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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put 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/W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 105 0 obj<> endobj 106 0 obj<>/FontDescriptor 105 0 R/DW 1000>> endobj 107 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 108 0 obj<>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny n,ptbn孞g$}`%0V`Rx#0`kK_h0*s;cE8ʴTInRO"վK5e0X08AۦcdgN&פpM]푴g&7LDuUΧa~CM2&IBC\5}~n3y,6-|Gv![rj-1Z| eоӽsH]?_Vμ۫ JSqTg.zBpTz:+Ub8=cHeklԘE]_PK[IuX+6 }tյ5zKL}@G @p|us|@ 맷˂;*ͷf lG^F4.2&qb ^f +˫]JmS+Jah:j/1֜oc+99HR~ˤr' ͗|T֮gnbWS*xı' PyPs=zRUjL+BXU+%._Qc2$'j#uڢSg[= {z$r-cI d+L"}f"&;h[l~=hGc9ƅ3efEO:M H^^c&_G_PW]d+[lU:;7bgggGՐvNK/_3@ZPC%3g2móQ}X;9Z(֎0ƶ(N~<"A}H=--Ё5)xu<{ls`wfP|̩˂1$[:szϊZNVT2.3Q(TƲ]/ϴ pRp? [oR$^Ytl8Nk0P-tOƎ?ndq9d&`,'3ucN}ngE5AFթҍ?yV3dG˭lAhAKW$񠵌sem]mxal(m|.P-WI,L'H\w(h պ GJd\Me'v [AB0J& *Āj1 /I> UJ>u:_pٵAg 3Hq A TQ,Oehvޖ;wly^p+hpc\gPm[Og|Kw8NhI/Gaa#.x%Ԛwx?i\Jun @6yN9#H\}]o;@3ǰO2҂سcp(R)ڲe(=T:ڿx_s|;ͅ+&L ِn$GrǷޒs2wGRާOcG"wh~$0/QfV磇ofK~@4u:aOʉw@s+${AU&& Ü DʱoZc͎."ȳ5fF~ A3&p Or̊PI+c_"zbAޒw(O0vh(+] T=zoZ+|hh.~5 t xa7Y{H#< g"f) tqJ[5y9+f-ӖT\ݡR~]AYdt?TAsT<*2~ZΌRV]KVK[7?_v|$DR9Sq\]LTn^C ;9OH3[ 6^ĩ Tʟ=t].wְ11lW!b+4jC+ ,Ϭ#] DOq $3(D9B V͙r鼉o?$AD.8óXS}M5$t5Zta&O\Ƿm82L7%Ҕ0>Љrёe`# VAsNage`G$ jR/{" SgA絎Ds~-6#NNox06s>ܳu"$/C .3q=_KI;XL_V[u+>ꪎ|z<ݼڛvLDp\}뭽<*y=e( #f/lWaS`pDEeւta2֞ /;,t+,oަe!qaR7i84 y6ٱ>A()vnPA/*\Qݗ\RRuJc\CDgnef'iV~4H'~C~7ȵ@ymGK?yAD4s5C9q]]?v4NV~H 3#Fa^hBV0D7 "UE7T   Y=$y+dic%CO=dڈO..{k&_443G JJ]h^S!ߤ 0E'ONӥM0"+Sgl }2:s ƬhF;yrʐmttȃyRIj~ HU= 5Yl"9EoW^b C{sjїrJre9L,Қ8) ڡ*LH(8ß\w.7Sݵj۫b1SK/G5荍p#G7ƇAtls@7y-Xƞ1%Hy}ohVHAb-xqW8`4ܻu_Z 2}ν_(< Xzesuݲ~I1~Bmş3ۻ^p"t:XuuB_DBRĠ A;۳ ^_"yx>uXB\KwH`G7]@< OL#kdU>7tܖfJbL.1q^%<T(,K; WYw8޵iNҮЄEhi-WH޷<-;VR&A!񨚷<$~W39c''xB(=Ng_hknZbbgȯqF`Bd a X[씖/bWHrD!pt--!Bt*:0 7{f.o:|:;0 ț,pm"3jR7k{Z+߇kbb'x{ϖB!Q4V |7jRvٜDErCs@9.lߌ6q*CEIsOrXNr M-BW$l Nog96dofeѻZ?YI)̹Goʒa8\ZՎTYvZibA J5h^~O5m@_^_a؉-dr*~{ɔ}KX+$:LW/f)hܱY)c+0kN7bg⻯3W, ^z,0O<B\BKktb3BbLrjHEFBfV@”)dAL4qLrV [{q”}S&xvbN`Cx ":̭V7GS? 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!k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 109 0 obj<> endobj 110 0 obj<>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 111 0 obj<> endobj 112 0 obj<>/FontDescriptor 111 0 R/DW 1000>> endobj 113 0 obj<>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 114 0 obj<>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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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+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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h%kNːv-cLz{z68vΝ^u<}EZBݨV$GK93Fj˅G¦~#F#?J|6hU3m6@O CVw߼H$$2s6k=G ߈rAg`Xb=Om<̭(6~"H4w30VJ\IǫkK~D$Y8?N*@ "E4tgejDۚ<~i*EX{+w8RL%hV]o)@5Hgt\Aw"cJb0rXa28zb++j `#9Kr.S)cfU)iF,^'+Am1Sjt$}^N_a󒠀s5H㘠!chwI!c26Z_#13uHW'sbS M./9inɥd|mŊ? s6x+p]^@i%_OE ۞ ȔVTu.bH ͕fF+}kOOb5ʹk}|f,1Yݔ,GuaoL%Ob4 n` {_dhA!rgmﱨJxu`%faLwqr"95[M`^#߄8u PY:&''9{5k9eP>SSUZoXtMÛpGF PpGn|˓_`?G[~\s.\A4f)$@x9Fp}#H&יYBbwx4,`њy' +Dj&!uTfzsSlĢbbba/kTjb WI;{$7{ǝ70/:`U5Zp *M%5(:)Mh|J~^ߣ5dqoۜ>KRi9mfM=uC,TftDΩTswh.xϾxW1ې'y#|/T(}M/&xR`R`1Qd1T/ \){V(WɝEh]3XRgp7RKa@Ev06S 0d{)xb*tׯ•:\`h#lCjsUqۺ5vX\!C{o u7: }" w$>{y+f>5a*Rthq #p?Ùܜ/q&Nє{p$9 *1*;rhr>kF 1l呑m!Y]%Gr $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 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<0003>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.37999 519.31 l S 1 1 1 RG 162.62999 519.31 m 563.64996 519.31 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 461.31998 m 160.37999 461.31998 l S 1 1 1 RG 162.62999 461.31998 m 563.64996 461.31998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 530.72998 m 565.84998 530.72998 l S 28.99001 507.8999 m 565.84998 507.8999 l S 28.99001 414.75 m 565.84998 414.75 l S 30.07001 531.79999 m 30.07001 413.66998 l S 161.5 531.79999 m 161.5 413.66998 l S 564.77997 531.79999 m 564.77997 413.66998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.53998 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.53998 Tm (Springfields Residential Home)Tj 2 Tr 1 0 0 1 34.05 491.70999 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.70999 Tm (Hengist Road )Tj 1 0 0 1 165.48 474.12988 Tm (Westgate On Sea)Tj 1 0 0 1 165.48 456.54999 Tm (Westgate)Tj 1 0 0 1 165.48 438.97 Tm (Kent)Tj 1 0 0 1 165.48 421.38998 Tm (CT8 8LP)Tj /C2_1 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(\240 )Tj 1 0 0 1 147.37 306.22998 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.66998 306.22998 Tm (\240 )Tj 1 0 0 1 526.12 306.22998 Tm (We )Tj 1 0 0 1 28.35001 289.22998 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35001 272.22998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 317.5 254.75 m 565.90002 254.75 l S 1 1 1 RG 317.5 231.92 m 346.54999 231.92 l S 348.80002 231.92 m 377.89999 231.92 l S 380.14999 231.92 m 409.20001 231.92 l S 411.44998 231.92 m 440.54999 231.92 l S 442.80002 231.92 m 471.89993 231.92 l S 474.14993 231.92 m 503.20001 231.92 l S 505.44998 231.92 m 534.54999 231.92 l S 536.79999 231.92 m 565.90002 231.92 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 243.34 m 568.10004 243.34 l S 28.99001 266.16998 m 568.10004 266.16998 l S 28.99001 243.34 m 568.10004 243.34 l S 28.99001 220.50998 m 568.10004 220.50998 l S 30.07001 267.23999 m 30.07001 219.42998 l S 316.37 267.23999 m 316.37 219.42998 l S 347.66998 244.40999 m 347.66998 219.42998 l S 379.01999 244.40999 m 379.01999 219.42998 l S 410.31998 244.40999 m 410.31998 219.42998 l S 441.66998 244.40999 m 441.66998 219.42998 l S 473.01999 244.40999 m 473.01999 219.42998 l S 504.31998 244.40999 m 504.31998 219.42998 l S 535.66998 244.40999 m 535.66998 219.42998 l S 567.01996 267.23999 m 567.01996 219.42998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 249.98 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 249.98 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 227.14998 Tm (Jo Griffiths)Tj 1 0 0 1 329.63 227.14998 Tm (1)Tj 1 0 0 1 360.94998 227.14998 Tm (4)Tj 1 0 0 1 392.28 227.14998 Tm (0)Tj 1 0 0 1 423.60999 227.14998 Tm (9)Tj 1 0 0 1 454.94998 227.14998 Tm (2)Tj 1 0 0 1 486.28 227.14998 Tm (0)Tj 1 0 0 1 517.60004 227.14998 Tm (0)Tj 1 0 0 1 548.95996 227.14998 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35001 208.25 Tm <0003>Tj 1 0 0 1 28.35001 191.25 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.63998 174.25 Tm <0003>Tj 1 0 0 1 297.63998 162.17999 Tm <0003>Tj 1 0 0 1 297.63998 150.12 Tm <0003>Tj ET endstream endobj 608 0 obj 5623 endobj 609 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (40)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 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 610 0 obj 5469 endobj 611 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (40)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Older People)Tj 1 0 0 1 477.17999 705.60004 Tm ( can be found )Tj 1 0 0 1 28.35001 688.10999 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29,\ St Crispins, )Tj 1 0 0 1 28.35001 670.60999 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 612 0 obj 8904 endobj 613 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (40)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.21997 m 267.94998 774.21997 l S 1 1 1 RG 270.20001 774.21997 m 565.64996 774.21997 l S 0.95294 0.95294 0.95294 RG 90.90001 w 31.2 716.22998 m 267.94998 716.22998 l S 1 1 1 RG 270.20001 716.22998 m 565.64996 716.22998 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 658.23999 m 267.94998 658.23999 l S 1 1 1 RG 270.20001 658.23999 m 565.64996 658.23999 l S 0.95294 0.95294 0.95294 RG 31.2 635.40997 m 267.94998 635.40997 l S 1 1 1 RG 270.20001 635.40997 m 565.64996 635.40997 l S 0.95294 0.95294 0.95294 RG 31.2 612.57996 m 267.94998 612.57996 l S 1 1 1 RG 270.20001 612.57996 m 565.64996 612.57996 l S 0.95294 0.95294 0.95294 RG 31.2 589.75 m 267.94998 589.75 l S 1 1 1 RG 270.20001 589.75 m 565.64996 589.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 669.64996 m 567.84998 669.64996 l S 28.99001 646.82001 m 567.84998 646.82001 l S 28.99001 623.98999 m 567.84998 623.98999 l S 28.99001 601.15997 m 567.84998 601.15997 l S 28.99001 578.33002 m 567.84998 578.33002 l S 30.07001 786.70996 m 30.07001 577.26001 l S 269.07001 786.70996 m 269.07001 577.26001 l S 566.76996 786.70996 m 566.76996 577.26001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (Springfields Residential Home)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (Hengist Road )Tj 1 0 0 1 273.04999 729.03998 Tm (Westgate On Sea)Tj 1 0 0 1 273.04999 711.45996 Tm (Westgate)Tj 1 0 0 1 273.04999 693.88 Tm (Kent)Tj 1 0 0 1 273.04999 676.29999 Tm (CT8 8LP)Tj 1 0 0 1 34.05 653.46997 Tm (Telephone number:)Tj 1 0 0 1 273.04999 653.46997 Tm (01843831169)Tj 1 0 0 1 34.05 630.64001 Tm (Fax number:)Tj 1 0 0 1 34.05 607.81 Tm (Email address:)Tj 1 0 0 1 34.05 584.97998 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 566.02997 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 66.24001 w 32.32001 522.58997 m 564.76996 522.58997 l S 1 1 1 RG 20.58 w 355.5 546.53998 m 565.90002 546.53998 l S 0.95294 0.95294 0.95294 RG 31.2 523.70996 m 353.25 523.70996 l S 1 1 1 RG 355.5 523.70996 m 565.90002 523.70996 l S 0.95294 0.95294 0.95294 RG 31.2 500.87985 m 353.25 500.87985 l S 1 1 1 RG 355.5 500.87985 m 565.90002 500.87985 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 557.95996 m 568.10004 557.95996 l S 28.99001 535.13 m 568.10004 535.13 l S 28.99001 512.29999 m 568.10004 512.29999 l S 28.99001 489.47 m 568.10004 489.47 l S 30.07001 559.02997 m 30.07001 488.38989 l S 354.37 559.02997 m 354.37 488.38989 l S 567.01996 559.02997 m 567.01996 488.38989 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.76996 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.76996 Tm (Macari Homes Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35001 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.10999 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 496.10999 Tm (20)Tj /T1_0 10 Tf 1 0 0 1 28.35001 477.16998 Tm (\240)Tj 1 0 0 1 28.35001 460.16998 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 417.84998 m 564.46997 417.84998 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 452.09 m 567.79999 452.09 l S 28.99001 429.25998 m 567.79999 429.25998 l S 28.99001 385.85001 m 567.79999 385.85001 l S 30.07001 453.16998 m 30.07001 384.76999 l S 298.32001 430.34 m 298.32001 384.76999 l S 566.71997 453.16998 m 566.71997 384.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.07999 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 413.07999 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 392.5 Tm (Under 65)Tj 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 363.76999 m 297.30002 363.76999 l S 299.54999 363.76999 m 431.44998 363.76999 l S 433.70001 363.76999 m 565.60004 363.76999 l S 31.2 326.35999 m 297.30002 326.35999 l S 299.54999 326.35999 m 431.44998 326.35999 l S 433.70001 326.35999 m 565.60004 326.35999 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 296.23999 m 565.60004 296.23999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 307.66 m 567.79999 307.66 l S 28.99001 284.82999 m 567.79999 284.82999 l S 28.99001 262 m 568.10004 262 l S 28.99001 382.47998 m 567.79999 382.47998 l S 28.99001 345.07001 m 567.79999 345.07001 l S 28.99001 307.66 m 567.79999 307.66 l S 28.99001 284.82999 m 568.10004 284.82999 l S 28.99001 262 m 568.10004 262 l S 28.99001 180.84999 m 568.10004 180.84999 l S 30.07001 383.54999 m 30.07001 179.76999 l S 298.41998 383.54999 m 298.41998 306.57999 l S 432.56998 383.54999 m 432.56998 306.57999 l S 566.71997 383.54999 m 566.71997 179.76999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.28998 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 351.70999 Tm (disability or dementia)Tj 1 0 0 1 302.39999 366.28998 Tm (20)Tj 1 0 0 1 436.54999 366.28998 Tm (0)Tj 1 0 0 1 34.05 328.88 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 314.30002 Tm (category)Tj 1 0 0 1 302.39999 328.88 Tm (0)Tj 1 0 0 1 436.54999 328.88 Tm (20)Tj 1 0 0 1 34.05 291.47 Tm (Additional conditions: )Tj 1 0 0 1 34.05 268.63998 Tm (The maximum number of service users to be accommodated is 20.)Tj 1 0 0 1 34.05 245.81 Tm (The registered person may provide the following category/ies of service \ only: Care )Tj 1 0 0 1 34.05 231.23 Tm (home only - \(PC\) to service users of the following gender: Either Whos\ e primary care )Tj 1 0 0 1 34.05 216.64998 Tm (needs on admission to the home are within the following categories: Old \ age, not )Tj 1 0 0 1 34.05 202.06999 Tm (falling within any other category \(OP\) Mental disorder, excluding lear\ ning disability or )Tj 1 0 0 1 34.05 187.48999 Tm (dementia \(MD\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 166.06 m 315.25 166.06 l S 1 1 1 RG 317.5 166.06 m 346.54999 166.06 l S 348.80002 166.06 m 377.89999 166.06 l S 380.14999 166.06 m 409.20001 166.06 l S 411.44998 166.06 m 440.54999 166.06 l S 442.80002 166.06 m 471.89993 166.06 l S 474.14993 166.06 m 503.20001 166.06 l S 505.44998 166.06 m 534.54999 166.06 l S 536.79999 166.06 m 565.90002 166.06 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 177.47 m 568.10004 177.47 l S 28.99001 154.64 m 568.10004 154.64 l S 30.07001 178.55 m 30.07001 153.56999 l S 316.37 178.55 m 316.37 153.56999 l S 347.66998 178.55 m 347.66998 153.56999 l S 379.01999 178.55 m 379.01999 153.56999 l S 410.31998 178.55 m 410.31998 153.56999 l S 441.66998 178.55 m 441.66998 153.56999 l S 473.01999 178.55 m 473.01999 153.56999 l S 504.31998 178.55 m 504.31998 153.56999 l S 535.66998 178.55 m 535.66998 153.56999 l S 567.01996 178.55 m 567.01996 153.56999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 161.28999 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 142.77 m 565.90002 142.77 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 133.14 m 568.10004 133.14 l S 30.07001 134.22 m 30.07001 39.14999 l S 567.01996 134.22 m 567.01996 39.14999 l S 28.99001 152.39 m 568.10004 152.39 l S 28.99001 133.14 m 568.10004 133.14 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 153.47 m 30.07001 132.06999 l S 567.01996 153.47 m 567.01996 132.06999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 139.20999 Tm (Brief description of the )Tj 1 0 0 1 177.31 139.20999 Tm (care home)Tj 1 0 0 1 35.5 119.96001 Tm (Springfield is a detached three-storey property, which provides personal\ care and )Tj 1 0 0 1 35.5 102.96001 Tm (support for up to twenty older people, who may also have mental health )Tj 1 0 0 1 35.5 85.96001 Tm (needs.)Tj 1 0 0 1 75.49001 85.96001 Tm ( \240 )Tj 1 0 0 1 88.16 85.96001 Tm (Accommodation)Tj 1 0 0 1 184.37999 85.96001 Tm ( is provided in both single and double bedrooms. \240 There are )Tj 1 0 0 1 35.5 68.96001 Tm (two lounges and a dining room. Communal areas are large and furnished in\ a domestic )Tj 1 0 0 1 35.5 51.96001 Tm (nature. \240 There are gardens to the front, side and rear of property. \ \240 The home is )Tj ET endstream endobj 614 0 obj 1350 endobj 615 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (40)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 723.07996 l S 567.01996 795.47998 m 567.01996 723.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 724.14996 m 568.10004 724.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (located within a short walk from the sea front and local amenities. \240\ Fees range from )Tj 1 0 0 1 33.25 766.46997 Tm (\243328.00 - \243500.00 per )Tj 1 0 0 1 175.66 766.46997 Tm (week.)Tj 1 0 0 1 211.25 766.46997 Tm ( \240)Tj 1 0 0 1 33.25 749.46997 Tm (\240)Tj 1 0 0 1 33.25 732.46997 Tm (\240)Tj ET endstream endobj 616 0 obj 3569 endobj 617 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (40)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 410.5 749.45001 Tm (zero star poor service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 164.41 601.01996 Tm (Health and personal care)Tj 1 0 0 1 145.17999 560.76996 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.51996 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.26999 Tm (Environment)Tj 1 0 0 1 251.17 440.01999 Tm (Staffing)Tj 1 0 0 1 127.47 399.76999 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was a key inspection of Springfields residential home carried out o\ n 14th )Tj 1 0 0 1 35.17 240.90001 Tm (September 2009 between 10.30am and 6.30pm. There is a new manager appoin\ ted as )Tj 1 0 0 1 35.17 226.31998 Tm (being in charge of the home, but she is not yet registered with the Comm\ ission. The )Tj 1 0 0 1 35.17 211.73999 Tm (assistant manager was available during the inspection and the appointed \ manager )Tj 1 0 0 1 35.17 197.14998 Tm (joined the inspection later in the afternoon.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (Prior to the inspection visit information received about the service sin\ ce the last key )Tj 1 0 0 1 35.17 153.41 Tm (inspection was examined. This included the Annual Quality Assurance Asse\ ssment )Tj 1 0 0 1 35.17 138.84 Tm (\(AQAA\), completed by the manager and information received from stakeho\ lders and )Tj 1 0 0 1 35.17 124.25 Tm (other parties.)Tj 1 0 0 1 35.17 109.68001 Tm (\240)Tj 1 0 0 1 35.17 95.10001 Tm (During the inspection visit the inspector had a look around the home and\ a number of )Tj 1 0 0 1 35.17 80.50999 Tm (records and documents used for the running of the home were examined. Fi\ ve people )Tj 1 0 0 1 35.17 65.93001 Tm (that use the service were involved in the inspection and five staff memb\ ers were )Tj ET endstream endobj 618 0 obj 952 endobj 619 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (40)Tj ET 1 1 1 RG 61.32001 w 32.32001 781.87 m 566.71997 781.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 750.07996 m 568.91998 750.07996 l S 31.2 814.72998 m 31.2 749.01001 l S 567.84998 814.72998 m 567.84998 749.01001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (spoken with.)Tj 1 0 0 1 32.92 788.13995 Tm (\240)Tj 1 0 0 1 32.92 773.56 Tm (Enforcement action is being taken by the Care Quality Commission in resp\ ect of )Tj 1 0 0 1 32.92 758.97998 Tm (breaches of regulation found through this inspection. )Tj ET endstream endobj 620 0 obj 6250 endobj 621 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (40)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 35.16 w 32.32001 756.23999 m 566.71997 756.23999 l S 20.58 w 32.7 726.12 m 569.34998 726.12 l S 33.82001 703.28998 m 568.21997 703.28998 l S 33.45 680.45996 m 570.10004 680.45996 l S 472.56 w 34.57001 431.63998 m 568.96997 431.63998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 737.53998 m 568.91998 737.53998 l S 31.2 776.02997 m 31.2 736.45996 l S 31.2 737.53998 m 569.34998 737.53998 l S 32.7 714.70996 m 569.34998 714.70996 l S 31.62 714.70996 m 570.41998 714.70996 l S 31.62 691.88 m 570.41998 691.88 l S 33.45 669.04999 m 570.10004 669.04999 l S 33.45 691.88 m 570.10004 691.88 l S 32.37 669.04999 m 571.16998 669.04999 l S 32.37 194.23999 m 571.16998 194.23999 l S 32.7 715.78998 m 32.7 690.79999 l S 33.45 670.13 m 33.45 193.15999 l S 567.84998 776.02997 m 567.84998 736.45996 l S 569.34998 715.78998 m 569.34998 690.79999 l S 570.10004 670.13 m 570.10004 193.15999 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (People that use the service say that the care staff that support them ar\ e kind and )Tj 1 0 0 1 35.17 744.17999 Tm (helpful. )Tj /T1_0 10 Tf 1 0 0 1 568.96997 754.69 Tm (\240)Tj 1 0 0 1 31.2 724.01001 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 721.34998 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 724.57001 Tm (\240)Tj 1 0 0 1 31.2 701.73999 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 698.51996 Tm (There have been no improvements made since the last key inspection.)Tj /T1_0 10 Tf 1 0 0 1 570.46997 701.73999 Tm (\240)Tj 1 0 0 1 31.2 678.90997 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 675.69 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 430.09 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 652.85999 Tm (The service does not carry out a full assessment of individuals needs be\ fore they move )Tj 1 0 0 1 37.42 638.27997 Tm (to the home. They have admitted people to the home who needs cannot be m\ et by the )Tj 1 0 0 1 37.42 623.70001 Tm (service. There is no system in place to ensure regular reviews of the ca\ re plans and )Tj 1 0 0 1 37.42 609.12 Tm (poor record keeping places people at risk as their health and personal c\ are needs are )Tj 1 0 0 1 37.42 594.53998 Tm (not monitored effectively.)Tj 1 0 0 1 37.42 579.95996 Tm (\240)Tj 1 0 0 1 37.42 565.38 Tm (People tell us that they are not provided with quality meals and their m\ eals are too )Tj 1 0 0 1 37.42 550.79999 Tm (early, leaving them for long periods of time until the next meal. There \ are no records )Tj 1 0 0 1 37.42 536.21997 Tm (to show what activities people are involved in during the day so the man\ ager is not )Tj 1 0 0 1 37.42 521.64001 Tm (able to monitor if people have their social needs met.)Tj 1 0 0 1 37.42 507.06 Tm (\240)Tj 1 0 0 1 37.42 492.47998 Tm (The registered provider has not made appropriate checks of new staff bef\ ore they start )Tj 1 0 0 1 37.42 477.89993 Tm (work in the home and this places people using the service at risk. Some \ of the staff are )Tj 1 0 0 1 37.42 463.31998 Tm (living in the home, without appropriate checks having been made, and are\ sharing )Tj 1 0 0 1 37.42 448.73999 Tm (facilities with people that use the service. Staff have not received the\ training they )Tj 1 0 0 1 37.42 434.16 Tm (need to support the assessed needs of people in the home and to keep the\ m safe. )Tj 1 0 0 1 37.42 419.57999 Tm (There are inadequate arrangements for supervising the staff that work in\ the home.)Tj 1 0 0 1 37.42 405 Tm (\240)Tj 1 0 0 1 37.42 390.41998 Tm (The home itself needs some redecoration and cleaning. On the day of the \ inspection )Tj 1 0 0 1 37.42 375.84 Tm (there were cobwebs around the home, dirty bathrooms and some unpleasant \ odours. )Tj 1 0 0 1 37.42 361.25998 Tm (The cleaner was due to leave at the end of the week and the staff will t\ hen be required )Tj 1 0 0 1 37.42 346.67999 Tm (to manage the cleaning, as well as caring for people, until a new cleane\ r is employed.)Tj 1 0 0 1 37.42 332.10001 Tm (\240)Tj 1 0 0 1 37.42 317.51999 Tm (People in the home are not kept safe. The call bell system does not work\ properly so )Tj 1 0 0 1 37.42 302.94 Tm (people cannot call for assistance if they need to. Where people have had\ a fall this has )Tj 1 0 0 1 37.42 288.35999 Tm (not been reported. The manager and responsible individual have failed to\ report )Tj 1 0 0 1 37.42 273.78 Tm (allegations of harm or abuse under safeguarding procedures and some staf\ f have not )Tj 1 0 0 1 37.42 259.20001 Tm (been trained in how to recognise and report abuse.)Tj 1 0 0 1 37.42 244.62 Tm (\240)Tj 1 0 0 1 37.42 230.03998 Tm (The manager of the home is not registered with the Care Quality Commissi\ on. The )Tj 1 0 0 1 37.42 215.45999 Tm (responsible individual for the company does not have suitable systems in\ place for )Tj 1 0 0 1 37.42 200.87999 Tm (ensuring that the home is running well and that people's needs are being\ met.)Tj 1 0 0 1 28.35001 178.55 Tm (\240)Tj 1 0 0 1 28.35001 158.56 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 158.56 Tm (care home)Tj 1 0 0 1 480.03998 158.56 Tm ( is taking )Tj 1 0 0 1 28.35001 141.06 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 121.07001 Tm (\240)Tj 1 0 0 1 28.35001 101.07001 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 101.07001 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 81.07001 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 81.07001 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET endstream endobj 622 0 obj 469 endobj 623 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (40)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 799.08997 Tm (order line 0870 240 7535.)Tj ET endstream endobj 624 0 obj 1804 endobj 625 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (40)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35001 678.14996 m 566.92999 678.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 674.08997 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35001 656.14996 m 566.92999 656.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 652.08997 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35001 634.14996 m 566.92999 634.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 630.08997 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35001 612.14996 m 566.92999 612.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 608.08997 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35001 590.14996 m 566.92999 590.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 586.08997 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35001 568.14996 m 566.92999 568.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 564.08997 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35001 544.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 522.21997 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 626 0 obj 5875 endobj 627 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 206.25 w 32.32001 610.38 m 562.52997 610.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 507.25 m 565.84998 507.25 l S 30.07001 716.82996 m 30.07001 506.16995 l S 564.77997 716.82996 m 564.77997 506.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57001 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57001 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.32001 Tm (needs. This is because they, or people close to them, have been able to \ visit the home )Tj 1 0 0 1 35.5 581.32001 Tm (and have got full, clear, accurate and up to date information about the \ home. If they )Tj 1 0 0 1 35.5 564.32001 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32001 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 1 0 0 1 35.5 530.32001 Tm (them and the care home that includes how much they will pay and what the\ home )Tj 1 0 0 1 35.5 513.32001 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 489 Tm <0003>Tj 1 0 0 1 28.35001 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 444.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 343.00998 m 562.53998 343.00998 l S 1 1 1 RG 22.5 w 32.35001 431.16998 m 564.78998 431.16998 l S 171.84 w 33.47 331.75998 m 563.65997 331.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 418.80002 m 565.87 418.80002 l S 32.35001 419.88 m 32.35001 243.64 l S 564.78998 419.88 m 564.78998 243.64 l S 32.35001 418.80002 m 564.78998 418.80002 l S 31.27 244.70998 m 565.87 244.70998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 403.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (Prospective users of the service are provided with information about the\ home, but )Tj 1 0 0 1 36.62 341.25 Tm (the provider does not clearly communicate within this the range of needs\ the service )Tj 1 0 0 1 36.62 323.75998 Tm (is able to meet.)Tj 1 0 0 1 36.62 306.25998 Tm (\240)Tj 1 0 0 1 36.62 288.76999 Tm (People do not always have a sufficiently detailed assessment of their ne\ eds and some )Tj 1 0 0 1 36.62 271.26999 Tm (people are admitted to the home without assurances that the service has \ the skills )Tj 1 0 0 1 36.62 253.76999 Tm (and resources to meet their needs. )Tj 1 0 0 1 28.35001 229.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 136.81999 w 34.60001 150.42999 m 562.53998 150.42999 l S 1 1 1 RG 22.5 w 32.35001 209.84 m 564.78998 209.84 l S 115.45 w 33.47 138.62 m 563.65997 138.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 197.47 m 565.87 197.47 l S 32.35001 198.55 m 32.35001 78.70001 l S 564.78998 198.55 m 564.78998 78.70001 l S 32.35001 197.47 m 564.78998 197.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 206.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 181.78998 Tm (The Statement of Purpose and Service User Guide have been reviewed since\ the last )Tj 1 0 0 1 36.57001 164.28999 Tm (inspection of the home. The Statement of Purpose does not clearly state \ the range of )Tj 1 0 0 1 36.57001 146.78999 Tm (needs that the home is able to meet. The Service User Guide is appropria\ te to the )Tj 1 0 0 1 36.57001 129.3 Tm (needs of most of the people living in the home and a copy is given to ea\ ch person to )Tj 1 0 0 1 36.57001 111.8 Tm (keep in their room. The manager said that the home does not currently ha\ ve the )Tj 1 0 0 1 36.57001 94.31 Tm (facilities to produce the Service User Guide in any other formats, such \ as large print, )Tj ET endstream endobj 628 0 obj 5018 endobj 629 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (alternative languages or braille.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (The assessment documentation was seen for three people using the service\ . Two )Tj 1 0 0 1 34.32001 726.60999 Tm (people had a full assessment of their needs completed by social services\ on their file. )Tj 1 0 0 1 34.32001 709.10999 Tm (The other person has recently moved to the home and did not have a socia\ l services )Tj 1 0 0 1 34.32001 691.62 Tm (assessment of their need on file. The assistant manager said she had bee\ n to visit the )Tj 1 0 0 1 34.32001 674.12 Tm (person in their previous home and had completed an assessment of their n\ eeds. This )Tj 1 0 0 1 34.32001 656.63 Tm (assessment was not on the person's care plan file, but was produced from\ the office )Tj 1 0 0 1 34.32001 639.13 Tm (for the inspector to see. It includes information about some areas of th\ e person's )Tj 1 0 0 1 34.32001 621.63 Tm (needs, including mental health and personal care, but has not been compl\ eted in )Tj 1 0 0 1 34.32001 604.14001 Tm (sufficient detail to ensure a full care plan can be developed to meet th\ eir needs in all )Tj 1 0 0 1 34.32001 586.64001 Tm (areas of their life, for example social, nutritional and physical health\ needs. The )Tj 1 0 0 1 34.32001 569.14996 Tm (assessment does not include seeking the views of the individual or their\ advocate )Tj 1 0 0 1 34.32001 551.64996 Tm (about their needs. The assessment was written on A4 paper, rather than a\ ny formal )Tj 1 0 0 1 34.32001 534.14996 Tm (assessment tool being used.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (The assessment for the person notes a number of areas of need, including\ mental )Tj 1 0 0 1 34.32001 481.66998 Tm (health needs and some difficult and aggressive behaviours, that require \ specialist staff )Tj 1 0 0 1 34.32001 464.16998 Tm (training and that may impact on other residents in the home. It was agre\ ed by the )Tj 1 0 0 1 34.32001 446.66998 Tm (registered provider that the person would move in, but it has since been\ found by the )Tj 1 0 0 1 34.32001 429.17999 Tm (manager that the home cannot meet the person's needs. The staff have not\ been )Tj 1 0 0 1 34.32001 411.67999 Tm (trained in managing aggression or working with people with mental health\ needs. The )Tj 1 0 0 1 34.32001 394.19 Tm (care plan states that the individual requires two carers to provide all \ personal care due )Tj 1 0 0 1 34.32001 376.69 Tm (to aggression and additional staffing arrangements for this have not bee\ n made. The )Tj 1 0 0 1 34.32001 359.19 Tm (compatibility of the individual with other resdients in the home has not\ been )Tj 1 0 0 1 34.32001 341.70001 Tm (considered or assessed.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The social services assessments that were seen for the two other people \ show that )Tj 1 0 0 1 34.32001 289.20999 Tm (they had a diagnosis of dementia when they were admitted to the home. In\ spections )Tj 1 0 0 1 34.32001 271.70999 Tm (carried out by former regulatory bodies since 2005, under the Care Stand\ ards Act )Tj 1 0 0 1 34.32001 254.22 Tm (2000, have found that the registered provider has continued to admit peo\ ple to the )Tj 1 0 0 1 34.32001 236.72 Tm (home that are out of the registration category and that staff have not b\ een trained to )Tj 1 0 0 1 34.32001 219.23 Tm (meet their specific needs. Some of the staff team have recently complete\ d a suitable )Tj 1 0 0 1 34.32001 201.73 Tm (distance learning course in Dementia and the manager said it is planned \ the )Tj 1 0 0 1 34.32001 184.23 Tm (remainder of the staff will do this to ensure they can meet the needs of\ these people.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (The service does not provide intermediate or rehabilitative services and\ therefore )Tj 1 0 0 1 34.32001 131.75 Tm (standard six is not applicable.)Tj 1 0 0 1 34.32001 114.25 Tm (\240)Tj ET endstream endobj 630 0 obj 5763 endobj 631 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57001 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57001 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57001 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57001 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57001 Tm (dignity.)Tj 1 0 0 1 35.5 598.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32001 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 359.50998 m 562.53998 359.50998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 206.83 w 33.47 348.25998 m 563.65997 348.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 242.64 l S 564.78998 453.88 m 564.78998 242.64 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 243.72 m 565.87 243.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People that use the service do not have a care plan that ensures their a\ ssessed needs )Tj 1 0 0 1 36.62 375.25 Tm (are met. They are risk from poor recording and reporting procedures and \ their health )Tj 1 0 0 1 36.62 357.75998 Tm (needs are not always followed up to ensure they are met.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (People are not consulted on their preferences regarding their daily rout\ ines and their )Tj 1 0 0 1 36.62 305.26999 Tm (personal care and some institutional practices are in place that limit i\ ndividual choice.)Tj 1 0 0 1 36.62 287.76999 Tm (\240)Tj 1 0 0 1 36.62 270.28 Tm (The privacy and dignity of people using the service is not fully upheld.\ )Tj 1 0 0 1 36.62 252.78 Tm (\240)Tj 1 0 0 1 28.35001 228.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 135.81999 w 34.60001 149.94 m 562.53998 149.94 l S 1 1 1 RG 22.5 w 32.35001 208.84999 m 564.78998 208.84999 l S 114.45 w 33.47 138.12999 m 563.65997 138.12999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 196.48 m 565.87 196.48 l S 32.35001 197.56 m 32.35001 78.70001 l S 564.78998 197.56 m 564.78998 78.70001 l S 32.35001 196.48 m 564.78998 196.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 205.53998 Tm (Evidence:)Tj 1 0 0 1 36.57001 180.78998 Tm (The care plans were seen for four people currently using the service. On\ e of the care )Tj 1 0 0 1 36.57001 163.3 Tm (plans had been updated and reviewed in August 2009. Two care plans had n\ ot been )Tj 1 0 0 1 36.57001 145.8 Tm (reviewed since May 2009. At the time of the inspection one person did no\ t yet have a )Tj 1 0 0 1 36.57001 128.31 Tm (working care plan in place, but the care plan from the previous care hom\ e was being )Tj 1 0 0 1 36.57001 110.81 Tm (used. The assistant manager produced the new care plan, which had been w\ ritten in )Tj 1 0 0 1 36.57001 93.31 Tm (draft form, and was waiting to be agreed by the care manager.)Tj ET endstream endobj 632 0 obj 5325 endobj 633 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The care plans give staff basic instruction for meeting people's health \ and personal )Tj 1 0 0 1 34.32001 744.10999 Tm (care needs. They have not been completed in a person centred way and do \ not include )Tj 1 0 0 1 34.32001 726.60999 Tm (people's preferences, for example, times they like to get up, go to bed \ or have their )Tj 1 0 0 1 34.32001 709.10999 Tm (meals. The care plans do not evidence that people living in the home hav\ e been )Tj 1 0 0 1 34.32001 691.62 Tm (consulted on when they would like a bath or shower. The staff spoken wit\ h said that )Tj 1 0 0 1 34.32001 674.12 Tm (there is a weekly rota for baths and everyone gets a bath and their bed \ changed once )Tj 1 0 0 1 34.32001 656.63 Tm (a week. This is institutional practice and does not promote individual c\ hoice. There is a )Tj 1 0 0 1 34.32001 639.13 Tm (record sheet in the care plans to show when people have baths and this c\ onfirmed the )Tj 1 0 0 1 34.32001 621.63 Tm (practice of weekly baths. The records for one person show no bath betwee\ n 31st )Tj 1 0 0 1 34.32001 604.14001 Tm (August 2009 and the date of the inspection, which was two weeks. The ins\ pector )Tj 1 0 0 1 34.32001 586.64001 Tm (spoke with four people living in the home to gather their views of the s\ upport provided )Tj 1 0 0 1 34.32001 569.14996 Tm (for personal care. They confirmed that they have a weekly bath and said \ that many )Tj 1 0 0 1 34.32001 551.64996 Tm (people in the home, particularly those who have higher needs, are taken \ to bed )Tj 1 0 0 1 34.32001 534.14996 Tm (straight after tea, sometimes as early as 6pm. They said that if you are\ more )Tj 1 0 0 1 34.32001 516.65997 Tm (independent you can take yourself to bed when you want to.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (One of the toilets downstairs does not have a lock on the door. This doe\ s not promote )Tj 1 0 0 1 34.32001 464.16998 Tm (the privacy and dignity of people living in the home.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (Where individual health needs have been identified there is not always a\ record to )Tj 1 0 0 1 34.32001 411.67999 Tm (show that these have been followed up. Examples of this include one pers\ on's care )Tj 1 0 0 1 34.32001 394.19 Tm (plan that states that they often refuse meals and drinks. The weight rec\ ord shows that )Tj 1 0 0 1 34.32001 376.69 Tm (the person's weight has not been consistently monitored and the record s\ hows a loss )Tj 1 0 0 1 34.32001 359.19 Tm (of 8kg in weight across a period of two months. Any follow up action tak\ en to address )Tj 1 0 0 1 34.32001 341.70001 Tm (this issue has not been recorded in the GP/health record, although staff\ did confirm )Tj 1 0 0 1 34.32001 324.20001 Tm (that the person was now prescribed nutritional supplements. A fluid char\ t is in place )Tj 1 0 0 1 34.32001 306.70999 Tm (for this person, but this has not been completed properly. The records s\ how that on a )Tj 1 0 0 1 34.32001 289.20999 Tm (number of occasions there were no fluids given after 5pm and on one occa\ sion there is )Tj 1 0 0 1 34.32001 271.70999 Tm (no record of any fluids given before 4.30pm. Poor record keeping was fou\ nd in all four )Tj 1 0 0 1 34.32001 254.22 Tm (of the care plans inspected. Other examples include care plans that stat\ e a person )Tj 1 0 0 1 34.32001 236.72 Tm (requires turning every two hours at night, but the records show this hap\ pening every )Tj 1 0 0 1 34.32001 219.23 Tm (three hours on some occasions. The manager has not monitored these recor\ ds and )Tj 1 0 0 1 34.32001 201.73 Tm (taken action to address these matters. The assistant manager said that t\ he more )Tj 1 0 0 1 34.32001 184.23 Tm (recent records are kept in the file and then when the file is full they \ are transferred to )Tj 1 0 0 1 34.32001 166.73999 Tm (files in the office.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (The daily notes for one person showed that care staff have been applying\ dry )Tj 1 0 0 1 34.32001 114.25 Tm (dressings to a pressure wound. It is stated in the daily notes that this\ is under )Tj 1 0 0 1 34.32001 96.75 Tm (instruction of the district nurse and the manager confirmed that the dis\ trict nurse has )Tj ET endstream endobj 634 0 obj 5345 endobj 635 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (agreed to this practice. The care plan does not tell staff what dressing\ s to use or how )Tj 1 0 0 1 34.32001 761.60004 Tm (to apply these. Staff have not received any training in wound care or dr\ essings. Staff )Tj 1 0 0 1 34.32001 744.10999 Tm (spoken with confirmed that they have been changing medical dressings, bu\ t that the )Tj 1 0 0 1 34.32001 726.60999 Tm (person no longer requires these and therefore this is not currently happ\ ening. There )Tj 1 0 0 1 34.32001 709.10999 Tm (was also an entry in the records that the district nurse was concerned a\ bout incorrect )Tj 1 0 0 1 34.32001 691.62 Tm (use of pressure relieving equipment in the home that may be causing pres\ sure )Tj 1 0 0 1 34.32001 674.12 Tm (wounds. The Primary Care Trust provides any required equipment, such as \ air )Tj 1 0 0 1 34.32001 656.63 Tm (mattresses and cushions, but care staff in the home have not been provid\ ed with any )Tj 1 0 0 1 34.32001 639.13 Tm (training in using this equipment.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (The care plan for one person states that they may display some behaviour\ that would )Tj 1 0 0 1 34.32001 586.64001 Tm (compromise their own dignity in public areas of the home. Entries on the\ daily record )Tj 1 0 0 1 34.32001 569.14996 Tm (show eight occasions during August 2009 where the person's behaviours re\ sulted in a )Tj 1 0 0 1 34.32001 551.64996 Tm (loss of their privacy and dignity. There is also an entry in the daily n\ otes that states )Tj 1 0 0 1 34.32001 534.14996 Tm (that the individual was found during the night in the bedroom of a perso\ n with )Tj 1 0 0 1 34.32001 516.65997 Tm (dementia, which is invasive and intimidating for the other person. The h\ ome is clearly )Tj 1 0 0 1 34.32001 499.16 Tm (unable to meet the needs of this individual and the manager agreed with \ this and is )Tj 1 0 0 1 34.32001 481.66998 Tm (working with the care manager to review the placement. However, the asse\ ssment, )Tj 1 0 0 1 34.32001 464.16998 Tm (completed before the person moved in, shows these behaviours are likely \ to occur and )Tj 1 0 0 1 34.32001 446.66998 Tm (the home should not have admitted the person if they were unable to meet\ their )Tj 1 0 0 1 34.32001 429.17999 Tm (needs.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (Two entries seen on the care plan records show people had a fall and one\ record )Tj 1 0 0 1 34.32001 376.69 Tm (states unexplained bruising had been found on one person. There were no \ entries in )Tj 1 0 0 1 34.32001 359.19 Tm (the accident book for these and the manager said that she had examined t\ he area and )Tj 1 0 0 1 34.32001 341.70001 Tm (did not feel that it required reporting under safeguarding procedures.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (Three of the care plans do not include a pressure area assessment or a n\ utritional )Tj 1 0 0 1 34.32001 289.20999 Tm (assessment, although the manager did say that they ask people about thei\ r food )Tj 1 0 0 1 34.32001 271.70999 Tm (preferences when they move in. One care plan has a nutritional assessmen\ t and a )Tj 1 0 0 1 34.32001 254.22 Tm (pressure care assessment, but neither have been reviewed since August 20\ 08. One of )Tj 1 0 0 1 34.32001 236.72 Tm (the care plans viewed refers to the person's need to wear a hearing aid.\ The person )Tj 1 0 0 1 34.32001 219.23 Tm (was seen to be wearing the aid during the inspection.)Tj 1 0 0 1 34.32001 201.73 Tm (The medication that people require is administered by care staff that ha\ ve completed )Tj 1 0 0 1 34.32001 184.23 Tm (a training course and have been observed in their practice by the assist\ ant manager. )Tj 1 0 0 1 34.32001 166.73999 Tm (The administration of the evening medication was seen. The medication wa\ s dispensed )Tj 1 0 0 1 34.32001 149.23999 Tm (into pots at the medication trolley and taken to the person elsewhere in\ the home, )Tj 1 0 0 1 34.32001 131.75 Tm (rather than the trolley taken to the person to dispense directly to them\ . The registered )Tj 1 0 0 1 34.32001 114.25 Tm (person must ensure that there is no risk of error in this practice, part\ icularly if the )Tj 1 0 0 1 34.32001 96.75 Tm (staff member gets distracted whilst carry medicines to service users. Th\ e records of )Tj ET endstream endobj 636 0 obj 1085 endobj 637 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 38.87 w 34.60001 791.96997 m 562.53998 791.96997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 17.5 w 33.47 780.15997 m 563.65997 780.15997 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 769.20996 l S 564.78998 791.10999 m 564.78998 769.20996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 770.28998 m 565.87 770.28998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (medication were complete and accurate. )Tj ET endstream endobj 638 0 obj 5679 endobj 639 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 138.25 w 32.32001 644.38 m 562.52997 644.38 l S 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.64996 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 594.5 m 565.84998 594.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 594.5 m 565.84998 594.5 l S 28.99001 575.25 m 565.84998 575.25 l S 30.07001 716.82996 m 30.07001 574.16998 l S 564.77997 716.82996 m 564.77997 574.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57001 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 1 0 0 1 35.5 634.57001 Tm (They are as independent as they can be, lead their chosen lifestyle and \ have the )Tj 1 0 0 1 35.5 617.57001 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57001 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 557 Tm <0003>Tj 1 0 0 1 28.35001 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 512.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 299.31 w 34.60001 358.51999 m 562.53998 358.51999 l S 1 1 1 RG 22.5 w 32.35001 499.16995 m 564.78998 499.16995 l S 276.81 w 33.47 347.26999 m 563.65997 347.26999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 486.80002 m 565.87 486.80002 l S 32.35001 487.87988 m 32.35001 206.65999 l S 564.78998 487.87988 m 564.78998 206.65999 l S 32.35001 486.80002 m 564.78998 486.80002 l S 31.27 207.73999 m 565.87 207.73999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 471.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (The registered person has not ensured that effective systems are in plac\ e for )Tj 1 0 0 1 36.62 409.25 Tm (monitoring whether individuals social needs are met and whether they are\ )Tj 1 0 0 1 36.62 391.75998 Tm (appropriately occupied during the day.)Tj 1 0 0 1 36.62 374.25998 Tm (\240)Tj 1 0 0 1 36.62 356.76999 Tm (The routines in the home do not promote or respect individuals choice.)Tj 1 0 0 1 36.62 339.26999 Tm (\240)Tj 1 0 0 1 36.62 321.76999 Tm (People are supported to receive visitors when they wish to and to mainta\ in contact )Tj 1 0 0 1 36.62 304.28 Tm (with their local community.)Tj 1 0 0 1 36.62 286.78 Tm (\240)Tj 1 0 0 1 36.62 269.29001 Tm (People are not provided with sufficient variety and choice of meals and \ have not been )Tj 1 0 0 1 36.62 251.78998 Tm (consulted on their views of the quality of food. The nutritional needs o\ f some )Tj 1 0 0 1 36.62 234.28998 Tm (individuals are not being monitored or met. People are at risk of malnut\ rition due to )Tj 1 0 0 1 36.62 216.8 Tm (long periods without meals or drinks.)Tj 1 0 0 1 28.35001 192.05 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 99.84 w 34.60001 131.95 m 562.53998 131.95 l S 1 1 1 RG 22.5 w 32.35001 172.87 m 564.78998 172.87 l S 78.47 w 33.47 120.14 m 563.65997 120.14 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 160.48999 m 565.87 160.48999 l S 32.35001 161.56999 m 32.35001 78.70001 l S 564.78998 161.56999 m 564.78998 78.70001 l S 32.35001 160.48999 m 564.78998 160.48999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 169.56 Tm (Evidence:)Tj 1 0 0 1 36.57001 144.81 Tm (As described in the previous section of this report some of the routines\ of the home )Tj 1 0 0 1 36.57001 127.31 Tm (are institutional and do not allow for individual choice and needs. This\ includes the )Tj 1 0 0 1 36.57001 109.82001 Tm (practice of a weekly bathing rota and people being supported to bed at 6\ pm. The care )Tj 1 0 0 1 36.57001 92.32001 Tm (plans have not been completed in a way that explores individual preferen\ ces and )Tj ET endstream endobj 640 0 obj 5247 endobj 641 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (ensures these are respected and met.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (There is an activity worker employed in the home who is rota'd to work t\ wo days a )Tj 1 0 0 1 34.32001 726.60999 Tm (week. The manager said that some weeks the activity worker is only avail\ able one day )Tj 1 0 0 1 34.32001 709.10999 Tm (as she is also employed in the other homes owned by the registered provi\ der. There is )Tj 1 0 0 1 34.32001 691.62 Tm (an activity programme on the notice board in the hallway. This includes \ visits from the )Tj 1 0 0 1 34.32001 674.12 Tm (PAT dogs, quizzes, hand massage, hairdresser and moving to music. The ac\ tivity )Tj 1 0 0 1 34.32001 656.63 Tm (worker was at the home during the inspection, but had been required to u\ ndertake the )Tj 1 0 0 1 34.32001 639.13 Tm (cooking duties that day as the cook had gone home unwell. The activity w\ orker said )Tj 1 0 0 1 34.32001 621.63 Tm (she is planning to start networking with other homes in the area to shar\ e activities )Tj 1 0 0 1 34.32001 604.14001 Tm (and to promote social contact. She has also made arrangements for the co\ mmunity )Tj 1 0 0 1 34.32001 586.64001 Tm (warden to visit people in the home and has made contact with a local col\ lege for )Tj 1 0 0 1 34.32001 569.14996 Tm (befriending sessions. The activity worker said the home is working towar\ d the )Tj 1 0 0 1 34.32001 551.64996 Tm (benchmark for the NAPA standards \(accredited activities for older peopl\ e\). She said )Tj 1 0 0 1 34.32001 534.14996 Tm (that when on duty she will take people out for walks and do various 1-1 \ activities with )Tj 1 0 0 1 34.32001 516.65997 Tm (as many people as she can.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (The activity worker has completed a social care plan for each person and\ sends out )Tj 1 0 0 1 34.32001 464.16998 Tm (twice yearly surveys to people in the home to get their ideas for activi\ ties. There is a )Tj 1 0 0 1 34.32001 446.66998 Tm (monthly record of each person's involvement in activities that the activ\ ity worker )Tj 1 0 0 1 34.32001 429.17999 Tm (arranges. The social care plan and records are not kept in the care plan\ and the )Tj 1 0 0 1 34.32001 411.67999 Tm (activity worker said she had spoken with the manager and plans to change\ this. There )Tj 1 0 0 1 34.32001 394.19 Tm (are no records in the care plan to evidence if the activity programme is\ carried out )Tj 1 0 0 1 34.32001 376.69 Tm (when the activity worker is not there. There were no activities happenin\ g on the day )Tj 1 0 0 1 34.32001 359.19 Tm (of the inspection due to staff sickness.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (People using the service said they can have visitors when they wish to a\ nd can see )Tj 1 0 0 1 34.32001 306.70999 Tm (them either in one of the lounges or in their own rooms. There is a pay \ phone in the )Tj 1 0 0 1 34.32001 289.20999 Tm (hallway for people to use.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (People using the service said that breakfast is usually served between 7\ am and 9am )Tj 1 0 0 1 34.32001 236.72 Tm (and that there is a choice of cereal or toast. Some days there is also a\ choice of a )Tj 1 0 0 1 34.32001 219.23 Tm (cooked breakfast. Lunch is served at 12pm and tea at 4.30pm. Feedback fr\ om people )Tj 1 0 0 1 34.32001 201.73 Tm (living in the home was that they felt the meals are served too early and\ that tea can )Tj 1 0 0 1 34.32001 184.23 Tm (sometimes be as early as 4.15pm. They said that they do not have anythin\ g else to )Tj 1 0 0 1 34.32001 166.73999 Tm (eat in the evening, but that staff will get them a cup of tea if they re\ quest it. This )Tj 1 0 0 1 34.32001 149.23999 Tm (means that people are at risk of not having any food or drink for period\ s of fourteen )Tj 1 0 0 1 34.32001 131.75 Tm (hours. Some people said that if you are not able to ask for a drink in t\ he evening you )Tj 1 0 0 1 34.32001 114.25 Tm (would not get one. Some people living in the home would not be able to c\ ommunicate )Tj 1 0 0 1 34.32001 96.75 Tm (this request. As previously reported one person's fluid charts show occa\ sions where no )Tj ET endstream endobj 642 0 obj 3798 endobj 643 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 511.25998 w 34.60001 555.77997 m 562.53998 555.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 489.88989 w 33.47 543.95996 m 563.65997 543.95996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 296.82001 l S 564.78998 791.10999 m 564.78998 296.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 297.88998 m 565.87 297.88998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (fluids were given after 5pm.)Tj 1 0 0 1 34.32001 761.60004 Tm (\240)Tj 1 0 0 1 34.32001 744.10999 Tm (Two people spoken with said they would like to be able to make their own\ tea and )Tj 1 0 0 1 34.32001 726.60999 Tm (coffee when they want to, but that there are no facilities for them to d\ o this.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (There is a four week menu with a choice of three dishes for lunch. A rec\ ord is kept of )Tj 1 0 0 1 34.32001 674.12 Tm (the choice each person makes, although these records have not always bee\ n dated so )Tj 1 0 0 1 34.32001 656.63 Tm (it would be difficult for the manager to monitor individuals nutritional\ intake. Two )Tj 1 0 0 1 34.32001 639.13 Tm (people spoken with said they felt that the quality of the meals is poor \ and the food is )Tj 1 0 0 1 34.32001 621.63 Tm (bland. Three people spoken with said they were happy with the food. The \ lunchtime )Tj 1 0 0 1 34.32001 604.14001 Tm (meal was observed. People had been asked in the morning which meal they \ would )Tj 1 0 0 1 34.32001 586.64001 Tm (prefer. The meals that were served were presented adequately and condime\ nts were )Tj 1 0 0 1 34.32001 569.14996 Tm (available on the tables. Everyone was offered a cold drink with their me\ al. Some )Tj 1 0 0 1 34.32001 551.64996 Tm (people require support to eat and staff were seen to sit with the person\ and provide )Tj 1 0 0 1 34.32001 534.14996 Tm (support at an appropriate pace. One person often refuses their meals and\ the )Tj 1 0 0 1 34.32001 516.65997 Tm (assistant manager advised a new member of staff that the person may acce\ pt the )Tj 1 0 0 1 34.32001 499.16 Tm (meal if you go back and offer this at various intervals. As previously r\ eported )Tj 1 0 0 1 34.32001 481.66998 Tm (nutritional assessments are not completed for people in the home and rec\ ords of )Tj 1 0 0 1 34.32001 464.16998 Tm (nutritional intake are not consistently maintained to allow adequate mon\ itoring of their )Tj 1 0 0 1 34.32001 446.66998 Tm (wellbeing.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The records show that most people are given sandwiches for tea and this \ usually )Tj 1 0 0 1 34.32001 394.19 Tm (consists of marmalade, peanut butter or lemon curd sandwiches. The manag\ er said )Tj 1 0 0 1 34.32001 376.69 Tm (that this is what they choose, but the records do not evidence that a ch\ oice of other )Tj 1 0 0 1 34.32001 359.19 Tm (dishes is offered. One person spoken with said that they do choose to ha\ ve )Tj 1 0 0 1 34.32001 341.70001 Tm (sandwiches each night, but four people spoken with said they would like \ more choices )Tj 1 0 0 1 34.32001 324.20001 Tm (for tea.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj ET endstream endobj 644 0 obj 5690 endobj 645 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57001 Tm (allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 470.75 m 562.53998 470.75 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 154.34 w 33.47 459.50998 m 563.65997 459.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 380.13 l S 564.78998 538.88 m 564.78998 380.13 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 381.20999 m 565.87 381.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People using the service know how to make a complaint if they need to, b\ ut cannot be )Tj 1 0 0 1 36.62 460.25 Tm (assured that their concerns will be investigated appropriately under the\ complaints )Tj 1 0 0 1 36.62 442.75998 Tm (procedure.)Tj 1 0 0 1 36.62 425.25998 Tm (\240)Tj 1 0 0 1 36.62 407.76999 Tm (People in the home are at risk of harm and abuse due to a lack of unders\ tanding of )Tj 1 0 0 1 36.62 390.26999 Tm (and compliance with safeguarding procedures. )Tj 1 0 0 1 28.35001 365.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.31 w 34.60001 218.67998 m 562.53998 218.67998 l S 1 1 1 RG 22.5 w 32.35001 346.34 m 564.78998 346.34 l S 251.93999 w 33.47 206.87 m 563.65997 206.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 333.97 m 565.87 333.97 l S 32.35001 335.03998 m 32.35001 78.70001 l S 564.78998 335.03998 m 564.78998 78.70001 l S 32.35001 333.97 m 564.78998 333.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.28 Tm (The home has a complaints procedure, a copy of which is included in the \ Service User )Tj 1 0 0 1 36.57001 300.78998 Tm (Guide. The procedure states that any complaints will be investigated wit\ hin 28 days. )Tj 1 0 0 1 36.57001 283.29001 Tm (The manager said that there have been no complaints received in the home\ . The )Tj 1 0 0 1 36.57001 265.79001 Tm (Commission has received information indicating concerns about the servic\ e and these )Tj 1 0 0 1 36.57001 248.3 Tm (matters were considered as part of this inspection. The manager said tha\ t she )Tj 1 0 0 1 36.57001 230.8 Tm (regularly talks to all the people using the service to check they are ha\ ppy with the )Tj 1 0 0 1 36.57001 213.31 Tm (care they are receiving. This is done informally and no records are main\ tained of this )Tj 1 0 0 1 36.57001 195.81 Tm (process.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (Two people were moving out of the home the day after the inspection. The\ y told the )Tj 1 0 0 1 36.57001 143.31999 Tm (inspector that they had been unhappy with the care and service in the ho\ me, but did )Tj 1 0 0 1 36.57001 125.83 Tm (not wish to give further details. The manager said that she has discusse\ d the concerns )Tj 1 0 0 1 36.57001 108.33 Tm (with the individuals, but that they still wished to leave. There is no r\ ecord of this )Tj 1 0 0 1 36.57001 90.83 Tm (complaint in the complaints book.)Tj ET endstream endobj 646 0 obj 4827 endobj 647 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 703.71997 w 34.60001 459.54999 m 562.53998 459.54999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 682.33997 w 33.47 447.73999 m 563.65997 447.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 104.36 l S 564.78998 791.10999 m 564.78998 104.36 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (One person spoken with said they have raised concerns with the manager a\ bout the )Tj 1 0 0 1 34.32001 744.10999 Tm (quality of the food, but that they have not made a formal complaint. The\ y said that )Tj 1 0 0 1 34.32001 726.60999 Tm (nothing has happened to improve the food. The manager said that the menu\ s are )Tj 1 0 0 1 34.32001 709.10999 Tm (currently being reviewed.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The manager was aware of the Mental Capacity Act, but has not yet receiv\ ed any )Tj 1 0 0 1 34.32001 656.63 Tm (training in this and the staff have not been trained in this area. Some \ of the staff have )Tj 1 0 0 1 34.32001 639.13 Tm (received training in safeguarding adults and some have not yet undertake\ n this )Tj 1 0 0 1 34.32001 621.63 Tm (training, despite working in the home for eight months. The recruitment \ procedures in )Tj 1 0 0 1 34.32001 604.14001 Tm (the home are not robust and place people at risk. This has been reported\ under the )Tj 1 0 0 1 34.32001 586.64001 Tm (staffing section of this report.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (There have been two safeguarding referrals made about the home since the\ last )Tj 1 0 0 1 34.32001 534.14996 Tm (inspection. The responsible individual told us, following the inspection\ visit, that she )Tj 1 0 0 1 34.32001 516.65997 Tm (had been alerted about one of the allegations and had already investigat\ ed this. The )Tj 1 0 0 1 34.32001 499.16 Tm (registered provider failed to follow the correct procedures for reportin\ g allegations in )Tj 1 0 0 1 34.32001 481.66998 Tm (this instance. This allegation is now being investigated under the Kent \ safeguarding )Tj 1 0 0 1 34.32001 464.16998 Tm (procedures. The second allegation is also being investigated under the K\ ent )Tj 1 0 0 1 34.32001 446.66998 Tm (safeguarding procedures.)Tj 1 0 0 1 34.32001 429.17999 Tm (\240)Tj 1 0 0 1 34.32001 411.67999 Tm (The manager was not aware of the Kent multi agency safeguarding policy a\ nd was not )Tj 1 0 0 1 34.32001 394.19 Tm (able to locate a copy in the home. The home has its own safeguarding and\ whistle )Tj 1 0 0 1 34.32001 376.69 Tm (blowing policies.)Tj 1 0 0 1 34.32001 359.19 Tm (\240)Tj 1 0 0 1 34.32001 341.70001 Tm (The daily records for one service user showed unexplained bruising had b\ een found in )Tj 1 0 0 1 34.32001 324.20001 Tm (September 2009. This was not reported under the safeguarding policy and \ the )Tj 1 0 0 1 34.32001 306.70999 Tm (manager said she checked the person the next day and did not feel it was\ a large )Tj 1 0 0 1 34.32001 289.20999 Tm (bruise. The manager must familiarise herself with the Kent safeguarding \ policy and )Tj 1 0 0 1 34.32001 271.70999 Tm (the registered provider must ensure that any unexplained injuries or all\ egations of )Tj 1 0 0 1 34.32001 254.22 Tm (abuse in the home are immediately reported to the local authority follow\ ing the )Tj 1 0 0 1 34.32001 236.72 Tm (correct procedures.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (Six members of staff are living in the home. The manager was not able to\ produce )Tj 1 0 0 1 34.32001 184.23 Tm (evidence of criminal records disclosures for any of these employees, alt\ hough the staff )Tj 1 0 0 1 34.32001 166.73999 Tm (files contain evidence of a POVA first check for three of these people. \ The manager )Tj 1 0 0 1 34.32001 149.23999 Tm (said they would make arrangements for these people to be under supervisi\ on when )Tj 1 0 0 1 34.32001 131.75 Tm (working in the home. This may still leave service users at risk if the e\ mployees are )Tj 1 0 0 1 34.32001 114.25 Tm (living in the home without the appropriate safeguards having been made. \ )Tj ET endstream endobj 648 0 obj 5460 endobj 649 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.64996 644.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57001 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 369.28998 w 34.60001 357.51999 m 562.53998 357.51999 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 346.80002 w 33.47 346.28 m 563.65997 346.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 170.67999 l S 564.78998 521.88 m 564.78998 170.67999 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 171.75 m 565.87 171.75 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (The environment does not benefit from an ongoing programme to ensure the\ fabric of )Tj 1 0 0 1 36.62 443.25 Tm (the home is maintained. The environment has not been assessed and suitab\ le )Tj 1 0 0 1 36.62 425.75998 Tm (adaptations made for people with mobility difficulties. People using the\ service do not )Tj 1 0 0 1 36.62 408.25998 Tm (have access to sufficient bathroom and toilet facilities to meet their n\ eeds and ensure )Tj 1 0 0 1 36.62 390.76999 Tm (their privacy.)Tj 1 0 0 1 36.62 373.26999 Tm (\240)Tj 1 0 0 1 36.62 355.76999 Tm (Most individuals have bedrooms that meet their needs, but some people wo\ uld benefit )Tj 1 0 0 1 36.62 338.28 Tm (from more space where they require the use of hoists.)Tj 1 0 0 1 36.62 320.78 Tm (\240)Tj 1 0 0 1 36.62 303.28998 Tm (Service users do not have unrestricted access to the gardens and the gar\ dens are not )Tj 1 0 0 1 36.62 285.79001 Tm (appropriately maintained.)Tj 1 0 0 1 36.62 268.29001 Tm (\240)Tj 1 0 0 1 36.62 250.8 Tm (The home would benefit from a deep clean.)Tj 1 0 0 1 36.62 233.3 Tm (\240)Tj 1 0 0 1 36.62 215.81 Tm (People using the service are at risk from a lack of systems in place for\ checking water )Tj 1 0 0 1 36.62 198.31 Tm (temperatures in the home. They do not have access to suitable systems fo\ r calling for )Tj 1 0 0 1 36.62 180.81 Tm (assistance if required.)Tj 1 0 0 1 28.35001 156.06999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 63.86 w 34.60001 113.95 m 562.53998 113.95 l S 1 1 1 RG 22.5 w 32.35001 136.87999 m 564.78998 136.87999 l S 42.49001 w 33.47 102.14 m 563.65997 102.14 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 124.50999 m 565.87 124.50999 l S 32.35001 125.59 m 32.35001 78.70001 l S 564.78998 125.59 m 564.78998 78.70001 l S 32.35001 124.50999 m 564.78998 124.50999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 133.56999 Tm (Evidence:)Tj 1 0 0 1 36.57001 108.83 Tm (The decor of the home is shabby in some areas and requires some redecora\ tion. The )Tj 1 0 0 1 36.57001 91.33 Tm (home is kept clean on a surface level, but requires some deep cleaning, \ particularly to )Tj ET endstream endobj 650 0 obj 5240 endobj 651 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (the bathrooms and toilets. There are cobwebs around some areas of the ho\ me and )Tj 1 0 0 1 34.32001 761.60004 Tm (some bedrooms have an unpleasant odour. The housekeeper works five days \ a week, )Tj 1 0 0 1 34.32001 744.10999 Tm (but was leaving at the end of the week. The manager said that it is plan\ ned that a )Tj 1 0 0 1 34.32001 726.60999 Tm (new housekeeper will be recruited, but that this has not happened yet. T\ he manager )Tj 1 0 0 1 34.32001 709.10999 Tm (said the care staff would have to undertake the housekeeping duties unti\ l the post is )Tj 1 0 0 1 34.32001 691.62 Tm (filled. The housekeeper said that there are red dissolve sacks available\ for handling )Tj 1 0 0 1 34.32001 674.12 Tm (soiled laundry, but that there is no sluice in the home or sluice facili\ ty on the washing )Tj 1 0 0 1 34.32001 656.63 Tm (machine.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Maintenance tasks are recorded in a book for the handyman, but there is \ no ongoing )Tj 1 0 0 1 34.32001 604.14001 Tm (maintenance or redecoration plan for the home. The handyman was off on l\ ong term )Tj 1 0 0 1 34.32001 586.64001 Tm (sick leave at the time of the inspection and a new employee has joined t\ he home to )Tj 1 0 0 1 34.32001 569.14996 Tm (undertake some of the maintenance tasks. Some of the service users spoke\ n with )Tj 1 0 0 1 34.32001 551.64996 Tm (complained of the state of the gardens and said it was a shame as they u\ sed to be )Tj 1 0 0 1 34.32001 534.14996 Tm (well maintained and a pleasure to use. The lawns had been mowed, but the\ )Tj 1 0 0 1 34.32001 516.65997 Tm (flowerbeds were very overgrown.)Tj 1 0 0 1 34.32001 499.16 Tm (\240)Tj 1 0 0 1 34.32001 481.66998 Tm (There are three toilets for service users use on the ground floor and on\ e bathroom. )Tj 1 0 0 1 34.32001 464.16998 Tm (One of the toilets has no lock on the door and therefore individuals pri\ vacy cannot be )Tj 1 0 0 1 34.32001 446.66998 Tm (maintained. One of the toilets is locked from the outside. The assistant\ manager said )Tj 1 0 0 1 34.32001 429.17999 Tm (this was to prevent one particular service user from accessing this with\ out staff. The )Tj 1 0 0 1 34.32001 411.67999 Tm (lock is positioned up high preventing any service user from accessing th\ e toilet. There )Tj 1 0 0 1 34.32001 394.19 Tm (are only two staff on duty in the afternoon and some people require two \ staff to )Tj 1 0 0 1 34.32001 376.69 Tm (support them with personal care and mobility. If two staff are supportin\ g a service )Tj 1 0 0 1 34.32001 359.19 Tm (user then other service users may have to wait for staff to become avail\ able before )Tj 1 0 0 1 34.32001 341.70001 Tm (they can use the toilet that is locked. There are a further two bathroom\ s, one with a )Tj 1 0 0 1 34.32001 324.20001 Tm (shower, and a toilet on the first floor.)Tj 1 0 0 1 34.32001 306.70999 Tm (\240)Tj 1 0 0 1 34.32001 289.20999 Tm (The home has two lounge areas and one dining room. There is a small quie\ t room )Tj 1 0 0 1 34.32001 271.70999 Tm (upstairs, but this is currently used for storage. Access to the garden i\ s through a fire )Tj 1 0 0 1 34.32001 254.22 Tm (exit from a corridor. This has a keypad on it and the assistant manager \ said that those )Tj 1 0 0 1 34.32001 236.72 Tm (that are able to use the code are given this so that they can go out in \ and out of the )Tj 1 0 0 1 34.32001 219.23 Tm (garden when they wish to. The assistant manager said that some people re\ quire staff )Tj 1 0 0 1 34.32001 201.73 Tm (support to access the garden anyway as the garden is not safe for them t\ o walk in )Tj 1 0 0 1 34.32001 184.23 Tm (unaccompanied. The environment should be assessed and risks managed to a\ llow )Tj 1 0 0 1 34.32001 166.73999 Tm (everyone in the home access to the garden when they want it.)Tj 1 0 0 1 34.32001 149.23999 Tm (\240)Tj 1 0 0 1 34.32001 131.75 Tm (There is a hoist in the home for one person. The layout of the home is n\ ot suitable for )Tj 1 0 0 1 34.32001 114.25 Tm (the safe manoeuvring of hoists and wheelchairs and staff were seen to st\ ruggle in )Tj 1 0 0 1 34.32001 96.75 Tm (areas, particularly some small bedrooms. There has been no formal assess\ ment of the )Tj ET endstream endobj 652 0 obj 4228 endobj 653 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 581.23999 w 34.60001 520.77997 m 562.53998 520.77997 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 559.87 w 33.47 508.97 m 563.65997 508.97 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 226.83 l S 564.78998 791.10999 m 564.78998 226.83 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 227.90999 m 565.87 227.90999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (premises in relation to adaptations and equipment that may be required. \ The call bell )Tj 1 0 0 1 34.32001 761.60004 Tm (system was not working effectively as the board on the first floor had a\ fault and )Tj 1 0 0 1 34.32001 744.10999 Tm (would not sound when a bell was pressed in a bedroom. This was tested in\ two )Tj 1 0 0 1 34.32001 726.60999 Tm (bedrooms. The board had been taped over and the assistant manager and ma\ nager )Tj 1 0 0 1 34.32001 709.10999 Tm (said they were unaware of the board being broken or how long it had been\ out of )Tj 1 0 0 1 34.32001 691.62 Tm (action.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Two of the bedrooms in the home are registered as shared rooms. People m\ ust only )Tj 1 0 0 1 34.32001 639.13 Tm (share a room if they have made a choice to do so. One of the shared bedr\ ooms is )Tj 1 0 0 1 34.32001 621.63 Tm (currently occupied by an individual whom the manager said would not be a\ ble to make )Tj 1 0 0 1 34.32001 604.14001 Tm (an informed decision to share the room with another person. Therefore th\ e registered )Tj 1 0 0 1 34.32001 586.64001 Tm (person must ensure that this person remains accommodated in a single bed\ room.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (The home had twelve service users at the time of the inspection, accommo\ dating )Tj 1 0 0 1 34.32001 534.14996 Tm (eleven bedrooms. There are seven vacant bedrooms in the home. Six member\ s of )Tj 1 0 0 1 34.32001 516.65997 Tm (staff are currently living in the home and are residing in the vacant be\ drooms. They )Tj 1 0 0 1 34.32001 499.16 Tm (are sharing bathroom facilities with service users which limits the avai\ lability of these )Tj 1 0 0 1 34.32001 481.66998 Tm (facilities for the people in the home. Three of the staff members have n\ ot yet had a )Tj 1 0 0 1 34.32001 464.16998 Tm (criminal records check and are unsupervised in the home when they are no\ t working.)Tj 1 0 0 1 34.32001 446.66998 Tm (\240)Tj 1 0 0 1 34.32001 429.17999 Tm (Some bedrooms were seen. The bedroom for one person who had recently mov\ ed to )Tj 1 0 0 1 34.32001 411.67999 Tm (the home was very sparsely decorated. The assistant manager said that th\ e person )Tj 1 0 0 1 34.32001 394.19 Tm (had not arrived with many personal belongings. The person has not yet be\ en )Tj 1 0 0 1 34.32001 376.69 Tm (supported to choose new items to personalise their bedroom. The majority\ of )Tj 1 0 0 1 34.32001 359.19 Tm (bedrooms were personalised with the individuals belongings. Some bedroom\ s are )Tj 1 0 0 1 34.32001 341.70001 Tm (quite small for people that require help with their mobility.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (The assistant manager was not sure whether water temperatures were regul\ arly )Tj 1 0 0 1 34.32001 289.20999 Tm (checked in the home. A record of testing was found in the office, but th\ is has not been )Tj 1 0 0 1 34.32001 271.70999 Tm (completed since April 2009. One member of staff was observed to be using\ a )Tj 1 0 0 1 34.32001 254.22 Tm (thermometer to check the temperature of a bath she was running.)Tj 1 0 0 1 34.32001 236.72 Tm (\240)Tj ET endstream endobj 654 0 obj 5710 endobj 655 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 104.25 w 32.32001 661.38 m 562.52997 661.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.64996 618.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 609.25 m 565.84998 609.25 l S 30.07001 716.82996 m 30.07001 608.16998 l S 564.77997 716.82996 m 564.77997 608.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57001 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57001 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57001 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57001 Tm (managers.)Tj 1 0 0 1 35.5 615.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 591 Tm <0003>Tj 1 0 0 1 28.35001 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 546.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 462.5 m 562.53998 462.5 l S 1 1 1 RG 22.5 w 32.35001 533.16998 m 564.78998 533.16998 l S 136.84999 w 33.47 451.25 m 563.65997 451.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 520.79999 m 565.87 520.79999 l S 32.35001 521.88 m 32.35001 380.63 l S 564.78998 521.88 m 564.78998 380.63 l S 32.35001 520.79999 m 564.78998 520.79999 l S 31.27 381.70001 m 565.87 381.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 505.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People that use the service are not supported by sufficient numbers of t\ rained and )Tj 1 0 0 1 36.62 443.25 Tm (competent staff to meet their needs.)Tj 1 0 0 1 36.62 425.75998 Tm (\240)Tj 1 0 0 1 36.62 408.25998 Tm (People that use the service are placed at risk due to poorly managed sys\ tems for )Tj 1 0 0 1 36.62 390.76999 Tm (vetting new employees. )Tj 1 0 0 1 28.35001 366.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 273.81 w 34.60001 218.92998 m 562.53998 218.92998 l S 1 1 1 RG 22.5 w 32.35001 346.84 m 564.78998 346.84 l S 252.43999 w 33.47 207.12 m 563.65997 207.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 334.45999 m 565.87 334.45999 l S 32.35001 335.53998 m 32.35001 78.70001 l S 564.78998 335.53998 m 564.78998 78.70001 l S 32.35001 334.45999 m 564.78998 334.45999 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 343.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 318.78 Tm (On the day of the inspection the staff on duty included three care staff\ , the assistant )Tj 1 0 0 1 36.57001 301.28 Tm (manager, the cook, housekeeper and the activity worker. The cook was unw\ ell so )Tj 1 0 0 1 36.57001 283.79001 Tm (went home and the activity worker undertook the catering duties for the \ day. This )Tj 1 0 0 1 36.57001 266.29001 Tm (meant that the planned activities were cancelled.)Tj 1 0 0 1 36.57001 248.78998 Tm (\240)Tj 1 0 0 1 36.57001 231.3 Tm (Two of the care staff on shift are new and were working their second shi\ ft. The )Tj 1 0 0 1 36.57001 213.8 Tm (experienced carer was responsible for supervising and inducting these st\ aff members )Tj 1 0 0 1 36.57001 196.31 Tm (during the morning. The assistant manager was on duty and said she was c\ ompleting )Tj 1 0 0 1 36.57001 178.81 Tm (some paperwork delegated by the manager, but assisted with the inspectio\ n. The rota )Tj 1 0 0 1 36.57001 161.31 Tm (was seen for the period 7th September 2009 to 20th September 2009. This \ showed )Tj 1 0 0 1 36.57001 143.81999 Tm (that three new carers were employed to the home and started work on 9th \ and 10th )Tj 1 0 0 1 36.57001 126.32001 Tm (September 2009. One carer started their first shift as the second carer \ on a night )Tj 1 0 0 1 36.57001 108.83 Tm (duty. There are usually two waking night staff on duty and therefore thi\ s arrangement )Tj 1 0 0 1 36.57001 91.33 Tm (did not allow for the appropriate supervision of this staff member withi\ n normal )Tj ET endstream endobj 656 0 obj 4929 endobj 657 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (staffing numbers. The other two carers started work on a long day \(doub\ le day shift\). )Tj 1 0 0 1 34.32001 761.60004 Tm (They were rota'd as the third and fourth carers, again not allowing for \ appropriate )Tj 1 0 0 1 34.32001 744.10999 Tm (supervision and induction.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (Some staff work long hours and the rota showed a member of staff due to \ work a )Tj 1 0 0 1 34.32001 691.62 Tm (night duty followed by a long day. This means the staff member would be \ working )Tj 1 0 0 1 34.32001 674.12 Tm (continuously for twenty four hours. The assistant manager agreed to revi\ ew the rota )Tj 1 0 0 1 34.32001 656.63 Tm (to ensure the appropriate deployment of staff and appropriate supervisio\ n )Tj 1 0 0 1 34.32001 639.13 Tm (arrangements of new employees.)Tj 1 0 0 1 34.32001 621.63 Tm (\240)Tj 1 0 0 1 34.32001 604.14001 Tm (A housekeeper is employed in the home five days a week, but was due to l\ eave at the )Tj 1 0 0 1 34.32001 586.64001 Tm (end of the week. A new housekeeper has not yet been recruited. The manag\ er said )Tj 1 0 0 1 34.32001 569.14996 Tm (that the staff would be required to cover the housekeeping tasks until t\ he post is )Tj 1 0 0 1 34.32001 551.64996 Tm (filled.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (The staff files were examined for seven members of staff. This includes \ the three )Tj 1 0 0 1 34.32001 499.16 Tm (newly employed carers, three carers employed within the last year and th\ e new )Tj 1 0 0 1 34.32001 481.66998 Tm (handyman. The registered provider recruits staff from overseas using an \ employment )Tj 1 0 0 1 34.32001 464.16998 Tm (agency. The files do not contain evidence that POVA first checks, Crimin\ al Records )Tj 1 0 0 1 34.32001 446.66998 Tm (Bureau \(CRB\) checks, or an application form have been obtained. One of\ the carers )Tj 1 0 0 1 34.32001 429.17999 Tm (was able to produce a copy of her police check from her country of resid\ ence when )Tj 1 0 0 1 34.32001 411.67999 Tm (requested by the assistant manager. The other two carers did not produce\ these )Tj 1 0 0 1 34.32001 394.19 Tm (documents when requested by the assistant manager.)Tj 1 0 0 1 34.32001 376.69 Tm (\240)Tj 1 0 0 1 34.32001 359.19 Tm (The files for the three carers employed within the last year contained e\ vidence that )Tj 1 0 0 1 34.32001 341.70001 Tm (POVA first checks have been received, but there was no evidence of recei\ pt of the )Tj 1 0 0 1 34.32001 324.20001 Tm (CRB. The manager was asked to locate these, but was unable to do so duri\ ng the )Tj 1 0 0 1 34.32001 306.70999 Tm (inspection. It was also found that appropriate references have not been \ taken up in )Tj 1 0 0 1 34.32001 289.20999 Tm (respect of two of these workers. One person has references dated 2007 an\ d the other )Tj 1 0 0 1 34.32001 271.70999 Tm (has references dated 2008, when both staff members were employed into th\ e home in )Tj 1 0 0 1 34.32001 254.22 Tm (2009. The references seen on the two files were not addressed to the pro\ vider and )Tj 1 0 0 1 34.32001 236.72 Tm (therefore the provider cannot be sure of their origin and authenticity.)Tj 1 0 0 1 34.32001 219.23 Tm (\240)Tj 1 0 0 1 34.32001 201.73 Tm (The six workers whose files were inspected as above, are all accommodate\ d in the )Tj 1 0 0 1 34.32001 184.23 Tm (home. As appropriate CRB and POVA checks were not evident at the time of\ the )Tj 1 0 0 1 34.32001 166.73999 Tm (inspection an immediate requirement was issued to ensure that service us\ ers are )Tj 1 0 0 1 34.32001 149.23999 Tm (safeguarded until this is rectified.)Tj 1 0 0 1 34.32001 131.75 Tm (\240)Tj 1 0 0 1 34.32001 114.25 Tm (The last file that was inspected was for the newly appointed maintenance\ worker. The )Tj 1 0 0 1 34.32001 96.75 Tm (appropriate documentation and evidence of the required checks was in pla\ ce.)Tj ET endstream endobj 658 0 obj 3809 endobj 659 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (The training records were inspected for six staff members. The three new\ care staff )Tj 1 0 0 1 34.32001 744.10999 Tm (have not yet completed any training. The assistant manager said they wou\ ld be )Tj 1 0 0 1 34.32001 726.60999 Tm (starting their 'skills for care' induction and registering for their NVQ\ . One of the new )Tj 1 0 0 1 34.32001 709.10999 Tm (carers was spoken with and confirmed she had not received any training y\ et.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (The three carers who had been employed within the last year had complete\ d a 'skills )Tj 1 0 0 1 34.32001 656.63 Tm (for care' induction and training in first aid, infection control and med\ ication. They have )Tj 1 0 0 1 34.32001 639.13 Tm (not yet completed any training in Moving and Handling or Safeguarding ad\ ults. The )Tj 1 0 0 1 34.32001 621.63 Tm (assistant manager showed the inspector an invoice for a moving and handl\ ing theory )Tj 1 0 0 1 34.32001 604.14001 Tm (course, but this did not contain any practical instruction and did not c\ onfirm that the )Tj 1 0 0 1 34.32001 586.64001 Tm (three carers in question had completed the training. The manager said th\ at moving )Tj 1 0 0 1 34.32001 569.14996 Tm (and handling training has been booked, but that the registered provider \ has instructed )Tj 1 0 0 1 34.32001 551.64996 Tm (that all training be postponed due to financial constraints. The manager\ said she )Tj 1 0 0 1 34.32001 534.14996 Tm (intended to go ahead with the planned training courses anyway. The three\ carers who )Tj 1 0 0 1 34.32001 516.65997 Tm (have not yet received training in safeguarding adults or moving and hand\ ling have )Tj 1 0 0 1 34.32001 499.16 Tm (been placed in charge of the new workers on night duties. This practice \ can not ensure )Tj 1 0 0 1 34.32001 481.66998 Tm (the safety of service users.)Tj 1 0 0 1 34.32001 464.16998 Tm (\240)Tj 1 0 0 1 34.32001 446.66998 Tm (The manager said approximately half the staff team recently completed a \ distance )Tj 1 0 0 1 34.32001 429.17999 Tm (learning course in dementia and that the remainder of the team completed\ an one day )Tj 1 0 0 1 34.32001 411.67999 Tm (training course in dementia. This included the three staff whose files w\ ere reviewed by )Tj 1 0 0 1 34.32001 394.19 Tm (the inspector. There were no certificates or records on file to evidence\ this training. )Tj 1 0 0 1 34.32001 376.69 Tm (Staff have not received any training in mental health despite a person b\ eing admitted )Tj 1 0 0 1 34.32001 359.19 Tm (to the home with mental health needs.)Tj 1 0 0 1 34.32001 341.70001 Tm (\240)Tj 1 0 0 1 34.32001 324.20001 Tm (50% of the staff team have completed an NVQ or are working toward this.)Tj ET endstream endobj 660 0 obj 5945 endobj 661 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.64996 576.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People control their own money and choose how they spend it. If they or \ someone )Tj 1 0 0 1 35.5 668.57001 Tm (close to them cannot manage their money, it is managed by the care home \ in their )Tj 1 0 0 1 35.5 651.57001 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57001 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32001 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32001 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 1 0 0 1 35.5 547.32001 Tm (the way things should be done. They get the right care because the staff\ are )Tj 1 0 0 1 35.5 530.32001 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 159.34 w 34.60001 377.5 m 562.53998 377.5 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 136.84999 w 33.47 366.25 m 563.65997 366.25 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 295.63 l S 564.78998 436.88 m 564.78998 295.63 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 296.70001 m 565.87 296.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (poor)Tj 0 Tr 1 0 0 1 290.57001 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (Service users can not be assured that they live in a home that is run by\ a person that )Tj 1 0 0 1 36.62 358.25 Tm (has demonstrated they are fit to be in charge of running the home.)Tj 1 0 0 1 36.62 340.75998 Tm (The home is not run in the best interests of the service users. The syst\ ems for )Tj 1 0 0 1 36.62 323.25998 Tm (monitoring the quality of the service are ineffective and therefore the \ registered )Tj 1 0 0 1 36.62 305.76999 Tm (provider cannot be assured of the quality of care and the safety of serv\ ice users. )Tj 1 0 0 1 28.35001 281.01999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 188.81 w 34.60001 176.42999 m 562.53998 176.42999 l S 1 1 1 RG 22.5 w 32.35001 261.84 m 564.78998 261.84 l S 167.44 w 33.47 164.62 m 563.65997 164.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 249.45998 m 565.87 249.45998 l S 32.35001 250.53998 m 32.35001 78.70001 l S 564.78998 250.53998 m 564.78998 78.70001 l S 32.35001 249.45998 m 564.78998 249.45998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 258.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 233.78 Tm (A new manager has been appointed to the care home since the last inspect\ ion. This )Tj 1 0 0 1 36.57001 216.28 Tm (manager has not yet applied for registration with the Care Quality Commi\ ssion and )Tj 1 0 0 1 36.57001 198.78998 Tm (must do so immediately in order to demonstrate their fitness to manage t\ he home. )Tj 1 0 0 1 36.57001 181.28998 Tm (The manager holds a number of relevant qualifications in care and manage\ ment.)Tj 1 0 0 1 36.57001 163.78999 Tm (\240)Tj 1 0 0 1 36.57001 146.3 Tm (Since the last inspection of the service the home has not been effective\ ly managed. )Tj 1 0 0 1 36.57001 128.8 Tm (Some of the care plans and records have not been appropriately reviewed \ and )Tj 1 0 0 1 36.57001 111.31 Tm (maintained. There have been a number of incidents that have not been rep\ orted )Tj 1 0 0 1 36.57001 93.81 Tm (properly and allegations not reported under safeguarding procedures. Sta\ ff have been )Tj ET endstream endobj 662 0 obj 3262 endobj 663 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (40)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 406.28 w 34.60001 608.26001 m 562.53998 608.26001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 384.91 w 33.47 596.45001 m 563.65997 596.45001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 401.78998 l S 564.78998 791.10999 m 564.78998 401.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 402.87 m 565.87 402.87 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (employed to the home without the proper checks being made to ensure serv\ ice users )Tj 1 0 0 1 34.32001 761.60004 Tm (are safeguarded.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (Some staff have received training in health and safety and moving and ha\ ndling, but a )Tj 1 0 0 1 34.32001 709.10999 Tm (number of staff employed within the last year have not yet completed thi\ s. The food )Tj 1 0 0 1 34.32001 691.62 Tm (hygiene certificate for the cook expired in January 2009. Water temperat\ ure checks )Tj 1 0 0 1 34.32001 674.12 Tm (have not been made since April 2009.)Tj 1 0 0 1 34.32001 656.63 Tm (\240)Tj 1 0 0 1 34.32001 639.13 Tm (The most recent quality audit by the responsible individual was seen. Th\ is had been )Tj 1 0 0 1 34.32001 621.63 Tm (completed by the manager and signed by the responsible individual and th\ e manager )Tj 1 0 0 1 34.32001 604.14001 Tm (confirmed this is standard practice. There is therefore no effective sys\ tem in place for )Tj 1 0 0 1 34.32001 586.64001 Tm (the responsible individual to monitor the quality of the service and to \ monitor the day )Tj 1 0 0 1 34.32001 569.14996 Tm (to day management of the home. The audit had not identified any of the i\ ssues found )Tj 1 0 0 1 34.32001 551.64996 Tm (in this inspection. The manager said she was unsure when the last annual\ Quality )Tj 1 0 0 1 34.32001 534.14996 Tm (Assurance audit took place, that included seeking the views of service u\ sers, and was )Tj 1 0 0 1 34.32001 516.65997 Tm (not able to produce a report for this. There is no annual development pl\ an for the )Tj 1 0 0 1 34.32001 499.16 Tm (home. The manager stated that she plans to undertake an audit soon.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (The manager and assistant manager have recently taken on additional duti\ es of )Tj 1 0 0 1 34.32001 446.66998 Tm (invoicing local authorities and service users for the fees for the home \ and paying the )Tj 1 0 0 1 34.32001 429.17999 Tm (staff wages. This is taking a lot of their time away from the running of\ the home and )Tj 1 0 0 1 34.32001 411.67999 Tm (both said they did not feel they were sufficiently trained to do this ta\ sk. )Tj ET endstream endobj 664 0 obj 3690 endobj 665 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (40)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 496.34998 784.77997 m 539.10004 784.77997 l S 1 1 1 RG 541.34998 784.77997 m 566.10004 784.77997 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 794.40002 m 568.29999 794.40002 l S 26.14 813.64996 m 568.29999 813.64996 l S 26.14 794.40002 m 568.29999 794.40002 l S 26.14 775.14996 m 568.29999 775.14996 l S 27.22 814.72998 m 27.22 774.07996 l S 423.22 795.47998 m 423.22 774.07996 l S 468.22 795.47998 m 468.22 774.07996 l S 495.22 795.47998 m 495.22 774.07996 l S 540.21997 795.47998 m 540.21997 774.07996 l S 567.21997 814.72998 m 567.21997 774.07996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.46997 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.21997 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.15997 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.21997 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.15997 Tm <0035>Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32001 655.12 m 564.96997 655.12 l S 1 1 1 RG 20.58 w 31.2 604.26001 m 91.05 604.26001 l S 93.3 604.26001 m 197.40001 604.26001 l S 199.64998 604.26001 m 289.44998 604.26001 l S 291.70001 604.26001 m 473.80002 604.26001 l S 476.04999 604.26001 m 566.10004 604.26001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 616.75 m 30.07001 591.76996 l S 567.21997 616.75 m 567.21997 591.76996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.29999 615.66998 l S 92.17 616.75 m 92.17 591.76996 l S 198.51999 616.75 m 198.51999 591.76996 l S 290.57001 616.75 m 290.57001 591.76996 l S 474.91998 616.75 m 474.91998 591.76996 l S 28.99001 719.64996 m 568.40002 719.64996 l S 28.99001 648.21997 m 568.40002 648.21997 l S 28.99001 615.66998 m 568.40002 615.66998 l S 28.99001 592.83997 m 568.29999 592.83997 l S 30.07001 720.72998 m 30.07001 614.60004 l S 92.12 649.29999 m 92.12 614.60004 l S 198.51999 649.29999 m 198.51999 614.60004 l S 290.62 649.29999 m 290.62 614.60004 l S 475.01999 649.29999 m 475.01999 614.60004 l S 567.32001 720.72998 m 567.32001 614.60004 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45001 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.02997 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45001 Tm (been met.)Tj 1 0 0 1 95.57001 669.45001 Tm (\240 )Tj 1 0 0 1 104.02 669.45001 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.04999 Tm (No.)Tj 1 0 0 1 96.10001 634.04999 Tm (Standard)Tj 1 0 0 1 202.5 634.04999 Tm (Regulation)Tj 1 0 0 1 294.60001 634.04999 Tm (Requirement)Tj 1 0 0 1 479 634.04999 Tm (Timescale for )Tj 1 0 0 1 479 621.90002 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 602.48999 Tm (\240)Tj 1 0 0 1 96.15001 599.48999 Tm (\240)Tj 1 0 0 1 202.5 599.48999 Tm (\240)Tj 1 0 0 1 294.54999 599.48999 Tm (\240)Tj 1 0 0 1 478.89993 599.48999 Tm (\240)Tj ET endstream endobj 666 0 obj 6520 endobj 667 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (40)Tj /T1_0 16 Tf 1 0 0 1 28.35001 797.57001 Tm (Requirements and recommendations from this inspection:)Tj /T1_0 12 Tf 1 0 0 1 28.35001 782.14996 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 315.23999 w 32.32001 616.21997 m 564.96997 616.21997 l S 1 1 1 RG 227.7 w 31.2 573.57001 m 91.05 573.57001 l S 93.3 573.57001 m 197.40001 573.57001 l S 199.64998 573.57001 m 289.44998 573.57001 l S 291.70001 573.57001 m 473.80002 573.57001 l S 476.04999 573.57001 m 566.10004 573.57001 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.07001 689.63 m 30.07001 457.51999 l S 567.21997 689.63 m 567.21997 457.51999 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.29999 688.54999 l S 92.17 689.63 m 92.17 457.51999 l S 198.51999 689.63 m 198.51999 457.51999 l S 290.57001 689.63 m 290.57001 457.51999 l S 474.91998 689.63 m 474.91998 457.51999 l S 28.99001 776.08997 m 568.40002 776.08997 l S 28.99001 721.10004 m 568.40002 721.10004 l S 28.99001 688.54999 m 568.40002 688.54999 l S 28.99001 458.60001 m 568.29999 458.60001 l S 30.07001 777.16998 m 30.07001 687.46997 l S 92.12 722.17999 m 92.12 687.46997 l S 198.51999 722.17999 m 198.51999 687.46997 l S 290.62 722.17999 m 290.62 687.46997 l S 475.01999 722.17999 m 475.01999 687.46997 l S 567.32001 777.16998 m 567.32001 687.46997 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 759.90002 Tm (Immediate requirements:)Tj 0 Tr 1 0 0 1 34.05 742.32001 Tm (These are immediate requirements that were set on the day we visited thi\ s care home. )Tj 1 0 0 1 34.05 727.73999 Tm (The registered person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.91998 Tm (No.)Tj 1 0 0 1 96.10001 706.91998 Tm (Standard)Tj 1 0 0 1 202.5 706.91998 Tm (Regulation)Tj 1 0 0 1 294.60001 706.91998 Tm (Requirement)Tj 1 0 0 1 479 706.91998 Tm (Timescale for )Tj 1 0 0 1 479 694.76996 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.35999 Tm (1)Tj 1 0 0 1 96.15001 672.35999 Tm (29)Tj 1 0 0 1 202.5 672.35999 Tm (19)Tj 1 0 0 1 294.54999 672.35999 Tm (The registered person must )Tj 1 0 0 1 294.54999 657.77997 Tm (ensure that the )Tj 1 0 0 1 294.54999 643.20001 Tm (documentation required )Tj 1 0 0 1 294.54999 628.62 Tm (under schedule 2 is obtained )Tj 1 0 0 1 294.54999 614.03998 Tm (for all persons employed to )Tj 1 0 0 1 294.54999 599.45996 Tm (work in the home. )Tj 1 0 0 1 294.54999 584.88 Tm (Appropriate checks must be )Tj 1 0 0 1 294.54999 570.29999 Tm (made for all staff residing in )Tj 1 0 0 1 294.54999 555.71997 Tm (the home and suitable )Tj 1 0 0 1 294.54999 541.14001 Tm (arrangements made for their )Tj 1 0 0 1 294.54999 526.56 Tm (supervision until such checks )Tj 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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