Mrs )Tj ET /F3 12 Tf BT 1 0 0 1 59.76 496.11 Tm (Terrina Ann )Tj ET /F3 12 Tf BT 1 0 0 1 134.5 496.11 Tm (Willshaw)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 473.28 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 473.28 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 450.45 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 450.45 Tm (41)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 431.51 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 414.51 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 372.19 m 564.47 372.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 383.6 m 567.8 383.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 406.43 m 567.8 406.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 383.6 m 567.8 383.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 340.19 m 567.8 340.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 407.51 m 30.07 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 384.68 m 298.32 339.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 407.51 m 566.72 339.11 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 390.25 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 367.42 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 367.42 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 346.84 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 346.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 325.4 m 297.3 325.4 l S 0.001 w 20.58 w 299.55 325.4 m 431.45 325.4 l S 0.001 w 20.58 w 433.7 325.4 m 565.6 325.4 l S 0.001 w 35.16 w 31.2 295.28 m 297.3 295.28 l S 0.001 w 35.16 w 299.55 295.28 m 431.45 295.28 l S 0.001 w 35.16 w 433.7 295.28 m 565.6 295.28 l S 0.001 w 20.58 w 31.2 265.16 m 297.3 265.16 l S 0.001 w 20.58 w 299.55 265.16 m 431.45 265.16 l S 0.001 w 20.58 w 433.7 265.16 m 565.6 265.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 242.33 m 565.6 242.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 313.99 m 567.8 313.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 567.8 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.75 m 567.8 253.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.92 m 567.8 230.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 208.09 m 568.1 208.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.82 m 567.8 336.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 313.99 m 567.8 313.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 567.8 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.75 m 567.8 253.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.92 m 568.1 230.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 208.09 m 568.1 208.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.52 m 568.1 141.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 337.89 m 30.07 140.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 337.89 m 298.42 252.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 337.89 m 432.57 252.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 337.89 m 566.72 140.44 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 320.63 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 320.63 Tm (17)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 320.63 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 297.8 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 283.22 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 297.8 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 297.8 Tm (41)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 260.39 Tm (physical disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 260.39 Tm (10)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 260.39 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 237.56 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 214.73 Tm (The maximum number of service users who can be accommodated is: 41)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 191.9 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 177.32 Tm (Only \(Code PC\); To service users of the following gender: Either; Whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 162.74 Tm (needs on admission to the home are within the following categories: Dementia \(DE\) 17 )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 148.16 Tm (Old age, not falling within any other category \(OP\) 41 Physical disability \(PD\) 10)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 126.73 m 315.25 126.73 l S 0.001 w 1 1 1 RG 20.58 w 317.5 126.73 m 346.55 126.73 l S 0.001 w 20.58 w 348.8 126.73 m 377.9 126.73 l S 0.001 w 20.58 w 380.15 126.73 m 409.2 126.73 l S 0.001 w 20.58 w 411.45 126.73 m 440.55 126.73 l S 0.001 w 20.58 w 442.8 126.73 m 471.9 126.73 l S 0.001 w 20.58 w 474.15 126.73 m 503.2 126.73 l S 0.001 w 20.58 w 505.45 126.73 m 534.55 126.73 l S 0.001 w 20.58 w 536.8 126.73 m 565.9 126.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 138.14 m 568.1 138.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 115.31 m 568.1 115.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 139.22 m 30.07 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 139.22 m 316.37 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 139.22 m 347.67 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 139.22 m 379.02 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 139.22 m 410.32 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 139.22 m 441.67 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 139.22 m 473.02 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 139.22 m 504.32 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 139.22 m 535.67 114.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 139.22 m 567.02 114.24 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 121.96 Tm (Date of last inspection)Tj ET /F3 12 Tf BT 1 0 0 1 328.2 121.96 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 359.53 121.96 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 390.86 121.96 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 422.18 121.96 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 453.53 121.96 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 484.86 121.96 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 516.18 121.96 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 547.53 121.96 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 103.44 m 565.9 103.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 93.81 m 568.1 93.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 94.89 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 94.89 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 113.06 m 568.1 113.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 93.81 m 568.1 93.81 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 30.07 114.14 m 30.07 92.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 114.14 m 567.02 92.74 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 99.88 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 99.88 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 80.63 Tm (The Limes residential home is located in Fenton, Stoke-on-Trent, close to local facilities )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 63.63 Tm (and in walking distance of shops and the local library. The Home provides care and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 46.63 Tm (accommodation for up to 41 older people some of whom may have dementia or a )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (30)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 672.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 672.08 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 28.99 673.15 m 568.1 673.15 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 /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (physical disability.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (The home has both single en-suite and double bedrooms. The communal areas )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (included a very pleasant conservatory and a number of lounge/seating areas on both )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (the ground and first floors. The Home had a main dining room and other mixed sitting )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (and dining areas. The car park is situated to the rear of the property and has adequate )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm (parking space for staff and visitors. There is a small area of garden to the rear of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (property.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 532/Matrix [1 0 0 1 0 0]>>stream xMo1+|K?R Y@T~>hRiRމ=~^gb.a$II=9|#}o.Fr.T,?ϒPfr6ØkJNz`ȣHtٺ$ ?[׃Kyթd+ՄVVԞ^J4?XڻpDo2LrYSWbo`@"TfLLHk0#CנHSQt5B#i{ccГ8({[skJPW(/?L]v,N*3ctΎ G2MuF\ًJC/nQ7+/r:݆.ǯA}7 owwW?|9_O$: 8).)& J~Gw4g k,૳vKκ-!4}34㼰G_# rYi |Kk=g6ڛs v*L՟yrLꄏ endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 411.34 749.45 Tm (two star good service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The last key inspection of this service was on 7th April 2009. The quality rating )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (awarded was 1 Star - Adequate)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (This Key inspection was carried out by one inspector on one day from 08:30 - 18:30. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (The inspection assessed compliance with the National Minimum Standards for Older )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (People. The inspection was unannounced so neither the home nor the provider knew )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (we were coming. The Registered Manager was present throughout the inspection and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (we were joined later by the Regional Manager and the two Directors. We were able to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm (feedback to them all at the conclusion of the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (The inspection included a review of information given in the Annual Quality Assurance )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (Assessment \(AQAA\), this is a legally required document and provides information )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (about current service provision in the home. It also provides us with some statistical )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (information.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 192.54 w 32.32 716.26 m 566.72 716.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 618.86 m 568.92 618.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 617.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 617.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 788.14 Tm (During the inspection we followed the experiences of some people living in the home. )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 773.56 Tm (We looked at their care records, where possible had conversations with them and their )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 758.98 Tm (families and we observed how they interacted with staff and how their needs were )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 744.4 Tm (being met.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 729.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 715.24 Tm (We spoke with 10 people using the service and 3 people \(relatives\) visiting them. We )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 700.66 Tm (spoke with staff on duty throughout the day, they all expressed a positive commitment )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 686.08 Tm (to people using the service. We had access to all records in the home including: care )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 671.5 Tm (plans, risk assessments, staff rotas, staff files, medication records, complaints records )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 656.92 Tm (and other documents relating to the inspection process.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 642.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 627.76 Tm (We inspected the communal areas of the home and a small sample of bedrooms. )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 355.92 w 32.32 595.86 m 566.72 595.86 l S 0.001 w 20.58 w 32.7 405.36 m 569.35 405.36 l S 0.001 w 268.44 w 33.82 258.6 m 568.22 258.6 l S 0.001 w 20.58 w 33.45 111.84 m 570.1 111.84 l S 0.001 w 35.28 w 34.57 81.67 m 568.97 81.67 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 416.78 m 568.92 416.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 415.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 416.78 m 569.35 416.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 393.95 m 569.35 393.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 393.95 m 570.42 393.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 123.26 m 570.42 123.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 100.43 m 570.1 100.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 123.26 m 570.1 123.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 100.43 m 571.17 100.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 395.03 m 32.7 122.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 101.51 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 415.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 395.03 m 569.35 122.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 101.51 m 570.1 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (There are good pre-admission assessments ensuring peoples needs are fully known )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (and can be met. People visit the home wherever possible prior to admission so that )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (they can make a judgment about the suitability of the home for them. This also allows )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (a more detailed assessment of the persons needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 685.86 Tm (There is a relaxed atmosphere. Visitors say they are welcomed and feel comfortable in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.28 Tm (the home. Many visitors were seen arriving during the inspection, several are daily and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm (some very regular visitors.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (The home is maintained to a high standard, with a programme of redecoration, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm (refurbishment and improvement.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm (There are a number of lounges and recessed areas where people can sit together in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (small groups or alone if they wish. There is a recessed area on the first floor that is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm (quiet and comfortable where people can sit or receive visitors in private if they do not )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (wish to use their bedrooms.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.48 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 510.9 Tm (Bedrooms seen were well decorated and furnished and personalised to reflect )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.32 Tm (individuality.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.16 Tm (There appears to be an open, ongoing dialogue with the owners of the home. They visit )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.58 Tm (regularly, hold regular meetings with the homes Managers and Regional Manager and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438 Tm (have a formal agenda and recorded minutes. The impressions is of good transparent )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 423.42 Tm (and easily accessible management. )Tj ET /F3 10 Tf BT 1 0 0 1 568.97 594.31 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 403.25 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 400.59 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 403.81 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 257.05 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 377.76 Tm (Changes made to reorganise the communal lounge and dining areas have improved the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 363.18 Tm (inclusion of people in the daily running of the home and provided greater stimulation. )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 348.6 Tm (Staff are able to monitor people more closely.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 334.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 319.44 Tm (There has been a new approach to providing activities with the appointment of a new )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 304.86 Tm (Activity Coordinator. A better assessment of peoples social, emotional and recreational )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 290.28 Tm (needs has provided the basis for a wider range of activities to meet those needs. As )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 275.7 Tm (well as small group activities, more individual 1:1 input is now provided for people )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 261.12 Tm (unable or unwilling to engage in a group. This change is new but the signs are very )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 246.54 Tm (positive. Management, staff and providers are keen to promote and support the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 231.96 Tm (changes.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 217.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 202.8 Tm (Some improvements have been made in the recording of medication administration, )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 188.22 Tm (although other shortfalls have been identified as a result of this inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 173.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 159.06 Tm (The Medication systems is now audited on a regular basis by the Manager, ensuring )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 144.48 Tm (that standards, accuracy and safety are maintained.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 129.9 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 570.47 257.05 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 110.29 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 107.07 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 80.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 84.24 Tm (Footplates must always be used on wheelchairs when transporting people in the home. )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 69.66 Tm (This will ensure their safety.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 352.92 w 34.57 636.07 m 568.97 636.07 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 458.48 m 571.17 458.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 457.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 457.41 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.17 802.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 788.14 Tm (The medication trolley must be removed from the storage area adjacent to the toilet )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 773.56 Tm (area. This will reduce the risk of potential cross-infection.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.98 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.4 Tm (The care planning format is being replaced and will include more detailed plans on a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.82 Tm (person centered basis relating to health and personal care needs. This will give staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.24 Tm (the necessary information to meet peoples assessed needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 686.08 Tm (People in the home, their relatives or representatives where appropriate, should be )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.5 Tm (involved in compiling care plans and be part of the review and changes to update )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.92 Tm (them. The home need to improve the lines of communication with relatives involving )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.34 Tm (them and informing them of progress being made. Participation and involvement is )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.76 Tm (part of the care process. This will also allow them the opportunity to raise any concerns )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 613.18 Tm (they may have.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 584.02 Tm (Medication required to be stored as controlled drugs, must be secured in the controlled )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.44 Tm (drugs cabinet.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.86 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.28 Tm (There must be clear instructions for staff applying prescribed creams. They must have )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.7 Tm (clear instructions about the creams to be administered, when, where and how often )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 511.12 Tm (they should be applied. Staff should sign to confirm creams have been administered. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.54 Tm (This does not have to be on the MAR sheets but can be a record kept in bedrooms )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.96 Tm (where creams are stored if that is more convenient.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 443.92 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 423.93 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 423.93 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 423.93 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 406.43 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 386.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 366.44 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 366.44 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 346.44 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 346.44 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 326.45 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 386.74 m 562.54 386.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 84.36 w 33.47 375.5 m 563.66 375.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.19 m 565.87 332.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (Adequate information about the home, together with good pre-admission visits and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (assessments ensure successful placements. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 316.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.3 w 34.6 194.17 m 562.54 194.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 297.32 m 564.79 297.32 l S 0.001 w 202.93 w 33.47 182.36 m 563.66 182.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.95 m 565.87 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 286.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 286.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.95 m 564.79 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 294.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 269.27 Tm (Information about the home is readily available in the reception area, in the form of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.77 Tm (the Statement of Purpose and Service Users guide. These have been updated since )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 234.27 Tm (the last inspection and reviewed against the homes commitment to diversity, valuing )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (people and ensuring equality of opportunity. The information is comprehensive )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm (allowing people to make a judgment about the suitability of the service for them.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (An assessment is carried out by senior staff when admissions are being considered. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm (People are either seen in their current environment or spend some time in the home )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm (on a day visit, allowing a more pertinent assessment of the service by the person and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (also by staff at the home. The pre-admission documentation has been further )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (enhanced to give more in depth information. This includes a more lifestyle-based )Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 388.79 w 34.6 617.01 m 562.54 617.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 367.42 w 33.47 605.2 m 563.66 605.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 419.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 419.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 420.37 m 565.87 420.37 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (social history.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (A multi-agency assessment is carried out, usually for people funded by the local )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (authority. This is obtained prior to admission and together with the homes own )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (assessment provides the basis for the initial care plan.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (People funded by the local authority have a written contract provided by them. Those )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (funding their own care have a contract provided by the home. These were not seen on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (this inspection, however all people have a short "Terms & Conditions" document )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (summarising the rights of both parties.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (There is a 6 week "settling in period" after which a meeting is arranged to include the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (person using the service, relatives, social worker and home staff. Permanent )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (residence, if agreed is usually confirmed at that meeting.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (During the settling in period we feel that improved communication with family and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (others is necessary to ensure any initial concerns or problems are identified, discussed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (and resolved. An example of this is given in the next outcome area of this report.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 420.74 m 562.54 420.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 84.36 w 33.47 409.5 m 563.66 409.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 365.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 365.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 366.19 m 565.87 366.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (Improvements made to care planning information and medication practices will ensure )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (peoples health and personal care needs are met. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 350.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 258.3 w 34.6 211.17 m 562.54 211.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 331.32 m 564.79 331.32 l S 0.001 w 236.93 w 33.47 199.36 m 563.66 199.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 318.95 m 565.87 318.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 320.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 320.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.95 m 564.79 318.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 328.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 303.27 Tm (Care plans are based upon assessed needs. Improvements to care planning )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 285.77 Tm (information were previously needed. It was identified at the last inspection that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.27 Tm (improvements had been made although there were still some identified shortfalls.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 250.78 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (On this visit we looked at 4 care plans for people recently admitted and some resident )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (for some time. We found some shortfalls in the information about personal care needs )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (highlighted in questions raised when we spoke to visitors. They included questions )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (about retiring times, oral care and aspects of personal care including a lack of regular )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (shaving. Unfortunately the care planning information did not identify and provide )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (answers to the questons. This was due in part to the care planning format that did not )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (identify these aspects of care. The system is not person centred.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (The home is presently in the process of replacing the care planning format. This is )Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (being piloted in another home in the group and should address many of these issues )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (identified.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Some aspects of care planning information were good. We saw pertinent information )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (about medical diagnoses and aspects of health care including nutritional assessments )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (and needs, waterlow assessments to identify risk of pressure damage. We looked at )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (the care and records of a person who has been on and End of Life Pathway and found )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (that good care with support from the nursing service had resulted in an unexpected )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (recovery. A specialist bed had been provided, the person also turned in bed 2 hourly )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (throughout the 24 hour period and a food and fluid intake chart, all well documented )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (and charting the progress being made. Pressure areas had healed and clearly good )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (care had been the basis of improvements in the persons condition. The wish of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (person and her family to remain at The Limes were being supported.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (Some information in the care plans seen needed updating/change. A person previously )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (insulin dependent but refused this for sometime was still referred to as insulin )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (dependent throughout the information seen. This person refused blood sugar level and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (other tests, although this had been recorded and a plan to monitor the change was in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (place. The relative of this person who visits daily, was spoken with during the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (inspection and expressed satisfaction with the care of her mother at The Limes over )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the past 2 years.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (We saw Mental Capacity Act assessments in place for all. It was interesting to see in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (relation to a recently admitted person that the multi-agency assessment had stated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (the person did not have capacity. The homes own assessment, with the benefit of 24 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (hour care, indicated that the person had capacity to make decisions. Unfortunately the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (multi agency assessment about capacity had been copied into the care plan giving )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (both views.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (We saw that people were weighed regularly and several weighed weekly where there )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (were concerns about weight loss. We saw minimal weight loss recorded in the care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (plan of the person with diabetes mentioned above, but there had been a referral to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (the dietician because of changes in eating habits.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (Risk assessments were in place for moving and handling and falls and other daily )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (risks.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Care plans and risk assessments were generally reviewed on a monthly basis within )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 651.23 w 34.6 485.79 m 562.54 485.79 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 629.86 w 33.47 473.98 m 563.66 473.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 157.93 m 565.87 157.93 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Overall, we found that some further improvements in the quality of care plans had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (been made. Further improvements are somewhat restricted by the care planning )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (format that is due to change to a more person-centred individual plan.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Daily notes recording the support given and wellbeing of the person were adequate. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Some recording by night care workers was minimal, comments included "slept well" )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (and "no problems" this could be improved.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (A visiting relative said she had informed staff 2 days prior to the inspection that her )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (recently admitted relative was constipated - a pre-existing condition. The relative had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (requested medication to resolve this problem. When visiting during the inspection the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (relative was told that this had not been given but would be given upon his return from )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (the outing with his family. There was no record in the daily notes 2 days previously of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (the request/concern or evidence of any follow-up. We identified that the person does )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (have a prescribed laxative to be given as required, but unfortunately the MAR )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (\(Medication Administration Record\) sheet did not clearly record this being given in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (instance outlined.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (We looked at the medication system in place. We found that there were no gaps on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (MAR sheets - identified in the last report. There was an audit trail in records to check )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (medication in stock at any point in the medication cycle with a reducing count of all )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (medication administered. We were told that all prescribed creams are kept in peoples )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (bedrooms for ease of use, the MAR charts not signed. Records can be kept in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (bedrooms also but need to be prescriptive about which cream is administered, when, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (where and how often. Some people have several prescribed creams and their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (individual use must be detailed. We did see that eye drops opened had not been dated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (when opened \(limited life of 1 month from opening\). This applied to only 1 item and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (we were told that all eye drops are disposed of at the end of the monthly medication )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (cycle. All medication returned to the pharmacy is listed and countersigned by the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (pharmacy. We noted that night sedation classed as a controlled drug for storage )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (purposes was not stored in the controlled drugs cabinet. This should be done.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (The home have 3 medication trolleys one was stored in a cupboard only accessed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (through a toilet area. This must be re-sited to reduce potential contamination/infection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (from this high risk area.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People have opportunities to make choices about their life. A new approach to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (activities is improving quality of life for people. Improving communication with )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (relatives will also bring improved quality of life.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (At the time of the last inspection we had some concerns about the range of activities )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (available for people, particularly those with dementia care needs.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm (Since that inspection there has been some re-arrangement of the lounge/dining areas. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm (This means that people are now more involved in the daily events in the home. Some )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (previously sat in the more remote communal areas and lacked ongoing stimulation )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (and supervision. During this inspection we found quite a vibrant atmosphere with )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (many visitors arriving throughout the day. They engaged with many people, other )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm (than those they specifically had visited. The 3 lounge areas, conservatory and main )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm (dining area are located fairly centrally on the ground floor with small break-out areas )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (where people can sit and have meals. Several are inter-linked and mobility within the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (groups is easy.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (Since the last inspection a new Activity Coordinator has been appointed. She has been )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (in post for 4 months working 15 hours per week. She has established activity records )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (for each person based upon social history and records of interests, hobbies and skills. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Records show each persons involvement in activities in the home. The range of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (activities is tailored to the needs of the individual. She has moved from group )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (activities to small group and individual activities - an example being her input into a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (person being cared for in bed by means of 1:1 discussion and engagement and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (stimulation both verbally and visually. We saw a small group of people involved in a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (quiz others involved in reminiscence based interactions. This is a very positive move, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the Activities Coordinator is highly motivated and very keen to extend the range of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (activities both internally and externally. Activities are now geared particularly towards )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (people with dementia care needs. Additional hours are needed and the providers who )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (are pleased with the results are considering additional hours for this purpose.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (We spoke with 3 visiting relatives on the day of the inspection. They all said that they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (were made to feel welcome and felt comfortable and free to move around in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (home. Some positive comments were made about the service, but some matters were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (raised that need to be pursued by the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The relatives of a person admitted 6 weeks prior to the inspection raised some )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (concerns about a range of issues involving: dental and chiropody appointments, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (missing clothing and hearing aid, lack of shaving and inaction about constipation. They )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (said that they had not been involved in establishing and reviewing the ongoing care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (plan.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (We discussed these issues with the home and it was agreed that people using the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (service and their relatives should be involved in establishing and reviewing care plans. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (It was also clear that there had not been ongoing consultation and involvement during )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (the settling in period for this person. Clearly established lines of communication and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (explanation would have resolved many of the issues raised and changes could have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (been made to improve the service for this person. He has pride in his appearance and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (actions to ensure he maintains his preferred standards are vital to his ongoing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (wellbeing and self worth. This was discussed at feedback at the end of the inspection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (and the home will take steps to ensure involvement of relatives in care planning and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (establish regular opportunities for discussions with families, particularly in the initial )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (settling-in period.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (We spoke with many people about the food provided at The Limes. They were all )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (highly satisfied with the quality, quantity and choice of food. The mid day meal is 3 )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (courses and there is a choice of main dish. We saw drinks and snacks readily served in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (the lounge areas throughout the day. We saw finger food available at lunch and at )Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 38.87 w 34.6 791.97 m 562.54 791.97 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 17.5 w 33.47 780.16 m 563.66 780.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 770.29 m 565.87 770.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (other times for people unable to eat conventional meals, or for those on the move.)Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People can be sure they are listened to and their complaints taken seriously and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (investigated. Safeguarding procedures and training have highlighted for staff the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 442.76 Tm (importance of early referrals for investigation. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 325.8 w 34.6 244.93 m 562.54 244.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 304.43 w 33.47 233.12 m 563.66 233.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (The complaints procedure is displayed in the home for people using the service and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (visitors. There is also a copy with the Service Users Guide, also available in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (reception area.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (We saw that the home have received 4 complaints since the last inspection. All were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (dealt with swiftly and investigated immediately. Two were upheld, but all were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm (responded to in writing within the required 28 days. Where complaints were founded )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (the home quickly apologised to people in writing and outlined the actions they were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (taking to avoid repetition in the future.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (No complaints about the home have been received by us since the last inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm (Two safeguarding referrals have been made since the last inspection. One related to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (marks found on a person returning home after respite care. This was investigated )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm (under Safeguarding procedures and it was not ultimately possible to establish the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.33 Tm (actual cause or circumstances surrounding the allegation.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 90.83 Tm ()Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 161.34 w 34.6 730.73 m 562.54 730.73 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 139.97 w 33.47 718.92 m 563.66 718.92 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 646.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 647.82 m 565.87 647.82 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The other referral to safeguarding resulted in injury to a person following a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (disagreement between 2 people using the service. This referral was made 2 weeks )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (following the incident and should have been made at the time. The home acknowledge )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (this and have taken steps to ensure all staff have current information about the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (procedures to be followed in future if this occurs \(the incident happened at weekend\). )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (All staff have been provided with training relating to the Protection of Vulnerable )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Adults.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 488.74 m 562.54 488.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 84.36 w 33.47 477.5 m 563.66 477.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 434.19 m 565.87 434.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The home is spacious, clean and pleasant providing a homely place for people to live. )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (There is good ongoing maintenance of the building. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 326.3 w 34.6 245.17 m 562.54 245.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 399.32 m 564.79 399.32 l S 0.001 w 304.93 w 33.47 233.36 m 563.66 233.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.95 m 565.87 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 388.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 388.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.95 m 564.79 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 396.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 371.27 Tm (The home is clean and well decorated, presenting a homely, comfortable place. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (Visitors commented upon the "homely feel" to the home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (Since the last inspection there has been ongoing maintenance and redecoration )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (including new soft furnishings and carpets in some communal and bedroom areas. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (Additional air freshing units have been installed and liquid soap and paper towel )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (dispensers installed in all the en-suite rooms.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (As a result of recommendations at the last inspection the main dining area has been )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (relocated and other areas made into small lounge/dining areas. The AQAA states: "this )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (has had a positive reaction from our residents and ensure all residents integrate well )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (and become more involved in the day to day activities". New signage has been )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (provided for all toilet and bathroom areas to assist people with cognitive impairments.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (There is a patio area to the rear of the property and a pleasant separate lawned area. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (Unfortunately this area is not secure, meaning that people would have to be escorted )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (by staff at all times, although the area would provide a place for people to sit and )Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 283.81 w 34.6 669.5 m 562.54 669.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 262.44 w 33.47 657.69 m 563.66 657.69 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 525.34 m 565.87 525.34 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (move at will if it were secure.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (We looked at the main communal areas and a small sample of bedrooms. Bedrooms )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (were adequately furnished and reflected the individuality of the people with many )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (items personalising those seen.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (We did notice that some chairs in the lounge areas looked "tired" and need replacing. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (This would improve presentation and comfort. We brought this to the attention of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (providers during feedback following the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (There are wide corridors allowing good mobility and wheelchair use. Aids and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (adaptations in toilet and bathroom areas promote independence for people using the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (service.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Staffing levels must be continually appraised to ensure peoples needs continue to be )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (met. More robust recruitment procedures will provide total protection for people using )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (the service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.26 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (There are 5 care staff on duty during the day and 3 care staff on duty at night for 38 )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (people living in the home. This is the minimum staffing level required to operate the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (home and meet to needs of people living there. Dependency levels obviously change )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (and we were told that some people were currently being re-assessed to determine if )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (they needed higher levels of care, such as may be provided in nursing care. It is a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (matter for the home to state whether the needs of those people can be met in this )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (setting. There was an example of a person being cared for in bed with quite high )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (dependency needs with input from the nursing service. The home were continuing to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (meet this persons needs, although the views of the District Nursing Service may be )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (different. The family certainly wish the person to remain in the home. The difficulty )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (with minimum staffing levels is that if dependency levels change swiftly, options may )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (be between reassessments or an increase in staffing levels. We discussed this with the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (Manager and Providers in feedback at the end of the inspection. They are aware of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (these issues and the fact that difficult decisions have to be made.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm ()Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 511.26 w 34.6 555.78 m 562.54 555.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 489.89 w 33.47 543.96 m 563.66 543.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 297.89 m 565.87 297.89 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (Our observations throughout the inspection day were that staff were certainly very )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (busy. There are several wheelchair users, some people require 2 staff for personal )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (care or to hoist, but few need individual assistance with eating. Staff were certainly )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (meeting the needs of people we observed and reviewed in care plans. The )Tj ET /F3 12 Tf BT 1 0 0 1 488.23 726.61 Tm (re-)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (organisation)Tj ET /F3 12 Tf BT 1 0 0 1 108.66 709.11 Tm ( of the environment since the last inspection has ensured people are more )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (involved and therefore more readily observed and supervised in the lounge areas. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Staff felt previously they had little time to sit and engage with people. The change in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (approach to activities may have gone some way to easing that situation.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (The training programme for staff in the home has improved considerably over the past )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (2 years. The current staff training matrix evidenced that staff training has continued. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Current shortfalls in training have been addressed with planned training in Infection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Control, Dementia/challenging behaviours, Fire Safety and Food Hygiene - 12 staff are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (allocated to receive this training in the next 2 months. NVQ training for staff is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (ongoing and more than half the staff group have obtained at lease NVQ Level 2, the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (remainder being involved in ongoing NVQ courses. There has been training in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Mental Capacity Act and Deprivation of Liberty Safeguards since the last inspection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (and we saw good assessments completed for all people in assessing their capacity.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (We looked at a sample of staff files and found that all had either POVA \(Protection of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (Vulnerable Adults\) checks or CRB \(Criminal Records Bureau\) prior to commencing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (employment. We did advise where a criminal conviction is present that discussions )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (with the person and the reasons for continued employment were recorded.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (One application form did not have a complete list of previous employment - important )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (in checking any gaps in employment. Another record had two references from )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (relatives who had previously employed her - it is important in these situations to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (obtain an independent character reference. )Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 403.74 m 562.54 403.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 84.36 w 33.47 392.5 m 563.66 392.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 349.19 m 565.87 349.19 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (Ongoing improvements are being made. This will ensure people have the support to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (meet their needs and will keep them safe.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 333.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 241.3 w 34.6 202.67 m 562.54 202.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 314.32 m 564.79 314.32 l S 0.001 w 219.93 w 33.47 190.86 m 563.66 190.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 301.95 m 565.87 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 303.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 303.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.95 m 564.79 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 311.01 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 286.27 Tm (The Manager is a Registered Nurse and has considerable experience in providing a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 268.77 Tm (service for older people, having worked in the NHS and Private Care. She attends )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.27 Tm (regular training to update her knowledge.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.78 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (The Annual Quality Assurance Assessment, required by law, was returned to us by the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (required date and gave a satisfactorily detailed account of the level of service being )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (provided.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (Improvements have been made in activities and the stimulation of people living in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (home. This is ongoing and we will look for continued progress in this area.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (Staffing levels were satisfactory at the time of this inspection to meet the current )Tj ET endstream endobj 63 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (dependency needs of people. This does need to be monitored closely as dependency )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (levels change.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The current care planning system is not person centered and the planned changes are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (needed to provide a more detailed and person centered plan for each person, with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (clear instructions for staff to meet health, personal and social care needs.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The importance of good channels of communication with relatives and their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (involvement in care planning are highlighted in this report. Improvements are needed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (in this area.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (There is a very relaxed atmosphere in the home. We noted good engagement and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (relationships between people living in the home and staff. We saw sensitive handling )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (by care staff of peoples personal needs and their responses to repetitive behaviours )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (people presented.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (We saw a person with painful cellulitis of both legs being transported in a wheelchair )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (without footrests. This is a dangerous practice and must cease.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (There is a quality assurance system in place that includes the survey of people who )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (live at the home, relatives and other stakeholders. The providers monitor performance )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (against key standards. Staff meetings and meeting for people using the service take )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (place regularly and are recorded.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (We saw Regulation 26 visits by Providers or their representatives, although several )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (were missing from the file. We understand they are emailed following the visits and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (should be available. The ones we saw highlighted areas for change/improvement.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (The Regional Manager visits regularly and provides management support to the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Registered Manager.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (There are regular Monthly Management Meetings with an agenda and circulated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (minutes. The Manager and Deputy attend and also the Regional Manager and the two )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Directors.)Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F3 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 /F3 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 /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 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 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 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 28.99 665.72 m 568.3 665.72 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 /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 341.79 w 32.32 455.2 m 564.97 455.2 l S 0.001 w 1 1 1 RG 119 w 31.2 466.18 m 91.05 466.18 l S 0.001 w 119 w 93.3 466.18 m 197.4 466.18 l S 0.001 w 119 w 199.65 466.18 m 289.45 466.18 l S 0.001 w 119 w 291.7 466.18 m 473.8 466.18 l S 0.001 w 119 w 476.05 466.18 m 566.1 466.18 l S 0.001 w 119 w 31.2 344.93 m 91.05 344.93 l S 0.001 w 119 w 93.3 344.93 m 197.4 344.93 l S 0.001 w 119 w 199.65 344.93 m 289.45 344.93 l S 0.001 w 119 w 291.7 344.93 m 473.8 344.93 l S 0.001 w 119 w 476.05 344.93 m 566.1 344.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 405.55 m 568.3 405.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 527.88 m 30.07 283.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 283.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.3 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 527.88 m 92.17 283.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 283.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 283.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 283.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.34 m 568.4 628.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.4 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 405.55 m 568.3 405.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 284.3 m 568.3 284.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 629.42 m 30.07 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 560.43 m 92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 560.43 m 475.02 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 629.42 m 567.32 525.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 615.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 595.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 580.58 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 580.58 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 548.18 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 513.62 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 513.62 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 513.62 Tm (The medication trolley must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 496.62 Tm (be removed from the area )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 479.62 Tm (accessed via the toilet area)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 462.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 445.62 Tm (This will reduce the risk of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 428.62 Tm (potential )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 411.62 Tm (contamination/infection.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 513.62 Tm (25/03/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 392.37 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 392.37 Tm (38)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 392.37 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 392.37 Tm (Footplates must be on )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 375.37 Tm (wheelchairs at all times )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 358.37 Tm (when transporting people in )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 341.37 Tm (the home. )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 324.37 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 307.37 Tm (This will ensure the safety of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 290.37 Tm (the person in transit. )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 392.37 Tm (25/03/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 392.37 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 190.57 w 32.32 167.52 m 564.97 167.52 l S 0.001 w 1 1 1 RG 64.32 w 31.2 142.92 m 91.05 142.92 l S 0.001 w 64.32 w 93.3 142.92 m 197.4 142.92 l S 0.001 w 64.32 w 199.65 142.92 m 566.1 142.92 l S 0.001 w 35.16 w 31.2 90.93 m 91.05 90.93 l S 0.001 w 35.16 w 93.3 90.93 m 197.4 90.93 l S 0.001 w 35.16 w 199.65 90.93 m 566.1 90.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 109.64 m 568.3 109.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 177.29 m 30.07 71.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 177.29 m 567.22 71.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.48 m 568.4 195.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 176.21 m 568.3 176.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 177.29 m 92.17 71.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 177.29 m 198.52 71.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.05 m 568.4 265.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.48 m 568.4 195.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 109.64 m 568.3 109.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 72.23 m 568.3 72.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 266.13 m 30.07 175.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 196.56 m 92.17 176.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 196.56 m 198.47 176.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 266.13 m 567.32 175.13 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 248.87 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 231.29 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 216.71 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 202.13 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 181.31 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 181.31 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 181.31 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 160.02 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 160.02 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 160.02 Tm (People using the service should be involved in care )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 145.44 Tm (planning, involving their relatives where appropriate. It is )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 130.86 Tm (part of good practice and communication to involve people )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 116.28 Tm (and their families in care planning and review. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 93.45 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 93.45 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 93.45 Tm (Care plans must include all personal care needs. This will )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 78.87 Tm (ensure people have all the support they need. )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 242.57 w 32.32 690.12 m 564.97 690.12 l S 0.001 w 1 1 1 RG 35.16 w 31.2 706.1 m 91.05 706.1 l S 0.001 w 35.16 w 93.3 706.1 m 197.4 706.1 l S 0.001 w 35.16 w 199.65 706.1 m 566.1 706.1 l S 0.001 w 64.32 w 31.2 654.11 m 91.05 654.11 l S 0.001 w 64.32 w 93.3 654.11 m 197.4 654.11 l S 0.001 w 64.32 w 199.65 654.11 m 566.1 654.11 l S 0.001 w 49.74 w 31.2 594.83 m 91.05 594.83 l S 0.001 w 49.74 w 93.3 594.83 m 197.4 594.83 l S 0.001 w 49.74 w 199.65 594.83 m 566.1 594.83 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 687.4 m 568.3 687.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 620.83 m 568.3 620.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 725.89 m 30.07 567.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 567.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.81 m 568.3 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 725.89 m 92.17 567.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 567.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.4 m 568.3 687.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 620.83 m 568.3 620.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.84 m 568.3 568.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 765.31 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 750.73 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 708.62 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 708.62 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 708.62 Tm (Medicaton required to be stored as controlled drugs must )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 694.04 Tm (be secured in the controlled drugs cabinet. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.21 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 671.21 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 671.21 Tm (Prescribed creams stored and used in bedrooms should be )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 656.63 Tm (signed for when applied. Clear instructions for staff must be )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 642.05 Tm (provided indicating the time, frequency and site of )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 627.47 Tm (application for each cream.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 604.64 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 604.64 Tm (27)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 604.64 Tm (Continue to review staffing levels in the light of changing )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 590.06 Tm (levels of dependency. This will ensure people needs )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 575.48 Tm (continue to be met. )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright, with the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj[6 0 R/XYZ 0 301.29 0] endobj 76 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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fR8s6lρdGzSZPI9{ЉKL=L8" ᓔ6,Xbkg{)rǸ&(}KR*+B.v$8n6w&_IcyAMWȄ0jm8;'wbڹex81Xߋ˪ H܀]rָƢ#3GMo9*_qM>I!pMTIUJR3Q?yFs57S 4 ,dE SN?o(}X Ũ%xD]3nH b\u~ e#Jf=6-G7ZZx ~K::9f";w6xk%JeᮡCD5YySA63aF3JpStS=QNHJ'J$N4^7 J݁DxSLMD)1 :S@Bz,/SPmaC=ՓI3D/bpC% s8IFEwJP9j:!æJ*8/=&b-Pc|,&~9h]`*ӵlDwiQ˅ - Dz(=t2s92 3O/D $oX@vڊC*쩜:4<ƁLu Z[(Ikzb-$.5o1TX3quSr{/ňiEIVj!G(訚?\ ;=V KLvfΌԬ +X(b(1bG`ݹ9Ue76N+Vz&_l?V&'v=aApfXd7gqz[_d])B뿐ڣ5@(M`єZh 7(% nJtzT.̅5›pkcpv*83\/3ҜeNrc0W|/TZ+"πE%xxKyİ`0op( r ^VK_dGyұ]]z&a];iiN`>I)Abo)L8K15OzlmV 5]EoF ,tGٓ 1( (B75 q2PV\ KRy i&;IUOHNUw"u*J=xҨ ?b݄,Wܜ@t~ `$mst*,Dcrn TJ 1 M4t7pv$2wS3ˎTp@}qY^!T}?հƿ-/ގ ]΅O;>lCH7b(~o a_|W9zÓ(֎ ~a(kƟ<w5+$Nn1$W6_;4۴%~6xH-tM`v _6!&-H ;at1 V 뵾Nw[unF.(^ T1h!E[i5$.b]/x]}p{![,eR/W*vQРT)|:7 QJ ?(,y$_ -A"q~`BX@-&: `lj_k~-MT,G ́ ?"-UϠWR?Ycx Z$lYAm^#tVp\OY F<~%ROU*<(xN .x+XcзģKKYŕFߚRv+z1qEMZxk"Gd,(MG2˛DyD2ua,s@\S૮uH &~ X* ݵ1mϘ~'Fs&$^"UW:̈KFIҜBfTe@S%Rt`ch`[lߧë 2J5LJMcmS@GJdo%2Mt#LZ xjltb:׉ɭ1dC?Xal'C8Q/gm qGtA}IVCcFclĥ mCj`o- iXw8ZK4-p8'\)U͕6(I䅝q[>FD4+hSCP=/=nk䨕T]͢ޒT- z+Td^opA$].lQK/}8(c[$Z^-샥3^ 8F'KtMIG92 can0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 89 0 obj<> endobj 1 0 obj<> endobj 90 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 91 0 obj<> endobj 92 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 93 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 66 0 obj<> endobj 94 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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