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Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏4¾ Z?EE-B֏5_x6H鰰ϯ+Eb?/C[DT*xQEHn[ endstream endobj 7 0 obj <>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.75294 0.75294 0.75294 RG 94.5 w 22.95 766.4 m 561.53 766.4 l S 0.001 w q 170.25 0 0 54.75 28.35 750.9 cm /img1 Do Q /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 461.32 m 160.38 461.32 l S 0.001 w 1 1 1 RG 90.9 w 162.63 461.32 m 563.65 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150.12 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F2 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Crosshill House )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Crosshill House)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Market Square )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Barrow On Humber)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (North Lincolnshire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (DN19 7BW)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01469531767)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 566.03 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 522.59 m 564.77 522.59 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 523.71 m 353.25 523.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.71 m 565.9 523.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 500.88 m 353.25 500.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.88 m 565.9 500.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 488.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Oakhills Residential Homes Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 518.94 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 496.11 Tm (14)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.17 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 460.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 417.85 m 564.47 417.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 429.26 m 567.8 429.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.09 m 567.8 452.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.26 m 567.8 429.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.85 m 567.8 385.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 453.17 m 30.07 384.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 430.34 m 298.32 384.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 453.17 m 566.72 384.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 413.08 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 413.08 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 392.5 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 371.06 m 297.3 371.06 l S 0.001 w 20.58 w 299.55 371.06 m 431.45 371.06 l S 0.001 w 20.58 w 433.7 371.06 m 565.6 371.06 l S 0.001 w 35.16 w 31.2 340.94 m 297.3 340.94 l S 0.001 w 35.16 w 299.55 340.94 m 431.45 340.94 l S 0.001 w 35.16 w 433.7 340.94 m 565.6 340.94 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 310.82 m 565.6 310.82 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 359.65 m 567.8 359.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.24 m 567.8 322.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.41 m 567.8 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 568.1 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.48 m 567.8 382.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.65 m 567.8 359.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.24 m 567.8 322.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.41 m 568.1 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 568.1 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.01 m 568.1 210.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.55 m 30.07 208.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 383.55 m 298.42 321.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 383.55 m 432.57 321.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 383.55 m 566.72 208.93 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 366.29 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 366.29 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 366.29 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 343.46 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 328.88 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 343.46 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 343.46 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 306.05 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 283.22 Tm (The maximum number of service users who may be accommodated is 14)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 260.39 Tm (The registered person may provide personal care \(excluding nursing\) and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 245.81 Tm (accommodation to service users of both sexes whose primary care needs on admission )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 231.23 Tm (to the home are within the following categories: Dementia \(Code DE\) 12; Old Age, not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 216.65 Tm (falling within any other category \(Code OP\)14)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 0.001 w 1 1 1 RG 20.58 w 317.5 195.22 m 346.55 195.22 l S 0.001 w 20.58 w 348.8 195.22 m 377.9 195.22 l S 0.001 w 20.58 w 380.15 195.22 m 409.2 195.22 l S 0.001 w 20.58 w 411.45 195.22 m 440.55 195.22 l S 0.001 w 20.58 w 442.8 195.22 m 471.9 195.22 l S 0.001 w 20.58 w 474.15 195.22 m 503.2 195.22 l S 0.001 w 20.58 w 505.45 195.22 m 534.55 195.22 l S 0.001 w 20.58 w 536.8 195.22 m 565.9 195.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 206.63 m 568.1 206.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.8 m 568.1 183.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 207.71 m 30.07 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 207.71 m 316.37 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 207.71 m 347.67 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 207.71 m 379.02 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 207.71 m 410.32 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 207.71 m 441.67 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 207.71 m 473.02 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 207.71 m 504.32 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 207.71 m 535.67 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 207.71 m 567.02 182.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 190.45 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 190.45 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 190.45 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 190.45 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 190.45 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 190.45 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 190.45 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 190.45 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.93 m 565.9 171.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 162.3 m 568.1 162.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 163.38 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 163.38 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 181.55 m 568.1 181.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.3 m 568.1 162.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 182.63 m 30.07 161.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 182.63 m 567.02 161.23 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 168.37 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 149.12 Tm (Crosshill House is a small, homely residential home that is situated in the centre of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 132.12 Tm (Barrow on Humber close to local amenities. These include a post office, church and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 115.12 Tm (chapel, library and shops. It is registered to offer care and support to fourteen people )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 98.12 Tm (over the age of sixty-five years, some of whom may have needs accociated with )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 81.12 Tm (dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 64.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 47.12 Tm (The home comprises of two storeys that are serviced by a passenger lift. There are ten )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 570.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 570.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 571.15 m 568.1 571.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (single bedrooms and two shared rooms, three of the single rooms have en-suite )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (facilities. People who use the service have the use of two assisted bathrooms, one on )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (each floor and three further separate toilets.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (Crosshill House has a lounge and seperate conservatory area with dining and lounge )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (facilities. The garden is enclosed and well maintained with a large pond and mature )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (plants and trees.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (Information about the home and its service can be found in the statement of purpose )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (and service user guide, both these documents are available from the management at )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (the home. Current fees range from three hundred and forty-nine pounds to four )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (hundred and twenty pounds per week.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 532/Matrix [1 0 0 1 0 0]>>stream xMo1+|K?R Y@T~>hRiRމg^b.a$II=9|#}o.Fr.TkOg)E+Xsn5a̎5 %Y=0Qk$x:l^kO=+jAkvkjO/mlz% ]8ITxFn7KL'9)j+K XV l*EG"IJ&ɏF ͑kPfŕhZ<.t'N*euv܎f8zejFِ}a&`겫?IoQ⤒u'uv mO82Xie'ۓs=g/+zqUyQӹH6t9~mRix󞿸_409z&qtؽ٤aSϾ*tLqaM |UW(!gq^أ/jՅi{Z> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 749.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The quality rating for this service is 2 star. This means that the people who use this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (service experience good quality outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm (This inspection included an unannounced site visit carried out by Mrs Jane Lyons on the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (8th December 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (This inspection report is based on information received by the Care Quality Commission )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (\(CQC\) from the last nine months including information gathered during a site visit to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (the home which took approximately seven hours.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm (Throughout the day we spoke to people staying in the home to gain a picture of what )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (life is like at Crosshill House during their stay. We also had discussions with the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (registered providers, deputy manager, care staff, the cook, visitors and a community )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (nursing assistant.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 396.66 w 32.32 614.2 m 566.72 614.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 414.74 m 568.92 414.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 413.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 413.67 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (People who use the service were given surveys and four were returned. Relatives were )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (given surveys and five were returned. Staff that work at the service were given )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (surveys and two were returned. Placing social workers and health care professionals )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (were given surveys and two were returned.Comments and views from everyone have )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (been included in relevant parts of the report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (We looked at assessments of need made before people were admitted to the home and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (the home's care plans to see how those needs were to be met while they were staying )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (there. Also examined were medication practices, activities provided, nutrition, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (complaints management, staffing levels, staff recruitment, staff training, how the home )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (monitors the quality of service provided and how the home is managed overall. We )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (also checked with people to make sure that privacy and dignity is maintained, that )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (people can make choices about aspects of their lives and that the home ensures they )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (are protected in a safe, clean environment. We observed the way staff spoke to people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (and supported them and checked out with them their understanding of how to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 569.44 Tm (maintain privacy, dignity, independence and choice.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 554.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 540.28 Tm (We would like to thank the people who were staying at Crosshill House, the staff team )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 525.7 Tm (and the management for their hospitality during the visit and also thank the people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 511.12 Tm (who spoke with us.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 496.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 481.96 Tm (We have reviewed our practice when making requirements, to improve national )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 467.38 Tm (consistency. Some requirements from previous inspection reports may have been )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 452.8 Tm (deleted or carried forward into this report as recommendations, but only when it is )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 438.22 Tm (considered that people who use services are not being put at significant risk of harm. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 423.64 Tm (In future, if a requirement is repeated, it is likely that enforcement action will be taken.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 399.66 w 32.32 573.99 m 566.72 573.99 l S 0.001 w 20.58 w 32.7 361.62 m 569.35 361.62 l S 0.001 w 166.38 w 33.82 265.89 m 568.22 265.89 l S 0.001 w 20.58 w 33.45 170.16 m 570.1 170.16 l S 0.001 w 93.6 w 34.57 110.82 m 568.97 110.82 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 373.04 m 568.92 373.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 371.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 373.04 m 569.35 373.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 350.21 m 569.35 350.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 350.21 m 570.42 350.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 181.58 m 570.42 181.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 158.75 m 570.1 158.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 181.58 m 570.1 181.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 158.75 m 571.17 158.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 351.29 m 32.7 180.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 159.83 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 371.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 351.29 m 569.35 180.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 159.83 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (People said they were comfortable at the home. The home has a warm and friendly )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (atmosphere and interactions between the staff and people who use the service were )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (observed to be open and respectful. Families spoken to during the day commented on )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (how welcome they are always made to feel.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (People spoke highly of the service at the home and comments received included 'My )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (relative is warm, safe and comfortable now she has moved to Crosshill and she is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm (happier than she has been for a long time',' They care for the residents as individuals, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (it is a small and friendly care home, everything possible is done for my mother','The )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (day- to- day care is excellent.They suit their care with consideration for the individual' )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm (and 'All the staff are caring and conscientious, my relative is well looked after'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (People who use the service are given choices about their lifestyle.They are encouraged )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm (to maintain their hobbies and pastimes, take up new interests and maintain )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (relationships with their family and friends.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.48 Tm (Special dietary needs are catered for and meals are varied with individual choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm (ensuring that people who use the service receive an appealing and balanced diet. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm (Comments included ' Food is excellent and varied'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 481.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 467.16 Tm (People who use the service and their relatives concerns are listened to and staff make )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.58 Tm (sure they take action to sort problems out quickly.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 438 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 423.42 Tm (Staff are well trained, supervised and supported to carry out their roles.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 408.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 394.26 Tm (The home works hard to improve the quality of its service by asking the opinions of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 379.68 Tm (staff, people who use the service, relatives and other interested parties.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 572.44 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 359.51 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 356.85 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 360.07 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 264.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (Improvements have been made to the quality of the care plan records however some )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (further improvements would better ensure that staff have clearer information about )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (how to care for people.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm (More decoration and refurbishment of the facilities has taken place. The new extension )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (is a very positive addition to the facilities at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm (The home has achieved the target of ensuring at least 50% of the care staff have )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 217.38 Tm (achieved NVQ level 2 or 3 in care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 202.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 188.22 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 570.47 264.34 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 168.61 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 165.39 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 109.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm (Although detailed assessments are carried out, some of this information is recorded in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (the care plans, this information should be separated out to provide more )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm (comprehensive assessment records and clearer plans of care, which staff will be able to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm (follow and update more easily.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm (Handwritten medication records should be witnessed and signed by a second staff )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 250.86 w 34.57 687.1 m 568.97 687.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 560.54 m 571.17 560.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 559.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 559.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (member to ensure the information is correct. Temperature recordings of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (medication fridge and storage areas should be taken regularly to ensure all )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (medications are stored safely.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm (The management must ensure that two written references are obtained for all newly )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm (recruited workers before they commence work at the home, this will protect people's )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (safety.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm (The flooring in the laundry area must be repaired or replaced to ensure that staff can )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (work in this area safely and appropriate standards of hygiene are maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (A fence should be erected around the pond in the garden to ensure the safety of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.76 Tm (people who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.6 Tm (The home should take action to ensure compliance is achieved towards the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 584.02 Tm (recommendations made by the Environmental Health Officer following their visit in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.44 Tm (April. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 545.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 525.99 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 525.99 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 525.99 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 508.49 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 488.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 468.5 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 468.5 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 448.5 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 448.5 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 428.51 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 386.74 m 562.54 386.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 84.36 w 33.47 375.5 m 563.66 375.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 331.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 332.19 m 565.87 332.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (Proper pre - admission procedures are in place and followed so that people who are )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (thinking about moving into the home can feel confident that their needs will be met. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 316.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 224.3 w 34.6 194.17 m 562.54 194.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 297.32 m 564.79 297.32 l S 0.001 w 202.93 w 33.47 182.36 m 563.66 182.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 284.95 m 565.87 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 286.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 286.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 284.95 m 564.79 284.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 294.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 269.27 Tm (We looked at a sample of files which belong to people who are staying at the home )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.77 Tm (and we saw that these contained a range of assessments undertaken by the home. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.27 Tm (The assessments cover all aspects of health and personal care needs. In addition to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.78 Tm (this, information is also requested from the family and health and social care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (professionals where possible so that the home has as much information about the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (prospective individual prior to their admission. The format of the current assessment )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (records is mainly 'tick box' in style and advice was given to develop the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (documentation to allow for more descriptive details of the person's needs and how )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (they would like their assistance to be given. We saw evidence that a lot of descriptive )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (information was contained in the actual care plans, this information would be better )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (recorded in the assessments so the care plans detail clearer guidance for staff on how )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 318.8 w 34.6 652 m 562.54 652 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 297.43 w 33.47 640.19 m 563.66 640.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 490.35 m 565.87 490.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (people wish to be supported and how their current needs can be met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Wherever clients are referred through the Local Authority the home has obtained )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (copies of relevant assessment reports and care plans. The assessment process also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (takes account of people's cultural and social needs. This information is recorded and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (made available to carers so they have a good understanding and know how people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (wish to be addressed and their preferred lifestyle.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (There was evidence to demonstrate that care staff are continuing to access a range of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (service specific training, this will help ensure that they have the skills to enable them )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (to deliver up to date care methods and have a better understanding of the varied )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (conditions common to older people. The home has varied their registration so they can )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (accept people with needs associated with dementia, records show that staff have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (completed a training course in dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The home does not provide intermediate care dedicated to accommodate individuals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (with intensive rehabilitation needs so standard six is not applicable. )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 403.25 m 562.54 403.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 119.35 w 33.47 392 m 563.66 392 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 330.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 331.2 m 565.87 331.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (People are very happy with the care support they receive and the care plans generally )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (provide sufficient information and guidance to staff on how to meet people's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (The medication systems at the home are well managed ensuring the promotion of )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (good health.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 315.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.3 w 34.6 193.68 m 562.54 193.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 296.33 m 564.79 296.33 l S 0.001 w 201.93 w 33.47 181.87 m 563.66 181.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 283.96 m 565.87 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 285.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 285.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.96 m 564.79 283.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 293.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (Care files for three of the people living at the home were sampled during this )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (inspection visit, we saw evidence that further improvements have been made to the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (standard of recording however some more developments are needed to ensure staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (are provided with clearer directions on how to provide care for people. New care plans )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (have been developed, we saw that the plans contain a lot of assessment information )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (and these could be improved if they focused more on the actual care people needed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (and how they wanted their care support delivered. The staff should also ensure people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (or their representatives have signed their care plans to demonstrate they have been )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (involved in the development and have agreed to the content.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (Daily recording has been well maintained, staff were describing how people's health )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (and personal needs had been met they were also describing in detail how people had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (spent their time. The use of risk assessment documentation to form a basis for care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (was consistent, all files seen contained risk assessments to cover areas such as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (mobility, falls, pressure damage and nutrition. The risk assessment documentation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (provides detailed action plans to support the care required to maintain people's health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (welfare and safety in each area assessed. Records show that they have been reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (regularly and updated to reflect any changes in need.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Entries in the care files detail where individuals have specific nutritional needs and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (also note their likes and dislikes. Records show that people are weighed regularly, the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (seated scales have recently broken but the owners are purchasing equipment which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (can be used with the hoist. We saw evidence in the records that dietetic advice is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (sought where necessary. Continence is promoted discreetly by providing toileting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (assistance at appropriate intervals, some people have been assessed by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (community continence adviser and are provided with aids such as continence pads. A )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (number of individuals have medical conditions that impact on mobility, there is a good )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (range of moving and handling equipment available and staff had all received training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (in how to use the equipment properly to make sure people who use the service and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (staff were kept safe.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (Annual reviews take place to discuss people's care with their family and others who )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (are involved in their care. Information about people's wishes prior to and following )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (their death is included in the care file where people have chosen to discuss this aspect )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (of their care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (Care records show that people's health is monitored and people have access to health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (care facilities and any relevant specialists that are necessary, the staff support people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (in attending appointments. Health care information is recorded in the care records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (about why people are attending appointments and outcomes from these. During the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (visit we spoke to a nursing assistant who visits the home regularly, she told us that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (the home worked well with the community health care team, it was a pleasure to visit )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (the home and all their patients were very happy with the standards of care and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (support they received.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (People appeared well dressed and had received a good level of personal care. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (Comments received during the visit from people who use the service show that they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (are very satisfied with the care and support offered by the staff. Comments included )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ('The staff are wonderful and look after us very well' and 'They can't do enough to help )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (us'.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 318.8 w 34.6 652 m 562.54 652 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 297.43 w 33.47 640.19 m 563.66 640.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 490.35 m 565.87 490.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (We looked at the medication systems during the inspection visit which showed that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (the management had addressed some of the recommendations made at the previous )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (visit but some further improvements are needed. The controlled medication cupboard )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (has now been securely fixed to the wall in line with current guidance however the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (temperature of the storage area and medication fridge needs to be monitored )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (regularly and handwritten entries \(transcribing\) on the medication administration )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (records\(MARS\) should be witnessed and signed by a second staff member to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (the information is correct. Checks on medication administration records show that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (each person gets the medication they need at the right time. Storage was seen to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (managed well, internal and external medications are stored separately and stock )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (control was noted to be good. People are encouraged to be as independent as possible )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (in controlling their own medication, risk assessments and monitoring systems are in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (place for those who can self medicate.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (Records show that staff have now accessed an accredited medication course which )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (ensures they are competent in all areas of medication management and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (administration.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 159.34 w 34.6 428.5 m 562.54 428.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 136.85 w 33.47 417.25 m 563.66 417.25 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 346.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 346.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 347.7 m 565.87 347.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (excellent)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 317.11 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People are able to make choices about daily living and are involved in a good range of )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (social activities. People are well supported to maintain contact with their friends and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (family.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.26 Tm (Meals served at the home are of a good quality and offer choice to ensure people )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 356.77 Tm (receive a balanced diet.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 332.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 239.81 w 34.6 201.93 m 562.54 201.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 312.84 m 564.79 312.84 l S 0.001 w 218.44 w 33.47 190.12 m 563.66 190.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 300.46 m 565.87 300.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 301.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 300.46 m 564.79 300.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 309.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (Crosshill House is a small, friendly home with a welcoming and family orientated )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (atmosphere. People told us that they are able to exercise choice in all their daily )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (routines, which was observed during the visit. There is a very close knit community )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (around the home and people who use the service continue to receive visits from local )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm (church representatives, families and friends; some of the people continue to access )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (regular trips out with relatives and friends, such as outings to the shops for lunch and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (to the local Methodist Chapel. One individual attends art classes at a neighbouring )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (village each week. Arrangements had been made for people who use the service to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (attend carol services at local primary and high schools.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (One of the senior care staff has been given the responsibility for organising activities )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm (in- house, entertainment and trips into the local community. There is a monthly theme )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (to the social programme which is usually associated with the time of year and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (holidays.The staff maintain an activity book which details social events and activities )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (arranged and people who have participated. There was evidence in the care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (documentation of personal profiles, social needs assessments and plans which identify )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (peoples hobbies and leisure pastimes before they entered the home and what they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (enjoy doing now.Activities are planned in advance and provided by staff each day. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Typical activities that take place range from Bingo, dominoes, watching DVDs, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (reminiscence, sing a longs, crafts, manicures, baking and gentle exercise )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (programmes. Views from people during the day and from comments in surveys were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (very positive about the activities and entertainment provided, some of these included )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ('We get involved in lots of things' and 'I enjoyed the reminiscence boxes they got from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (the museum'. Photographs of people participating in entertainment at the home are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (displayed on a notice board in the hall. Cultural and religious needs are responded to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (with services for different faith groups held at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (Discussion with the people living in the home indicates that the staff support contact )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (with their families and friends. Everyone said they were able to see visitors in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (lounge or in their own room and they could go out of the home with family or staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (would take them out locally. Visitors were seen coming and going during the day, staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (were observed making them welcome and there was clearly a good relationship )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (between all parties. Relatives and visitors to the home are very positive about the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (service and the staff. Written and verbal comments given to the inspector showed a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (high level of satisfaction. The home has organised a number of outings to get out and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (about in the community, including visits to a local garden centre, lunch at a local )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (restaurant, trip to Cleethorpes and a visit to The Deep. The home produces a quarterly )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (newsletter, which people told us they enjoyed reading. During the visit the home held )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (a coffee and mince pie afternoon which was well attended by the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (service, their relatives and some people from the neighbourhood.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (All the comments received during the visit confirmed that the standard of the meals is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (very good. Comments included 'The food is very, very good' and 'You can't fault any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (of the meals, the cook is wonderful'.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (People are consulted on admission regarding their dietary needs and preferences. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Menus are planned over a four week period with input from the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (service and knowledge of needs and preferences. The cook visits each person daily to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (discuss menu choices.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (The kitchen was very clean and tidy. People were observed enjoying their lunch meal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (in a relaxed and comfortable atmosphere. The meal served was hot, nicely cooked and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (well presented. We observed staff assisting people to eat in a sensitive and dignified )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (way.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 73.86 w 34.6 774.47 m 562.54 774.47 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 52.49 w 33.47 762.66 m 563.66 762.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 735.29 m 565.87 735.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The cook told us that specialised diets currently provided are diabetic diets. Menus are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (reviewed regularly in consultation with people who use the service. Records show that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (staff working in the kitchen area hold current basic food hygiene certificates. )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 89.36 w 34.6 514.49 m 562.54 514.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 66.86 w 33.47 503.24 m 563.66 503.24 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 467.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 467.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 468.69 m 565.87 468.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People living at Crosshill House are protected by the service and listened to. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 453 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 360.79 w 34.6 262.42 m 562.54 262.42 l S 0.001 w 1 1 1 RG 22.5 w 32.35 433.82 m 564.79 433.82 l S 0.001 w 339.42 w 33.47 250.61 m 563.66 250.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 421.45 m 565.87 421.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 422.52 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 422.52 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 421.45 m 564.79 421.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 430.51 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 405.76 Tm (People and their representatives have been provided with a copy of the homes )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 388.27 Tm (complaints procedure, which is also on display in the entrance hall. The procedure )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 370.77 Tm (provides people with clear information. Those people spoken with during the day )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (confirmed they knew who to go to if they were unhappy about something, they all told )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (us that the management were very approachable. The home has not received any )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (complaints since the last inspection. We have not received any complaints. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (Discussions with the management demonstrate that they have systems in place to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (manage complaints effectively.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (The home provides training for all staff in safeguarding procedures that protect people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (from abuse or neglect. It was evident from discussions that staff are knowledgeable )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (about safeguarding adults reporting procedures and know what to do if they witnessed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (anything that concerns them. All incidents relating to people who use the service are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (recorded and maintained on file. Appropriate notifications are made promptly to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (relevant agencies. The management have made two safeguarding referrals since the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (last inspection, evidence from the safeguarding team at North Lincolnshire Local )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (Authority support appropriate action taken by the home with these matters.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (The management confirmed that staff will be provided with training on the legislation )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 38.87 w 34.6 791.97 m 562.54 791.97 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 17.5 w 33.47 780.16 m 563.66 780.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 769.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 770.29 m 565.87 770.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (to support Mental Capacity and Deprivation of Liberty legislation in the New Year.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 488.74 m 562.54 488.74 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 84.36 w 33.47 477.5 m 563.66 477.5 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 433.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 434.19 m 565.87 434.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The standard of environment within the home is good, providing people with a )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (comfortable and homely place to live. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 418.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 326.3 w 34.6 245.17 m 562.54 245.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 399.32 m 564.79 399.32 l S 0.001 w 304.93 w 33.47 233.36 m 563.66 233.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.95 m 565.87 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 388.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 388.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.95 m 564.79 386.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 396.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 371.27 Tm (The home provides and maintains comfortable facilities, people said they are very )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (happy living at Crosshill House. The bedrooms seen were personalised and reflected )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (the tastes and preferences of their occupants. People are able to bring personal items )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (with them on admission and can install a private telephone line if they wish. One )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (person told us ' I love my room, the view out of the window is wonderful, I can watch )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (everyone coming and going'.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (The home has an ongoing maintenance and refurbishment programme, the new )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (extension has been completed and the two bedrooms with en- suite facilities and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (conservatory are a very positive addition to the facilities at the home. Many areas of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (the home have been redecorated and refurbished, the decor and furnishings are of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (good quality and reflect a more contemporary style. All bedrooms have been provided )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (with new flat screen T.V's. which people can use if they wish. People told us that they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (had been consulted about some of the decor and pictures, where possible.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (Discussion with the staff and deputy manager indicates that there is a wide range of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (equipment provided to help with the moving and handling of people and to encourage )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (their independence within the home. Pressure relieving mattresses and cushions are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (provided by the community services and the home, where people are deemed at risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (of developing pressure sores.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (The atmosphere on the day of the visit was warm and friendly and people looked )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (comfortable whilst sitting in various parts of the home. People spoken with said how )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (pleased they are with the home and the facilities available.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (A walk around the home found it to be exceptionally clean and tidy and smelling fresh. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Comments from surveys and people during the day include 'the girls work hard to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (keep the place clean and tidy' and 'good, clean facilities'. The home appeared to have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (good systems in place to control the spread of infection, antibacterial hand gel is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (placed at points throughout the home with advice to visitors on infection control. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Records show that staff have not recently accessed training in infection control, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (however staff are scheduled to access this course in January. People told us they were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (happy with the laundry arrangements, however when we looked at the laundry )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (facilities we noted that the flooring needs attention where a number of the tiles have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (been removed which could pose a risk to health and safety management in this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (area.The owners confirmed that new flooring was included in the maintenance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (programme, however this work needs to be carried out as a priority.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (kitchen areas were visited during this inspection. The Environmental Health Officer )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (had made a number of requirements and recommendations at their visit in April, we )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (saw evidence that recommendations relating to the facilities were being actioned.The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Kitchen had been redecorated, a new cooker provided, the boiler moved and a number )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (of the units replaced.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (The gardens at the home are at the rear of the property and are very attractive with a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (pond and lots of mature plants and trees. When we varied the homes registration to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (accept persons with needs associated with dementia we advised the management to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (erect a small fence around the pond, this work needs to be carried out to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (people's safety is adequately protected.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (People living at Crosshill House are supported by a dedicated staff team who are )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (appropriately trained and supervised. Overall the recruitment practices are much safer )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (however closer scrutiny to the number of written references received for new staff will )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (help in making sure that people are not at risk from unsuitable workers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (The home has a stable staff team. Discussions with staff and people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (service and from observation during the day evidenced that there are enough staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (rostered to meet people's needs. At the time of the visit there were fourteen people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (residing at the home. Staff told us they had enough time to carry out their tasks and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (spend time with people which was observed during the day. The staffing levels at the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (home should be assessed using Department of Health Guidelines, The Residential )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (Forum a dependency tool, which provides the number of hours needed from the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (dependency scores of each individual accommodated at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (The deputy manager has recently applied to us for her registration and since the last )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (inspection has taken on more responsibility for the day to day management of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (home, she told us that she feels very supported by the registered providers . The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (home employs a full time cook and kitchen assistants, a gardener and cleaner have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (been appointed and the care staff are responsible for all laundry duties. Observation of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (the staff during the visit showed that the home was quiet, calm and well organised.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 633.73 w 34.6 494.54 m 562.54 494.54 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 612.36 w 33.47 482.73 m 563.66 482.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 174.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 175.42 m 565.87 175.42 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (All people spoken to during the day were extremely complimentary about the staff at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (the home. 'The staff here are wonderful, they make sure we are well looked after' and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ('You can't fault the staff, they are all very kind' were comments received during the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (visit from people who use the service. The home employs ten care staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (Records show that the home has now achieved the target of having 50% of the care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (staff have qualified at NVQ in care at level 2 or 3. This helps to ensure that people are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (receiving care from staff with the right skills and knowledge.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Records show that new staff follow a five day induction programme where they work )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (alongside an experienced staff member. New staff complete an induction and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (foundation training package that meets the specification of the Skills for Care targets. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (The home provides a programme which includes mandatory, general and some service )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (specific training. The management maintain a training matrix on the computer and we )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (also looked at some staff training files, which contained the relevant certificates. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Records show that staff are up to date with mandatory courses in fire safety, moving/ )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (handling and basic food hygiene.Training in first aid has been arranged for all staff in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (January. Other courses they have accessed are: medication, safeguarding adults, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (health and safety, falls prevention, continence and dementia. Courses arranged for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (staff in next years training programme include infection control, tissue viability, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (palliative care and Deprivation of Liberty legislation.Views expressed by staff on this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (inspection indicated that they are feeling well supported, that they are receiving good )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (training, supervision and encouragement to develop their skills and potential.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (Staff employment records were checked to make sure that all of the appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (safety checks had been completed before they were employed to have any contact )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (with people living in the home. We looked at four sets of records. One file contained )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (one written reference and a verbal reference taken over the phone, the management )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (needs to ensure that two written references are obtained from previous employers to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (ensure people in the service are properly protected. The three remaining staff files )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (contained two written references from previous employers. All files seen contained a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (Protection of Vulnerable Adult register check \(Pova 1st\) and a Criminal Records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Bureau check \(CRB police check\), photograph, application form, proof of identification, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (a contract and terms and conditions of employment. )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 386.25 m 562.54 386.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 119.35 w 33.47 375 m 563.66 375 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 313.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 313.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 314.2 m 565.87 314.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (People have confidence in the management at the home. Quality monitoring systems )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (allow individuals and their families to comment on and in part affect the way in which )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (the service is operated. The environment is generally safe for people and staff because )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (appropriate health and safety practices are carried out. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 298.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.3 w 34.6 185.18 m 562.54 185.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.33 m 564.79 279.33 l S 0.001 w 184.93 w 33.47 173.37 m 563.66 173.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 266.96 m 565.87 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.96 m 564.79 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 276.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm (The registered providers Jane and Emma Grey have continued to oversee the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (management and administration improvements in the home since they took over in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (June 2008. As at the previous inspection we saw evidence that they are committed to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (providing a service which is well run, provides high standards of care and has the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (individual at the heart of all they do. The deputy manager Michelle Barker has )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (completed her NVQ level 3, has enrolled on the Registered Managers course and has )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (recently submitted her application for registration with the CQC. Since the last )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (inspection she has worked closely with the owners, gaining competence and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (confidence in the management and administration systems. People, staff and relatives )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (said they were all happy to approach the deputy manager at any time for advice, )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (guidance or to look at any issues.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (The homes quality assurance and monitoring systems are developing well. The deputy )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (manager has completed regular audits of staff practice, the environment and records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (which will be more formalised when new documentation is introduced in January. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Meetings for the staff and people living in the home are taking place regularly; )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (minutes are kept and are available for any interested parties to read. A social )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (committee has also been appointed, which is run by relatives and people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (service. We spoke to some of the people who are involved with this during the visit, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (they were very complimentary about the management and how their suggestions and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (requests had been carried out. One person told us 'The management are great, we )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (had a meeting to decide what Christmas activities should be arranged and they have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (done everything we have asked from changing the times of the dinner to arranging a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (mince pie afternoon'. Feedback is sought from the people using the service and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (relatives through regular meetings and satisfaction questionnaires. The management )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (need to produce an annual report as part of this process to describe the qualitative )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (improvements made to the service and how the management team is addressing any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (shortfalls in the service. The returned service and CQC surveys show that people are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (very happy with the home. North Lincolnshire council carried out an assessment of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (services at the home in September, six of the seven areas assessed achieved a 'good' )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (rating and an 'excellent' rating was given for the seventh area which looks at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm ('involvement'.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (The registered provider told us that the home's policies and procedures were in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (process of being reviewed and updated, the home has contracted with consultants )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (who are carrying out this piece of work with the management to ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (documents reflect current legislation and guidance, and are reflective of the working )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (practices at Crosshill.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (All staff said that they receive regular supervision and regularly meet up with their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (manager to discuss ways of working and training, checks of records confirmed this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (Some people have small amounts of personal money that is held safely at the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (by staff. Records are available to show when money is deposited on behalf of people. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (The records show the individual cash balance for each person and how their money is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (used on their behalf, including receipts for goods and items purchased. Two people's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (finances were checked during the visit and were found to be correct. The home's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (social fund is managed by the social committee, there was evidence that the homes )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (management checks this regularly. People are protected by the way their finances are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (dealt with.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 301.31 w 34.6 660.75 m 562.54 660.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 279.94 w 33.47 648.94 m 563.66 648.94 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 506.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 506.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 507.85 m 565.87 507.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Regular safety checks are made of the facilities and equipment to make sure the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (is a safe place to live and work. The staff are trained in safe working practices and are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (updated on a regular basis. We looked at some of the records of safety checks, like )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (fire safety, and these were generally found to be up to date, staff access regular fire )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (drills however records detailing who attended and the outcome of the drill should be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (recorded. Maintenance records such as checks on equipment and hot water were also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (looked and found to be up to date and satisfactory. Accident records were also seen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (and these are audited by the manager to see if measures can be taken to reduce the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (risk of accidents. The environmental health officer had visited the home in April and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (inspected the kitchen facilities, a number of recommendations were made and we saw )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (evidence that the home is working towards compliance in this area. Bed rails were in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (use to support the care for one individual; a risk assessment was in place however the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (home should obtain guidance from the medical devices agency which provides more )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (detailed guidance for staff on the safe management of bed rails, which will better )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (protect people's safety. )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.84 m 568.3 592.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 220.54 w 32.32 515.82 m 564.97 515.82 l S 0.001 w 1 1 1 RG 119 w 31.2 466.18 m 91.05 466.18 l S 0.001 w 119 w 93.3 466.18 m 197.4 466.18 l S 0.001 w 119 w 199.65 466.18 m 289.45 466.18 l S 0.001 w 119 w 291.7 466.18 m 473.8 466.18 l S 0.001 w 119 w 476.05 466.18 m 566.1 466.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 527.88 m 30.07 404.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 404.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.3 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 527.88 m 92.17 404.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 404.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 404.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 404.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.34 m 568.4 628.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.4 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 405.55 m 568.3 405.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 629.42 m 30.07 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 560.43 m 92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 560.43 m 475.02 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 629.42 m 567.32 525.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 615.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 595.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 580.58 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 580.58 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 548.18 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 513.62 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 513.62 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 513.62 Tm (Repair or replacement of the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 496.62 Tm (laundry floor must take )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 479.62 Tm (place.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 462.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 445.62 Tm (This will ensure the safety of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 428.62 Tm (the people who live and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 411.62 Tm (work in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 513.62 Tm (15/02/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 323.4 w 32.32 222.35 m 564.97 222.35 l S 0.001 w 1 1 1 RG 49.74 w 31.2 271.46 m 91.05 271.46 l S 0.001 w 49.74 w 93.3 271.46 m 197.4 271.46 l S 0.001 w 49.74 w 199.65 271.46 m 566.1 271.46 l S 0.001 w 78.9 w 31.2 204.89 m 91.05 204.89 l S 0.001 w 78.9 w 93.3 204.89 m 197.4 204.89 l S 0.001 w 78.9 w 199.65 204.89 m 566.1 204.89 l S 0.001 w 64.32 w 31.2 131.03 m 91.05 131.03 l S 0.001 w 64.32 w 93.3 131.03 m 197.4 131.03 l S 0.001 w 64.32 w 199.65 131.03 m 566.1 131.03 l S 0.001 w 34.85 w 31.2 79.2 m 91.05 79.2 l S 0.001 w 34.85 w 93.3 79.2 m 197.4 79.2 l S 0.001 w 34.85 w 199.65 79.2 m 566.1 79.2 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 245.47 m 568.3 245.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.32 m 568.3 164.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 97.75 m 568.3 97.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 298.54 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 298.54 m 567.22 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.73 m 568.4 316.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 297.46 m 568.3 297.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 298.54 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 298.54 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.3 m 568.4 386.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.73 m 568.4 316.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 245.47 m 568.3 245.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 164.32 m 568.3 164.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 97.75 m 568.3 97.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 387.38 m 30.07 296.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 317.81 m 92.17 297.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 317.81 m 198.47 297.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 387.38 m 567.32 296.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 370.12 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 352.54 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 337.96 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.38 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 302.56 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 302.56 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 302.56 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 281.27 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 281.27 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 281.27 Tm (The assessment records should be developed to include )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 266.69 Tm (more descriptive detail on people's needs and how they )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 252.11 Tm (would like to receive their care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 229.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 229.28 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 229.28 Tm (Care plans should be further developed to clearly describe )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 214.7 Tm (the care people need and how they prefer to receive their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 200.12 Tm (care support. The plans should be signed by the individual )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 185.54 Tm (or their representative to demonstrate their involvement )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.96 Tm (and agreement.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 148.13 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 148.13 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 148.13 Tm (Handwritten records on medication administration )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 133.55 Tm (documentation should be witnessed and signed by both )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 118.97 Tm (staff members. Temperature monitoring of the medication )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 104.39 Tm (fridge and storage room should take place regularly.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 81.56 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 81.56 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 81.56 Tm (The home should utilise the Residential Staffing Forum )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 66.98 Tm (dependency tool to support the staffing levels provided.)Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 265.71 w 32.32 678.55 m 564.97 678.55 l S 0.001 w 1 1 1 RG 49.74 w 31.2 698.5 m 91.05 698.5 l S 0.001 w 49.74 w 93.3 698.5 m 197.4 698.5 l S 0.001 w 49.74 w 199.65 698.5 m 566.1 698.5 l S 0.001 w 49.74 w 31.2 646.51 m 91.05 646.51 l S 0.001 w 49.74 w 93.3 646.51 m 197.4 646.51 l S 0.001 w 49.74 w 199.65 646.51 m 566.1 646.51 l S 0.001 w 35.16 w 31.2 601.81 m 91.05 601.81 l S 0.001 w 35.16 w 93.3 601.81 m 197.4 601.81 l S 0.001 w 35.16 w 199.65 601.81 m 566.1 601.81 l S 0.001 w 35.16 w 31.2 564.4 m 91.05 564.4 l S 0.001 w 35.16 w 93.3 564.4 m 197.4 564.4 l S 0.001 w 35.16 w 199.65 564.4 m 566.1 564.4 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 724.5 m 568.3 724.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.51 m 568.3 672.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 620.52 m 568.3 620.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.11 m 568.3 583.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 725.89 m 30.07 544.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 544.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.81 m 568.3 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 725.89 m 92.17 544.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 544.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.5 m 568.3 724.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.51 m 568.3 672.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 620.52 m 568.3 620.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 583.11 m 568.3 583.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 545.7 m 568.3 545.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.31 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 750.73 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 708.31 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 708.31 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 708.31 Tm (The management should ensure that two written references )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 693.73 Tm (are in place for all newly recruited staff prior to them )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 679.15 Tm (starting work.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 656.32 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 656.32 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 656.32 Tm (The management should produce an annual development )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 641.74 Tm (plan which describes the qualitative improvements made )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 627.16 Tm (within the service.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 604.33 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 604.33 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 604.33 Tm (The management should ensure that all recommendations )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 589.75 Tm (made by the EHO following their visit in April, are actioned.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 566.92 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 566.92 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 566.92 Tm (A fence around the pond area in the garden should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 552.34 Tm (provided.)Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj[6 0 R/XYZ 0 301.29 0] endobj 80 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. 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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 83 0 obj<> endobj 84 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 85 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 86 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. 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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LF}M ߞ %E'W?n}$lg1HBs }ٕ,),rqB-AHCrf!]vx.H x"n,6\O)FG=oNXLϤ$oǤ5xiP6 cXr,xW6A1I/?@ѵ}|6DMk7\8 Li$hu/,ZPpEo_I4 0B#\Gnnqk+5SHĺfo$؉qb;~l+0vi^v(< ;nҖx hHC~3xJa昐 X[[,D|14^^NH@Z{Ӌ2QiPT0%mujB1c!>73V zeKo7VWBlL<|d`{ܮē0jQyܒصȍOptNp@eSb= nvO 3Dv`Ogfi?FujH2#F@9P  N:.J4[4#(%$mXgY@~d`ñ}V$pбSa&vѠ\U@-$L:&,GZr!aʝʹg3PVT0?+m:~تo\xkx Жj\\3>Zl ӥz :S`F G(O{ աˡ3HJBrEu70pCzOd#H6+#T<֋T4Ks^C٨CAeB"C=)?0Sge!X(><+Eg4pr\ƌz_H^zR5IcF$уUhfzo}YBӎEM^ :"% E~$6$|B^t\:T&Y]7(ou&rzOU$`.@ŪÌ#1dEi!8 uXؗvA{o o쭺8*IϿcʒ,F[bdW3PI!:$-p31/_7v2dsoF2f6-HCaj>_lU4HqFa="QT, ?|Vbd j;[&̢ %[rU_Qpܥ^&@8k%^+#IzsFK~7GϽBAnxO4D]$y;0?[")X NFʼn(5FׁK%!k6BD"c&z#aoAb( +qt.B!#`>cD>LZZP%8,b"N7PȲ:ƚo0J zvAj[ԉ8dog7XxtփmMw*έLފӲV`E*V-Ữ  /&.SQ`q2ɸxAM gV>5~"ceLMDCRBϯ/k*cqX;vD=oD4]IU%qJ> ¥7s#1Ur*)ӆaØ׻$ CocfYzalS~]E3k+vQ]2B`DoB":6V?N  l ڊӌoIcWn'tj?*:NCCI}:DrL2w!8uqI 6jw)I VrjSuX d 3h\m0 r_cσAg彜.5?A Uz4VbɎݪj@r$'bC0plDS-ȱRyvJ2v,oHAaYin~]FZvae2c'T?9 ڧ}jk5ݕ (NJ7>B\&PupȺ=΁~ Cfv By1^lbN^yϚ|nNi7C<,ɓ0P%,q94BrByÄ` 0KzG;Tz𲀶) ߧ#jShfHn tS͋!\ #[<<$9A-)kGho$D?,E]b aEiI9 ;Al^ofrׯ'`\D o FQӟ>M3`ouKhHk]bn N:7f!&Tm$cGmr_v$McnvS;$۩4Ŀov엂 VƟq>#P}#[fCE~ȕ h?Y=cZcgiGz(S'h 1B2p#{ 42h,{WUaeao¤i<͑( | K>aHc?/} MZʚ|*yNaql!oIcp87`HZyb~>@l$ʁsb1B38b P%2Pov|2ؔqeflkǨ>Am=n/rЧYע>k}+v(b .|(bz؉Z3+:@ D 3TOA %L-TiȱmpvZjfarüY8#?/}!23Gp>kwOu]Rܻ56k$9Vv𧌰y"J^#MAОXېɅq o &d҂JșZw7x6.'S7JGTBʶjj_`휱<_;жBƏ0)[ό۲ZuW2^/woC㛟'ޙ]EusN(?yn)#X],'Tִ3#" }~#k]u`WKfT7~a8o#h ׈>M9ݐ1ӌ *~q(pӎQLٔLhD H@5Aٺ4{SdZ-jhZWM7MLr#fVML8*9Dx}ȃYpK=/Vj.l:(Tt#vW3#lЁ8wǫihm&Z(pB<# pۯ߂I˝ؾQ*HJͽiPG\#r+Z/L5h/*#a<8 G(<Ң0_(K׳8f*N3p<0+s-]1"}^ZuP; 6rgbPqwb 釞 W.]J~ ;=/![_j J26U\I4m6BG`Tnhr3[[-2ffy9Ew$ Y} "KaEB `m/ 1;>H՝u NV=apnYxFoܼħdž̀u_5*\ů_cމGCg3Vk@ncEtK4TS=ZdSL<ߗx2A`l6`eRhGFߦjVCov?ѵKRNQfF>DxH!#s%trY\i)Zpd|y!' ^?C4@(=r hCarS#ɹ 20&\VaBo6 )6S Q iIE LhI:+"HzI Yq={6 kCD))jBdfjPcwW!ret2?Z;Y@J8H8r(H?RRfTG1E6+J!^HqG_Oa߅} }5W1~L\_dԭ]CHƲ b|uae6> 7D(BD{v-d'kA}shzĆh9.S^ֳ.LX92sBÔUO?)Cڰ}'UݾqsK^N􀘊#1 C,&h[X|K[19v`oYI]Ηbf?Bm=d]#wBI6=Ϭx(yJNH'-PMMHXZ%RNV|v){z!6Gp.`a{t.0*a9+wS+)ϐV63Ew` eliV}qԥvWIu@ʔ 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 $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 87 0 obj<> endobj 9 0 obj<> endobj 88 0 obj <>stream  cvt bfpgmIglyf headg "6hheao"$hmtxłc#locaBmaxp b prep~ϚbcxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;: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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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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