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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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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 (The Grange Residential Hotel)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 (Townsend Hill )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Ipplepen)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Newton Abbot)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Devon)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (TQ12 5RT)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 (01803813656)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01803813656)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (suttonr@btconnect.com)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 (Ogwell Grange 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 (17)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 20.58 w 31.2 310.82 m 297.3 310.82 l S 0.001 w 20.58 w 299.55 310.82 m 431.45 310.82 l S 0.001 w 20.58 w 433.7 310.82 m 565.6 310.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 287.99 m 565.6 287.99 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 567.8 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.75 m 568.1 253.75 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 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 28.99 253.75 m 568.1 253.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.92 m 568.1 230.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.55 m 30.07 229.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 383.55 m 298.42 298.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 383.55 m 432.57 298.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 383.55 m 566.72 229.84 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 (17)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 (17)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 306.05 Tm (physical disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 306.05 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 306.05 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 283.22 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 260.39 Tm (Old age, not falling within any other category \(OP\) maximum 17)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 237.56 Tm (Physical disability over 65 years of age \(PD\(E\)\) maximum 17)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 216.13 m 315.25 216.13 l S 0.001 w 1 1 1 RG 20.58 w 317.5 216.13 m 346.55 216.13 l S 0.001 w 20.58 w 348.8 216.13 m 377.9 216.13 l S 0.001 w 20.58 w 380.15 216.13 m 409.2 216.13 l S 0.001 w 20.58 w 411.45 216.13 m 440.55 216.13 l S 0.001 w 20.58 w 442.8 216.13 m 471.9 216.13 l S 0.001 w 20.58 w 474.15 216.13 m 503.2 216.13 l S 0.001 w 20.58 w 505.45 216.13 m 534.55 216.13 l S 0.001 w 20.58 w 536.8 216.13 m 565.9 216.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 227.54 m 568.1 227.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 204.71 m 568.1 204.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 228.62 m 30.07 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 228.62 m 316.37 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 228.62 m 347.67 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 228.62 m 379.02 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 228.62 m 410.32 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 228.62 m 441.67 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 228.62 m 473.02 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 228.62 m 504.32 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 228.62 m 535.67 203.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 228.62 m 567.02 203.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 211.36 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 192.84 m 565.9 192.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 183.21 m 568.1 183.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 184.29 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 184.29 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.46 m 568.1 202.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.21 m 568.1 183.21 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 30.07 203.54 m 30.07 182.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.54 m 567.02 182.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 189.28 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 189.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 170.03 Tm (The Grange Residential Hotel is a large, detached, grade two listed property on the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 153.03 Tm (edge of the Devon village of Ipplepen. Newton Abbot, a market town, and the holiday )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 136.03 Tm (area of Torbay are a few miles away.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 119.03 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 102.03 Tm (The home is located about 150 yards from the village centre near the shops and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 85.03 Tm (Doctors surgery. Accommodation is arranged on two levels with a shaft lift and stair lift )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 68.03 Tm (servicing the first floor. There are ample parking spaces at the front with level access )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 51.03 Tm (to the front door. A large lounge on the ground floor is complemented by a large dining )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 (room with a small conservatory leading to the secure, attractive garden at the rear of )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (In all there are fifteen bedrooms, five of which are on the ground floor. Three )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (bedrooms are suited to shared / double accommodation if required. Some rooms have )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (assisted en-suite bathing facilities.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (The Grange Residential Hotel caters for men and woman over the age of retirement )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (who may have a degree of physical disability and memory problems. The home came )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (into the possession of its present owner in August 2004 who, with his Registered )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (Manager and team of workers have made many positive changes to the building and )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (the culture of the home.)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 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (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 Two Star. This means that the people who use the )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 (The Inspection was unannounced and took place over one full day on the 24th March )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (2009. The Registered Manager for the home was present throughout the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (visit.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (A sample of surveys were sent out to the people who live in the home and six of these )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (were returned.)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 (The Provider completed a Annual Quality Assurance Assessment \(AQAA\) prior to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (visit. This provides the Commission with information we need to know about how the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (home is run and the people who live there.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm ()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 119.64 w 32.32 752.71 m 566.72 752.71 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 30.12 691.76 m 568.92 691.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 690.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 690.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm (During the visit the Inspector was able to complete a full tour of the premises and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (meet with all the staff and management on duty.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (A sample of records relating to the running of the home and the residents were )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (examined. These included care plans, risk assessments and health and safety records.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (The Inspector was able to spend time talking to residents and observing staff as they )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (provided support.)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 370.5 w 32.32 588.57 m 566.72 588.57 l S 0.001 w 20.58 w 32.7 390.78 m 569.35 390.78 l S 0.001 w 314.22 w 33.82 221.13 m 568.22 221.13 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 30.12 402.2 m 568.92 402.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 401.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 402.2 m 569.35 402.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 379.37 m 569.35 379.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 379.37 m 570.42 379.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 62.9 m 570.42 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 380.45 m 32.7 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 401.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 380.45 m 569.35 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (The home undertakes a thorough assessment of peoples needs before they move in. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (People are given good information about the home to enable help them make a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (decision about where they live and the services they receive. People are given the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (opportunity to visit the home before they decide to move in.)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 (Each resident has a detailed care plan, which describes their needs and the way they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (choose and prefer to be supported.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (A detailed record is kept of peoples personal and health-care needs. Peoples health is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (closely monitored and any changes or concerns regarding a persons health is dealt with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm (promptly.)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 (The home gathers very good information about peoples interests and important )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.22 Tm (contacts. There is a full activities programme and staff support people to partake in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.64 Tm (activities in the home and in the local community.)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 (The staff listen to residents and take seriously any concerns or complaints that are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 510.9 Tm (raised. Staff receive training in the safeguarding of vulnerable adults and are aware of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 496.32 Tm (the procedures to follow if they suspect an incident of abuse has occurred,)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 (The standard of accommodation is good. Recent improvements within the environment )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 452.58 Tm (has further ensured that people have a safe place to live.)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 (The home is staffed by workers who are well trained and competent. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 408.84 Tm (presents a good role model for her staff and manages the home well.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 587.02 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 388.67 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 386.01 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 1 569.35 389.23 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 219.59 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 363.18 Tm (There are better systems in place for recording the care needs of people living in the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm (home. This information is now well organised, and can be understood and accessed by )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (the people providing care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (Arrangements have been made for a Domiciliary Dentist to visit residents who cannot )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (leave the home for dental checks.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 275.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 261.12 Tm (Medication is now stored safely in a locked medication trolley. Medication requiring cold )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm (temperature storage is now stored in a separate fridge.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 217.38 Tm (There has been redecoration of some bedrooms and communal areas as part of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 202.8 Tm (homes on-going maintenance and renewal plan.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 188.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 173.64 Tm (Health and Safety standards have improved in the home. The manager has worked )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 159.06 Tm (hard to address the concerns raised by the Environmental Health Officer and last Key )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 144.48 Tm (Inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 129.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 115.32 Tm (The home has registered with a new training provider and all staff now have a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 100.74 Tm (individual training programme.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 86.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 71.58 Tm (A new staff member has been appointed to assist the night staff during the busy part )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 219.59 Tm ()Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 33.82 803.74 m 568.22 803.74 l S 0.001 w 20.58 w 33.45 782.41 m 570.1 782.41 l S 0.001 w 108.06 w 34.57 715.84 m 568.97 715.84 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 793.82 m 570.42 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 770.99 m 570.1 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 793.82 m 570.1 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 770.99 m 571.17 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 660.68 m 571.17 660.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 772.07 m 33.45 659.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 772.07 m 570.1 659.61 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (of the evening.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 780.86 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 777.64 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 31.2 714.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 754.81 Tm (To improve the Fire safety arrangements the Provider must liaise with the Fire )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 740.23 Tm (Authority regarding the entrance between the kitchen and Laundry area.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 725.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 711.07 Tm (Locks still need to be made available on one of the communal bathrooms shower )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm (rooms.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm (Consideration needs to be given to the privacy and dignity of people being assisted to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm (use the communal toilet within the main hallway of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 646.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 626.13 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 626.13 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 626.13 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608.63 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 588.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 568.64 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 568.64 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 548.64 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 548.64 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 528.65 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 194.33 w 34.6 343.01 m 562.54 343.01 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 171.84 w 33.47 331.76 m 563.66 331.76 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 32.35 243.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 243.64 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 31.27 244.71 m 565.87 244.71 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 (People who may be considering moving into the home are provided with good )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (information to enable them to make an informed choice about where they live and the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.76 Tm (type of services they receive.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 306.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.77 Tm (Assessments and care planning processes ensure that people who use the service , )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 271.27 Tm (and their relatives can be confident that care needs are fully identified and can be met )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 253.77 Tm (by competent staff.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 229.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 136.82 w 34.6 150.43 m 562.54 150.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 209.84 m 564.79 209.84 l S 0.001 w 115.45 w 33.47 138.62 m 563.66 138.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 197.47 m 565.87 197.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 198.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 198.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 197.47 m 564.79 197.47 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 35.5 206.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (A good range of information is available to people who may be considering moving )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (into the home. A Statement of Purpose and Service user guide contained information )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (about the homes aims and objectives, the services provided including staffing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (arrangements and all necessary contact details. The manager confirmed that this )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (information would be given to all new residents and anyone making inquiries about )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (the home. Copies of these documents were also available within the main reception )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 511.26 w 34.6 555.78 m 562.54 555.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 489.89 w 33.47 543.96 m 563.66 543.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 297.89 m 565.87 297.89 l S 0.001 w [] 0 d /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 (area.)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 files of two residents recently admitted to the home were looked at during the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (inspection. The purpose of this was to determine the quality of the homes admissions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (procedure and the experiences of the people concerned.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The manager confirmed that prior to admission she would visit the person concerned )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (and undertake a full assessment of their needs. This may take place within the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (persons own home, hospital or other setting. As well as speaking to the individual )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (information would also be gathered from family and other professionals such as a GP )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (or District Nurse.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (The pre-admission assessments seen during the inspection were very detailed and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (contained particularly good information about peoples history, social interests and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (preferred choice of daily routines.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Residents spoken to confirmed that before moving in they had been invited to visit the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (home, view their room and stay for afternoon tea.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (The manager said that following the initial assessment and visits to the home they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (would contact the individual and/or their family to advice them whether or not the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (home would be able to meet their needs. Arrangements would then be agreed for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (new resident to move in.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Staff spoken to said that they are made aware of the care needs of new residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (before they move in and are not asked to care for people outside their area of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (expertise. They said they felt well trained and supported by the Registered Manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.75294 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 229.33 w 34.6 359.51 m 562.54 359.51 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 206.83 w 33.47 348.26 m 563.66 348.26 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 32.35 242.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 242.64 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 31.27 243.72 m 565.87 243.72 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 who live at The Grange can be assured that they will receive good personal and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (health-care support.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (Peoples health-care needs will be regularly monitored and any changes dealt with )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (promptly.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 287.77 Tm (The recent review of the way peoples information is documented ensures that staff are )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 270.28 Tm (able to understand information about peoples needs and provide care in a consistent )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 252.78 Tm (manner.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 228.04 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 135.82 w 34.6 149.94 m 562.54 149.94 l S 0.001 w 1 1 1 RG 22.5 w 32.35 208.85 m 564.79 208.85 l S 0.001 w 114.45 w 33.47 138.13 m 563.66 138.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 196.48 m 565.87 196.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 197.56 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 197.56 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 196.48 m 564.79 196.48 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 35.5 205.54 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (The Inspector had access to all records during the visit. The care records of five )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (residents were examined in greater detail. Each person living in the home had an )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (individual plan of care. It was noted at the last inspection that this information was )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (stored in a number of different files making it difficult to understand and track the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm (residents plan of care. The home has now re-organized the way it document and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (stores this information and the inspector commended the manager on how in most )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 (cases the information now clearly describes peoples needs and in all cases )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (demonstrated how this information is monitored and reviewed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Care plans are reviewed on a monthly basis, and comments within these review notes )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (confirmed that residents are involved in this process and and are encouraged to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (partake in issues concerning their care. A daily record is also kept for each resident )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (and information regarding their needs and any important issues are passed to staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (during daily shift handover meetings. Information about people living in the home is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (safely stored.)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 (Most of the residents care plan had good detailed information about their care needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (and how they prefer to be supported. Examples of recording included details of oral )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (care, a falls record, nutritional screening, and weight monitoring. Individual care plans )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (stated when particular monitoring processes were in place such as fluid intake, and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (monitoring charts were found to be well maintained and up to date.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Through discussion with the manager it was evident that some residents were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (requiring more support due to health and /or their age. One care plan stated that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (resident required total support in the bathroom. however the care plan did not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (describe the type of support or how this would be delivered. It was discussed with the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (manager the importance of detailed information for staff to ensure that the care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (provided is suitable and consistent.)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 (Risk assessments were found in each care plan for different areas of care including; )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (prevention of falls, Moving and Handling and pressure care. The plan described the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (risk and the arrangements in place to reduce it, such as staffing levels and use of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (equipment.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (All residents are registered with a local GP and are able to see visiting health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (professionals in the privacy of their own room. A Domiciliary Dentist now also provides )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (annual visits to people who are unable to leave the home to visit a dentist.)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 (The homes systems for the administration of medication were examined. Good )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (information is gathered about a persons medical history prior to them being admitted )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (to the home. This information is documented along with information about particular )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (drugs and possible side effects, for staff to refer to if necessary. Since the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (inspection the home has purchased a trolley for the safe storage of medication and a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (separate fridge for medication cold temperature storage. Both of these facilities as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (well as medication recording charts were inspected and found to be well maintained )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (and in good order.)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 563.75 w 34.6 529.53 m 562.54 529.53 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 542.38 w 33.47 517.72 m 563.66 517.72 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 32.35 244.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 244.33 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 31.27 245.41 m 565.87 245.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The manager said that at the time of the visit all residents required support to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (administer medication. However, if a resident requested to do this independently a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (risk assessment would be completed and facilities would be available to safely store )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (medication within the residents own room.)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 showed which members of staff were able to administer medication. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (spoken to said they would only undertake this task if they had received training and if )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the manager assessed that they were competent and confident enough to do so.)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 (Observations during the inspection showed that peoples dignity and privacy were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (respected by staff. Staff were seen knocking on peoples bedroom doors before )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (entering. All bedrooms and most communal rooms had locks provided. However, locks )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (were not fitted on one of the communal shower rooms. It was noted that several )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (residents were using the toilet in the main hallway, which was within close proximity )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (to the main front door and busy part of the home. Several of these residents required )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (support from staff and due to the small size of the room this involved the door being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (opened and closed several times. Staff could also be heard providing support to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (residents during this time. Consideration should be given to the location of this room )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (to ensure that the privacy and dignity of residents is maintained at all times.)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 (Feedback from residents and family regarding health and personal care support )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (included:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm ("I feel my mother health has improved since she has moved into the home",)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ("The staff are always happy to help me make any appointments and arrange transport )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (when required".)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 ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.75294 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 (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People living at The Grange are well supported to maintain their social interests and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (contacts. There is a commendable varied and interesting range of activities on offer.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 374.26 Tm (People are able to enjoy a well balanced diet, which is suitable to their needs within )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 356.77 Tm (comfortable and unrushed surroundings.)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 (Records confirmed that the home gathers really good information about people's )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (backgrounds, hobbies, interests and social contacts before they move in. This )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (information is then used to help plan daily activities and social events for the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (individual and the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (There was a lovely atmosphere in the home when the inspector arrived. Several )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (residents were sat together in the main sitting room talking, watching television and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (reading the morning papers. Some of the residents spoken to said they preferred to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (spend time in their rooms and were able to do so. During the afternoon of the visit )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (one staff member sat and read to residents in the communal lounge. This seemed to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (be an activity which residents enjoyed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm ()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 (A very full activities programme was advertised on the notice board, and included )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (information about visiting entertainers, hairdresser visits and events within the local )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (community.)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 (Staff said that the home has visits from at least 8 different entertainers including, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (musicians and dancers. There are also regular art and craft sessions and gentle )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (exercises programmes.)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 (The manager said that as a result of feedback from residents the home has recently )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (increased their staffing levels to assist residents to pursue interests and hobbies )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (outside of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Residents spoken to said that there is always a range of activities to join in if they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (choose to do so. One resident was looking forward to a meal out with friends to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (celebrate a birthday and others said that during the summer months cream teas are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (served in the garden and the opportunity to help with potting plants in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (conservatory.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The Inspector was able to meet with relatives who were visiting the home during the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (visit. One relative said that she was always made to feel very welcome by staff and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (was kept well informed of any important issues. Another resident and their relative )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (had returned from a trip out and was being served tea and biscuits by the staff.)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 (Staff were seen supporting one resident to write a letter to a relative.)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 (Private telephone lines are available in each room. There is also a private telephone )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (booth in the main hallway. The home assists people to join activities in the local )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (community by providing transport.)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 (On the day of the visit the cook was unwell and staff were assisting to prepare lunch. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (This seemed to be very well organised and residents were full of praise for the staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (concerned. A very tasty, hot meal was served within the homes attractive dining area. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (The tables were attractively laid with fresh flowers, and quiet music was played in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (background.Overall this created a relaxing, comfortable environment for people to eat )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (their meals.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (Residents' files contained good information about any special dietary needs and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (particular food preferences. This information was also available in the kitchen and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (included peoples' preferred choice of snacks and drinks. Staff were observed serving )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (meals on trays to residents who chose to eat in their rooms.)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 108.85 w 34.6 756.98 m 562.54 756.98 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 87.48 w 33.47 745.17 m 563.66 745.17 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 32.35 699.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 699.23 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 31.27 700.3 m 565.87 700.3 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 of the residents who completed surveys stated that the food is always good. One )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (person commented;)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 (" I enjoy the food, it is always delicious".)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 141.85 w 34.6 488.25 m 562.54 488.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 119.35 w 33.47 477 m 563.66 477 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 415.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 416.2 m 565.87 416.2 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People who live at The Grange can feel confident that their concerns will be listened to )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (and taken seriously.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 442.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.26 Tm (There are sufficiently robust systems in place to safeguard people from abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 400.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.3 w 34.6 236.18 m 562.54 236.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.33 m 564.79 381.33 l S 0.001 w 286.93 w 33.47 224.37 m 563.66 224.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 368.96 m 565.87 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 368.96 m 564.79 368.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.02 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (The Grange has a written complaints procedure and policy. A copy of this information )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (is provided to residents at the time of admission and is also available on the homes )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (notice board. No complaints had been received by the home since the last key )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (Questionnaires completed by residents confirmed that people were clear about who )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (they should speak to if they had a problem.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (Residents and relatives spoken to said that the manager is often available and that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (there is a very open atmosphere in the home. During the inspection the manager was )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (approached numerous times by residents and staff to answer questions, discuss daily )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (arrangements or just to have a chat, and at all times responded in a sensitive and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (respectful manner.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (The homes induction and training programme includes training related to safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (vulnerable adults and all staff are expected to attend this training. The Registered )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 178.84 w 34.6 721.99 m 562.54 721.99 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 157.46 w 33.47 710.18 m 563.66 710.18 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 32.35 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 629.24 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 31.27 630.32 m 565.87 630.32 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 (Manager is knowledgeable about the correct procedures to follow should any form of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (abuse or neglect be alleged or suspected.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (Small amounts of money are held for people living in the home. This is securely stored )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (and records maintained of all transactions. It was discussed with the manager that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (any agreements made between the home and individual regarding management of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (their finances should be documented as part of their care plan arrangements.)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 ()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 176.84 w 34.6 453.75 m 562.54 453.75 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 154.34 w 33.47 442.51 m 563.66 442.51 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 32.35 363.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 363.13 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 31.27 364.21 m 565.87 364.21 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 The Grange benefit from a homely and comfortable environment in )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (which safety measures have continued to improve.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 408.26 Tm (On-going maintenance and attention to the areas of the home that have been )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 390.77 Tm (identified will ensure that people continue to live in a home that is safe and meets )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 373.27 Tm (their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 348.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 256.31 w 34.6 210.18 m 562.54 210.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 329.34 m 564.79 329.34 l S 0.001 w 234.94 w 33.47 198.37 m 563.66 198.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 316.97 m 565.87 316.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 318.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 316.97 m 564.79 316.97 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 35.5 326.03 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (The home is located about 150 yards from the village centre near the shops and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (Doctors' Surgery. Accommodation is arranged on two levels with a shaft and stair lift )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (servicing the first floor. There is ample parking space at the front with level access to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (the front door. A large lounge on the ground floor is complemented by a large dining )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (room with conservatory leading to the secure, attractively laid out garden at the rear )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (of 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 (In all there are fifteen bedrooms, five of which are on the ground floor. Three )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (bedrooms are suited to shared/double accommodation if required. Several of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (bedrooms were seen during the inspection and all were found to be clean, bright, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (attractively decorated with plenty of furnishings and personal belongings to reflect the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (residents personality and interests.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm ()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 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (A kitchen and laundry are also sited on the ground floor. To the rear of the kitchen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (there is a former bedroom, which has been converted to office accommodation. Prior )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (to the Inspection concerns were passed to the Commission from Environmental Health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (regarding the location of this office and the potential risk this could pose to residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (who may wander through the kitchen while hot meals and drinks are being prepared. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (This concern was raised with the manager and records confirmed that a risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (assessment had been completed for this part of the building and individual residents. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (As a result the kitchen door is now shut at two busy periods of the day. The risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (assessment for one resident highlights the need for staff to be extra vigilant of her )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (whereabouts and to provide her with information she needs to reduce her need to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (walk through the kitchen area.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Concerns were also raised by Environmental Health regarding the absence of a door )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (between the kitchen and Laundry area. The manager said that this has been discussed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (with a Fire officer and options are being explored.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Since the last Key inspection a number of improvements to the homes environment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (have been made. These were identified in the Annual Quality Assurance Assessment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (returned by the Registered Manager and confirmed by our own observations. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Examples included;)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 (- Updated and refurbished the kitchen washroom, installing a new stainless steel )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (commercial double sink with full tiled walls. - Provided additional glove and apron )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (dispensers on the 1st floor. - Fire resistant windows fitted in two bedrooms and staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (bathroom. - Dining room and communal lounge redecorated with new light fittings and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (carpets.)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 (Requirements and recommendations relating to the environment identified at the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (key inspection have been addressed including;)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (- The fitting of a window restrictor on the room identified during the visit. - A potential )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (tripping hazard between the conservatory and dining room, and at the top of the stairs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (between a bedroom and stair-lift have both been addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (The Inspector noted that the Registered manager has worked hard to address the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (areas of concern raised at the last inspection. Discussion took place for the need to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (still ensure that,)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (- A door is fitted between the kitchen and laundry area. -Locks still need to be fitted )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (on one communal shower room.)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 0.99608 0.9451 0.76078 RG 126.35 w 34.6 748.23 m 562.54 748.23 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 104.98 w 33.47 736.42 m 563.66 736.42 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 32.35 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 681.73 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 31.27 682.81 m 565.87 682.81 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The home also has some very attractive original features including a tiled floor in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (main hallway and natural stone floor in the conservatory. These need to be well )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (maintained to ensure that they do not present a potential tripping hazard for people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (living in the home. Risk assessments need to be in place for these parts of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.75294 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 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 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 (People who live at The Grange will recieve care from a skilled group of staff who will )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (be sufficient in number to meet their current and changing needs.)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 (Staff were described by people living in the home and those visiting as "very kind and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (caring" with nothing being too much trouble. People said that they were supported )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (promptly indicating that staff were employed in sufficient numbers to meet the needs )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (of those living in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (On the day of the inspection there were 14 residents living in the home. The staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (team consisted of the Registered Manager a senior carer, care worker and two house )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (keepers. The Chef was absent on the day of the visit but the staff appeared to be )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (managing with additional tasks as well as assisting the Inspector throughout the day. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (The manager said that staffing levels are regularly reviewed and discussed within staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (meetings and supervision. Since the last inspection some additional staffing hours )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (have been agreed to cover the busy period during the evening and to allow staff to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (spend more time with residents who may want to partake in activities outside the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (home.)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 (Staffing at night consists of one person remaining awake in the home and a staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (member who is on call after 8pm and sleeping in the staff facility, "North Grange", )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 0.99608 0.9451 0.76078 RG 703.72 w 34.6 459.55 m 562.54 459.55 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 682.34 w 33.47 447.74 m 563.66 447.74 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 32.35 104.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 104.36 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 31.27 105.44 m 565.87 105.44 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 (which is a separate unit attached to the main house. At the last key inspection the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (manager was asked to review this arrangement and has since appointed a staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (member to cover the busy 8-10pm shift within the home.)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 (Throughout the visit staff were attending to chores, assisting residents with personal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (care needs and spending time with residents in the communal parts of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (During the afternoon one staff member spent time reading to a group of residents, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (whilst another helped a resident write a letter to a relative.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (Staff spoken to said that they felt well supported by their colleagues and the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Registered Manager. One commented that their had been several recent )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (improvements particularly in the way that information about residents is documented )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (and stored. The staff member felt that this change made it easier for staff to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (understand and access the information they needed to provide care to residents.)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 (Three staff files were examined during the inspection. The files seen contained )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (references, evidence of identity checks, and Criminal records checks. Staff from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (abroad had work permits. There was also information about the interview process and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Induction training.)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 (Since the last key inspection the home has registered with a new training provider and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (each staff member has a personal development plan.)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 (New staff were provided with Induction training to ensure they are given information )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (about the care home and the people living there. This was evidenced in a number of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (staff files.)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 (Staff files confirmed that staff complete training in health and safety, and most have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (had this updated since the last key inspection. Staff also have the opportunity to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (complete training for a National Vocational Qualification, a nationally recognised )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (qualification for which staff must demonstrate their knowledge and skills in supporting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (older people. One staff member spoken to during the inspection was particularly keen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (to complete training relavent to her role and said that her enthusiasm was encouraged )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (and supported by the manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (In addition to the Mandatory training staff also attend a range of specialised courses )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (relavent to their role and needs of the people they care for including Bereavement and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (Safeguarding of vulnerable adults.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm ()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 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 194.33 w 34.6 360.01 m 562.54 360.01 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 171.84 w 33.47 348.76 m 563.66 348.76 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 32.35 260.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 260.64 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 31.27 261.71 m 565.87 261.71 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 (The manager is supported well by the staff team in providing clear leadership )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (throughout the home with staff demonstrating an awareness of their roles and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (responsibilities.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.77 Tm (Improvements in recording systems and health and safety procedures will ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.27 Tm (people receive good quality care within a safe environment.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 270.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 246.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 153.82 w 34.6 158.93 m 562.54 158.93 l S 0.001 w 1 1 1 RG 22.5 w 32.35 226.84 m 564.79 226.84 l S 0.001 w 132.45 w 33.47 147.12 m 563.66 147.12 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 214.47 m 565.87 214.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 215.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 215.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 214.47 m 564.79 214.47 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 35.5 223.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (The Registered Manager has a National Vocational qualification at level 3 and at level )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (4 in Management. She also holds an NVQ Assessors award. In addition to completing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm (Health and Safety training she has also attended recent training in the Mental )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (Capacity Act and Safeguarding of vulnerable adults.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (The Registered Manager said she is well supported by a good core team of staff who )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (have worked in the home for many years. She meet with the Director and Proprietor )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 581.24 w 34.6 520.78 m 562.54 520.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 559.87 w 33.47 508.97 m 563.66 508.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 227.91 m 565.87 227.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (of the home on a weekly basis.)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 (Feedback from the staff group indicated that they felt well supported. Discussion with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (staff during the visit and examination of staff files confirmed that they received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (regular supervision. The Inspector was able to observe staff within a shift handover )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (meeting when staff were given detailed information about the days events and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (anything specific to individual residents.)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 (Evidence was seen that people living in the home, relatives and other agencies were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (consulted about the quality of the service provided. Questionnaires are sent out to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (residents and their families on an annual basis and details of the findings discussed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (with staff and management. The homes Annual quality Assurance Assessment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (completed by the home prior to the inspection stated that as a result of feedback from )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (residents the home had recruited more staff to provide support with day time )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (activities.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Health and Safety issues were examined. Staff files confirmed that since the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (inspection all staff have had their health and safety training updated. Practices )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (concerning the transfer of laundry had been reviewed and laundry was no longer being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (transfered through the kitchen area.To further prevent to spread of infection the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (had also purchased a large laundry trolley for transferring soiled linen.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (The manager has worked hard to address all the issues raised at the last inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (This has included a review of all records relating to the care needs of residents. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (records are now documented separately for each resident and provide clear )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (information for staff about current and changing needs.)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 (Most of the concerns regarding the environment have now been addressed and the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (manager was aware of work that still needs completing. This included the fitting of a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (door between the kitchen and laundry and locking facilities on communal toilets and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (shower room.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()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 305.54 w 32.32 473.32 m 564.97 473.32 l S 0.001 w 1 1 1 RG 204 w 31.2 423.68 m 91.05 423.68 l S 0.001 w 204 w 93.3 423.68 m 197.4 423.68 l S 0.001 w 204 w 199.65 423.68 m 289.45 423.68 l S 0.001 w 204 w 291.7 423.68 m 473.8 423.68 l S 0.001 w 204 w 476.05 423.68 m 566.1 423.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 527.88 m 30.07 319.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 319.48 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 92.17 319.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 319.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 319.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 319.48 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 28.99 320.55 m 568.3 320.55 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 (19)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 513.62 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 513.62 Tm (The Registered Provider )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 496.62 Tm (must seek advice from the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 479.62 Tm (Fire Officer regarding the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 462.62 Tm (need for a door between the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 445.62 Tm (kitchen and laundry.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 428.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 411.62 Tm (The Registered provider )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 394.62 Tm (must ensure that all parts of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 377.62 Tm (the home to which people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 360.62 Tm (have access are so far as )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 343.62 Tm (reasonably practicable free )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 326.62 Tm (from hazards to their safety.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 513.62 Tm (09/08/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 226.07 w 32.32 186.02 m 564.97 186.02 l S 0.001 w 1 1 1 RG 137.22 w 31.2 142.72 m 91.05 142.72 l S 0.001 w 137.22 w 93.3 142.72 m 197.4 142.72 l S 0.001 w 137.22 w 199.65 142.72 m 566.1 142.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 213.54 m 30.07 71.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 213.54 m 567.22 71.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 231.73 m 568.4 231.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 212.46 m 568.3 212.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 213.54 m 92.17 71.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 213.54 m 198.52 71.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 301.3 m 568.4 301.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 231.73 m 568.4 231.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 72.99 m 568.3 72.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 302.38 m 30.07 211.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 232.81 m 92.17 212.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 232.81 m 198.47 212.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 302.38 m 567.32 211.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 285.12 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 267.54 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 252.96 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 34.05 238.38 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 217.56 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 217.56 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 217.56 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 196.27 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 196.27 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 196.27 Tm (The home should complete their programme of fitting locks )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 181.69 Tm (to doors. This should include the two remaining communal )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 167.11 Tm (toilets and shower room, which do not have this facility.)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 152.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 202.5 137.95 Tm (Consideration should be given to the location and use of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 123.37 Tm (the communal toilet in the main downstairs hallway. This )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 108.79 Tm (facility should not be used by residents requiring support )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 94.21 Tm (by staff. This would further ensure that that the privacy )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 79.63 Tm (and dignity of residents is maintained at all times.)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 138.59 w 32.32 742.11 m 564.97 742.11 l S 0.001 w 1 1 1 RG 49.74 w 31.2 698.81 m 91.05 698.81 l S 0.001 w 49.74 w 93.3 698.81 m 197.4 698.81 l S 0.001 w 49.74 w 199.65 698.81 m 566.1 698.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 725.89 m 30.07 671.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 671.74 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 92.17 671.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 671.74 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 28.99 672.82 m 568.3 672.82 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 34.05 708.62 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 708.62 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 708.62 Tm (Any arrangements agreed between the resident and the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 694.04 Tm (home regarding finances should be documented and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 679.46 Tm (reviewed as part of the service user care plan.)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. 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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: 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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C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 89 0 obj<> endobj 90 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640]90[889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 91 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 92 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 93 0 obj<> endobj 94 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 95 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 69 0 obj<> endobj 96 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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568.1 557.96 l S 28.99 535.13 m 568.1 535.13 l S 28.99 512.3 m 568.1 512.3 l S 28.99 489.47 m 568.1 489.47 l S 30.07 559.03 m 30.07 488.39 l S 354.37 559.03 m 354.37 488.39 l S 567.02 559.03 m 567.02 488.39 l S BT /T1_0 12 Tf 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 541.77 Tm (Ogwell Grange Ltd)Tj 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj 1 0 0 1 358.35 518.94 Tm (care home)Tj 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj 1 0 0 1 358.35 496.11 Tm (17)Tj /T1_0 10 Tf 1 0 0 1 28.35 477.17 Tm (\240)Tj 1 0 0 1 28.35 460.17 Tm (\240)Tj ET 0.953 0.953 0.953 RG 63.99 w 32.32 417.85 m 564.47 417.85 l S 0.753 0.753 0.753 RG 2.25 w 28.99 429.26 m 567.8 429.26 l S 28.99 452.09 m 567.8 452.09 l S 28.99 429.26 m 567.8 429.26 l S 28.99 385.85 m 567.8 385.85 l S 30.07 453.17 m 30.07 384.77 l S 298.32 430.34 m 298.32 384.77 l S 566.72 453.17 m 566.72 384.77 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.08 Tm (Category\(ies\) :)Tj 1 0 0 1 302.3 413.08 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.3 392.5 Tm (Under 65)Tj 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 299.55 371.06 m 431.45 371.06 l S 433.7 371.06 m 565.6 371.06 l S 35.16 w 31.2 340.94 m 297.3 340.94 l S 299.55 340.94 m 431.45 340.94 l S 433.7 340.94 m 565.6 340.94 l S 20.58 w 31.2 310.82 m 297.3 310.82 l S 299.55 310.82 m 431.45 310.82 l S 433.7 310.82 m 565.6 310.82 l S 0.953 0.953 0.953 RG 31.2 287.99 m 565.6 287.99 l S 0.753 0.753 0.753 RG 2.25 w 28.99 359.65 m 567.8 359.65 l S 28.99 322.24 m 567.8 322.24 l S 28.99 299.41 m 567.8 299.41 l S 28.99 276.58 m 567.8 276.58 l S 28.99 253.75 m 568.1 253.75 l S 28.99 382.48 m 567.8 382.48 l S 28.99 359.65 m 567.8 359.65 l S 28.99 322.24 m 567.8 322.24 l S 28.99 299.41 m 567.8 299.41 l S 28.99 276.58 m 568.1 276.58 l S 28.99 253.75 m 568.1 253.75 l S 28.99 230.92 m 568.1 230.92 l S 30.07 383.55 m 30.07 229.84 l S 298.42 383.55 m 298.42 298.33 l S 432.57 383.55 m 432.57 298.33 l S 566.72 383.55 m 566.72 229.84 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.29 Tm (dementia)Tj 1 0 0 1 302.4 366.29 Tm (0)Tj 1 0 0 1 436.55 366.29 Tm (17)Tj 1 0 0 1 34.05 343.46 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 328.88 Tm (category)Tj 1 0 0 1 302.4 343.46 Tm (0)Tj 1 0 0 1 436.55 343.46 Tm (17)Tj 1 0 0 1 34.05 306.05 Tm (physical disability)Tj 1 0 0 1 302.4 306.05 Tm (0)Tj 1 0 0 1 436.55 306.05 Tm (17)Tj 1 0 0 1 34.05 283.22 Tm (Additional conditions: )Tj 1 0 0 1 34.05 260.39 Tm (Old age, not falling within any other category \(OP\) maximum 17)Tj 1 0 0 1 34.05 237.56 Tm (Physical disability over 65 years of age \(PD\(E\)\) maximum 17)Tj ET 0.953 0.953 0.953 RG 20.58 w 31.2 216.13 m 315.25 216.13 l S 1 1 1 RG 317.5 216.13 m 346.55 216.13 l S 348.8 216.13 m 377.9 216.13 l S 380.15 216.13 m 409.2 216.13 l S 411.45 216.13 m 440.55 216.13 l S 442.8 216.13 m 471.9 216.13 l S 474.15 216.13 m 503.2 216.13 l S 505.45 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home)Tj 1 0 0 1 35.5 170.03 Tm (The Grange Residential Hotel is a large, detached, grade two listed prop\ erty on the )Tj 1 0 0 1 35.5 153.03 Tm (edge of the Devon village of Ipplepen. Newton Abbot, a market town, and \ the holiday )Tj 1 0 0 1 35.5 136.03 Tm (area of Torbay are a few miles away.)Tj 1 0 0 1 35.5 119.03 Tm (\240)Tj 1 0 0 1 35.5 102.03 Tm (The home is located about 150 yards from the village centre near the sho\ ps and )Tj 1 0 0 1 35.5 85.03 Tm (Doctors surgery. Accommodation is arranged on two levels with a shaft li\ ft and stair lift )Tj 1 0 0 1 35.5 68.03 Tm (servicing the first floor. There are ample parking spaces at the front w\ ith level access )Tj 1 0 0 1 35.5 51.03 Tm (to the front door. A large lounge on the ground floor is complemented by\ a large dining )Tj ET endstream endobj 177 0 obj<>stream q 538.5 0 0 61.5 28.3500061 14.1999969 cm /Im0 Do Q 0.753 0.753 0.753 RG 1 i 94.5 w 10 M 0 j 0 J []0 d 22.95 766.4 m 561.53 766.4 l S q 170.25 0 0 54.75 28.3500061 750.8999939 cm /Im1 Do Q 0 0 0 rg BT /C2_0 28 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 147.05 643.14 Tm <002E0048005C0003004C005100560053004800460057004C005200510003005500480053005200550057>Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0 0 0 RG 0.5 w BT /T1_0 24 Tf 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj /C2_0 6 Tf 0 Tr 1 0 0 1 28.35 540.33 Tm <0003>Tj 1 0 0 1 28.35 533.09 Tm <0003>Tj ET 0.953 0.953 0.953 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 1 1 1 RG 162.63 519.31 m 563.65 519.31 l S 0.953 0.953 0.953 RG 90.9 w 31.2 461.32 m 160.38 461.32 l S 1 1 1 RG 162.63 461.32 m 563.65 461.32 l S 0.753 0.753 0.753 RG 2.25 w 28.99 507.9 m 565.85 507.9 l S 28.99 530.73 m 565.85 530.73 l S 28.99 507.9 m 565.85 507.9 l S 28.99 414.75 m 565.85 414.75 l S 30.07 531.8 m 30.07 413.67 l S 161.5 531.8 m 161.5 413.67 l S 564.78 531.8 m 564.78 413.67 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 514.54 Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 514.54 Tm (The Grange Residential Hotel)Tj 2 Tr 1 0 0 1 34.05 491.71 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 491.71 Tm (Townsend Hill )Tj 1 0 0 1 165.48 474.13 Tm (Ipplepen)Tj 1 0 0 1 165.48 456.55 Tm (Newton Abbot)Tj 1 0 0 1 165.48 438.97 Tm (Devon)Tj 1 0 0 1 165.48 421.39 Tm (TQ12 5RT)Tj /C2_1 10 Tf 1 0 0 1 28.35 402.49 Tm <0003>Tj 1 0 0 1 28.35 385.49 Tm <0003>Tj ET 0.953 0.953 0.953 RG 20.58 w 31.2 365.96 m 358.95 365.96 l S 1 1 1 RG 361.2 365.96 m 565.9 365.96 l S 0.753 0.753 0.753 RG 2.25 w 28.99 377.37 m 568.1 377.37 l S 28.99 354.54 m 568.1 354.54 l S 30.07 378.45 m 30.07 353.46 l S 360.07 378.45 m 360.07 353.46 l S 567.02 378.45 m 567.02 353.46 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 361.19 Tm (The quality rating for this )Tj 1 0 0 1 191.92 361.19 Tm (care home)Tj 1 0 0 1 255.59 361.19 Tm ( is:)Tj 0 Tr 1 0 0 1 400.14 361.19 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35 342.29 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35 323.23 Tm (A quality rating is our assessment of how well a care home)Tj 1 0 0 1 389.13 323.23 Tm (is meeting the needs of the )Tj 1 0 0 1 28.35 306.23 Tm (people who use it.)Tj 1 0 0 1 138.93 306.23 Tm (\240 )Tj 1 0 0 1 147.37 306.23 Tm (We give a quality rating following a full review of the service.)Tj 1 0 0 1 517.67 306.23 Tm (\240 )Tj 1 0 0 1 526.12 306.23 Tm (We )Tj 1 0 0 1 28.35 289.23 Tm (call this full review a \221key\222 inspection.)Tj 1 0 0 1 28.35 272.23 Tm (\240)Tj ET 0.953 0.953 0.953 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 317.5 254.75 m 565.9 254.75 l S 1 1 1 RG 317.5 231.92 m 346.55 231.92 l S 348.8 231.92 m 377.9 231.92 l S 380.15 231.92 m 409.2 231.92 l S 411.45 231.92 m 440.55 231.92 l S 442.8 231.92 m 471.9 231.92 l S 474.15 231.92 m 503.2 231.92 l S 505.45 231.92 m 534.55 231.92 l S 536.8 231.92 m 565.9 231.92 l S 0.753 0.753 0.753 RG 2.25 w 28.99 243.34 m 568.1 243.34 l S 28.99 266.17 m 568.1 266.17 l S 28.99 243.34 m 568.1 243.34 l S 28.99 220.51 m 568.1 220.51 l S 30.07 267.24 m 30.07 219.43 l S 316.37 267.24 m 316.37 219.43 l S 347.67 244.41 m 347.67 219.43 l S 379.02 244.41 m 379.02 219.43 l S 410.32 244.41 m 410.32 219.43 l S 441.67 244.41 m 441.67 219.43 l S 473.02 244.41 m 473.02 219.43 l S 504.32 244.41 m 504.32 219.43 l S 535.67 244.41 m 535.67 219.43 l S 567.02 267.24 m 567.02 219.43 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 249.98 Tm (Lead inspector:)Tj 1 0 0 1 320.35 249.98 Tm (Date:)Tj 0 Tr 1 0 0 1 34.05 227.15 Tm (Wendy Baines)Tj 1 0 0 1 329.63 227.15 Tm (0)Tj 1 0 0 1 360.95 227.15 Tm (8)Tj 1 0 0 1 392.28 227.15 Tm (0)Tj 1 0 0 1 423.61 227.15 Tm (6)Tj 1 0 0 1 454.95 227.15 Tm (2)Tj 1 0 0 1 486.28 227.15 Tm (0)Tj 1 0 0 1 517.6 227.15 Tm (0)Tj 1 0 0 1 548.96 227.15 Tm (9)Tj /C2_1 10 Tf 1 0 0 1 28.35 208.25 Tm <0003>Tj 1 0 0 1 28.35 191.25 Tm <0003>Tj /C2_0 10 Tf 1 0 0 1 297.64 174.25 Tm <0003>Tj 1 0 0 1 297.64 162.18 Tm <0003>Tj 1 0 0 1 297.64 150.12 Tm <0003>Tj ET endstream endobj 178 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.64 803.65 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.39 787.03 Tm (care home. We )Tj 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.53 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 749.53 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.53 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.53 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.53 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.53 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.6 651.03 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.04 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.04 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.04 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.04 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.2 466.04 Tm (National minimum )Tj 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET 22.69 383.86 m 572.15 383.86 l S 22.69 50.22 m 572.15 50.22 l S 22.7 383.86 m 22.7 50.22 l S 572.15 383.86 m 572.15 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 1 0.945 0.761 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.953 0.953 0.953 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 1 1 1 RG 29.47 243.37 m 563.57 243.37 l S 0.753 0.753 0.753 RG 2.25 w 27.27 264.49 m 565.77 264.49 l S 27.27 306.73 m 565.77 306.73 l S 27.27 264.49 m 565.77 264.49 l S 27.27 222.25 m 565.77 222.25 l S 28.35 307.81 m 28.35 221.17 l S 564.7 307.81 m 564.7 221.17 l S BT /T1_0 12 Tf 0 Tr 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 1 0 0 1 34.87 273.55 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.55 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.945 0.761 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 1 1 1 RG 29.47 124.46 m 563.57 124.46 l S 0.753 0.753 0.753 RG 2.25 w 27.27 145.58 m 565.77 145.58 l S 27.27 103.34 m 565.77 103.34 l S 28.35 146.66 m 28.35 102.26 l S 564.7 146.66 m 564.7 102.26 l S BT /T1_0 12 Tf 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 1 0 0 1 517.79 129.9 Tm (We )Tj 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.945 0.761 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 1 1 1 RG 29.47 65.1 m 563.57 65.1 l S 0.753 0.753 0.753 RG 2.25 w 27.27 77.47 m 565.77 77.47 l S 27.27 52.72 m 565.77 52.72 l S 28.35 78.55 m 28.35 51.65 l S 564.7 78.55 m 564.7 51.65 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 179 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj 0 Tr 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj 1 0 0 1 290.49 705.6 Tm (\226 )Tj 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj 1 0 0 1 477.18 705.6 Tm ( can be found )Tj 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 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from \ the )Tj 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.953 0.953 0.953 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 1 1 1 RG 226.3 368.85 m 567 368.85 l S 0.953 0.953 0.953 RG 28.35 346.02 m 224.05 346.02 l S 1 1 1 RG 226.3 346.02 m 567 346.02 l S 0.953 0.953 0.953 RG 28.35 323.19 m 224.05 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.953 0.953 0.953 RG 28.35 300.36 m 224.05 300.36 l S 1 1 1 RG 226.3 300.36 m 567 300.36 l S 0.953 0.953 0.953 RG 137.22 w 28.35 219.21 m 224.05 219.21 l S 1 1 1 RG 226.3 219.21 m 567 219.21 l S 0.953 0.953 0.953 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.753 0.753 0.753 RG 2.25 w 26.14 357.43 m 569.2 357.43 l S 26.14 334.6 m 569.2 334.6 l S 26.14 311.77 m 569.2 311.77 l S 26.14 288.94 m 569.2 288.94 l S 26.14 149.47 m 569.2 149.47 l S 26.14 380.26 m 569.2 380.26 l S 26.14 357.43 m 569.2 357.43 l S 26.14 334.6 m 569.2 334.6 l S 26.14 311.77 m 569.2 311.77 l S 26.14 288.94 m 569.2 288.94 l S 26.14 149.47 m 569.2 149.47 l S 26.14 109.06 m 569.2 109.06 l S 27.22 381.34 m 27.22 107.99 l S 225.17 381.34 m 225.17 107.99 l S 568.12 381.34 m 568.12 107.99 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.42 Tm (Audience)Tj 1 0 0 1 229.15 318.42 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.76 Tm (Copyright)Tj 1 0 0 1 229.15 272.76 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.29 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.15 133.29 Tm (www.cqc.org.uk)Tj ET endstream endobj 180 0 obj<> endobj 181 0 obj<> endobj 182 0 obj<>stream HlVXTW{`W`ftMĎ*0 vGcKT>b/1fwd5Ff/`nERo!7)15dl<&D%eEr(*Oj35wb^1|d՜4i4v3L8ljܦ^X>[Sol\/s^7R*UUQs:.uoаQ㷚5Ս&s3whʳuiݿtԹKn{|ϫWz8h9*8$Ȩ1q I)ic32ƍ0q)SM1slۜ(7od埬X*o(trm; wڽgG;~⋓N9{.koܼu/߇fHQ' &q2s5tS⌸')"rɹrUjP-mStAw{d}^o1.zFb&'S-SS]S#br_%oG5 jXs;'[/YLS,ɵ`-Duv]^΢%X|b%Hb |=x8\K6h[뗕o= ^2%K=R2郀 U޹Y%֒ŋ+oPV\Zܶݕwn`gTҜsWUHiWŐgƜwŀ: Xo00+ 8 ‡HՅ~Jlo<liV#YD"<.[Dpk{x!HD2TEґqxLjL$U9;~~zӇ x>tb%V؟8UXX8¡0p8Q fCia:; HF15X1YuPt+G3uY]9qgl!1)l̷؄nLeW|lJF8`&89f6;=8effs`K _s*n>n7q+hSZ5\~VM-VnSڳs {ؚyy0?1q`[Vfx7$ǻSWnE[|&봲 w2{ͱhT?2G澒?l2Xu y,g[x#E_f56-l#;ܬ;m;%Xt;کs}ٝu7q\N:N߶d²ldY&u18p015q55${i& iKGh혏h0 LJB SdjfҙP?h}2LOzｽ{{o@ae ϖU0KײHWwO>FyiJSzf*&44':<<#̪90?(bCk( !lTO`޼FQQT32uc6:c=LqT}yI )lY?P8 'K+7M"^)W .@O%E!a5!s+^UEQ+)0g4CQ}~W߰YlQe 80#im\E$kΊ<-d NoZ%&USV´:Ok0bt'OJP+IDR&%I 1kP]/6ތFSENrXW#MzA{=Az|S~ Cϰ,<\{PEl)[Ɠ۞F|y)QVJվ'E)G-s}B"IKbzGl,AWwpPTt X"v>k~'KNX7Q։vVrh(zUU9 %YNݰR6;`FdS"“2`bdS˓<ߞÉ;BD ߭ߔo_Ekun* :slr }50w=A}m$x0t.=ܺ7[d4Y=6c.tչ\.ME5bq+W\~rAÂL7ʶz3z #~%P{Mz'z[Q)<֥f%Tс(p(Pх&@2D Cx17-ޖ,> A"5,c--htp7mK4E|#5rm^UVQ>{`S{_Rs$2ZJ5b`xl-;~KU]r }.%j:\{%[oOk^O*ھ)[=a@mo7uUݚc$QLIu6Wc9[pV4jdRMBܣXj%05 (͐$2`w3; +k v75}ЗO>3Se9zE!?f8i6i6LB1G9 Nl&3jj-Zli%Z[/b{l+L $L 1y4PBvNi&4̔IS Ig0dBINx]=;CX 0>1dqK*Fp&*^Z8Jq׋B HqJ/B)rDvkȞقeOg:|TC05mT&M50IpIrȨD2a,;Gzy܍TO} dUCRIm;n4q/ U劇F ȃ*&uv,# e8 Q9W O/A!^ ۜzOdh=aUↈRUq4&C\P0ZtXj=K OdE|P+-yC2c1"J% D | 8OxQ)߀y@T!SJII4ZNN13 sQ+/ݿK&7}y7^CK^hh}wuvᎦ ow jkqe`6U/sE䤡!U'w^MK7w[mJ\U 9A_Rԕa9qNb*b !E%(%D8*c149b-̝HN9\ :ӡ0aQSM#$ ȂxXb_fз5 y*taݝ]#`8ܝ[ 4`|N߰LNe%Cp,Y%,KkgVӲ/ rȊSU"w~hqsJi~ȿ xtv+"f\T:T=pS[VKn.WfѾ&{^ޜq-n~c[*7()O0Dz#vG6F+HS5*$-Dz*2ŋK``uXYDrmNuzpݧoS=%k`(^1qh ݺY_GھeHϽe5K >į߯[@wG[,զtHQ#j=x' Q 1RXkE.d)u8eH[H2LdqYe% 9 ,HfUޣ3C&4䕁25Bj>C E=pFVAvEEEy v¾>ӕe*jjUU󶙶YvYs^fh\m"8_NoO+氼eR+Su=7?}}r^>emN7R,SdQ(g\ 0h)ӥJy%s<{ٛx pO&_Kؼ[J]ɗ 4%PT,(bP=,A"Z{B_|UlC31WP_hEQ7 #3Bx-̾zhBQGHm-a%7q#]"bQJ;azM}2lHoLc1?LppvN2ȇι؁27!8)H cnBC)}SO3 흈aA$,&8a g7 L^7eob7wgDzc9zaPD"g[,ƐBcp]6YyDB KLdZNVp\C+mA`'+?WR͎TG]c^^TwCCK ټ+Q%@PbuXe!GȊv9asMGQ}lW~' T(K5/˕0n{6Y{= 1۠'V[$q`Yi0)f[eW ~QAX<81-gT:cDtrc^#=Ϥ+!c\k^kNgLd _VxNSyG(D|`HiO 9l2fYXAfr!SVR-2[ݳ-o^gҢNvXH:|s-;wbw.P_P|U{'bzSdp:O-wtluuw_yMٳђ,mFEݣ{Bss&^?ƣV-/ ri2(JcD"y I qؒB} kfXL)F7=tylg)1f!xb6Y_)Y.LK㴫-n3'b#ӷ~?wnG"+vҍtgꙢ/H^@C#i1LqC8L3R ,% N'PYHCRQ 5 P\Y6 n'5'дhkF&~\=\_BhGaiБFo:Y&Ui; ,x2T4v,.{gNcx<)>tQWE<ΐeU =\n!fa 1V33IX-ӓm*o dtJ)dtP.T iY4E⢞%5;$5Hx$ө^.M]gukvb'uKpb I J#je !OCB0ZJ<:imҶ MhQi0DVڭAe+k 1w LY#7|wO%E>([N]KO۶wa$~s Klу)oo@9c(JF08kLЮI˧RF-9%,I" 2@=g̈)5Fb]I2HV\TZ1MKno[Eʼndc**=+ "1 ~x?>2?J,/$Fq 0+i=z̕– ɾKl-q KM!eGg'(' :Q̏L57[%@ Ov/Tv1126ↇn,'w=;WNxYQEYNlƌEEEǤ;NIWӑOsMxߓ>J\HRn_(jە1Bxw3%0ZF~LK>"^Yȏ PX@rն62$'7ѻ Om$4; `BR՞C>t!aUsݴo"v,VBVE$;?ΡĞ^MC"E?`&N}x#{#;<♁1ˁP<3`~/4UDHQt!*p,{O 3p攂j֍ *|vf݊Aިحl?;[`V09j9L6,C,Plp\NEdYE_G[K EIyV(V> rJ8TGQO75(G7-:{j++6+$74D5VŚ!UFzX/ !Ǎ-F ro!7;IcJoDQXSĠb#R+DBjn8ȺEE߲=\vez^[O6ŴTȎAm_aZ},oss9U}:U}n[x xޞXd͗= go wuxݾOL:R_1T͖Τ j#jͶ&{k>bdAygFXʊGRYLAl =J/OCj^0*͢fyUj47@FM.x*Y#j7vRIû03L9DJ>qc ?81q? $ML _՘5>oDgF-];hZa7&?@Z$wt2Az񣞕:5(#:E,/jA 6p(])Tݰ\˚4nMժ4=2턲Uky+b%[XVu;|FJ~:{kƦ,#PsO4>&ի}pb|xg5 ˖?= 1S;__n]Eaq3? $ {;`9?F|\lfWo g;@JY[~4K)^\f&ҷ; {3Yjbb&A1D Q#H#UvBMJLs^!-9RT4E "cx8N,ʁ'?}ޅh6v\`~/|L8v]qdms~}`v^/*D@Z jg7ځە94`sdbFS"WAc`k )NH!%ildʴ笇_ _M_r%EX' $ðq/WODC lb Yw: /ea\xSᏖEZa.Vf?1bBKYDd{d䣫N4zRSQAɔ<|) UHerwi`TuW,Y]6 oˌۋMvgJ͑usD.`G\!. hZ^4-͠gÐBj2ZXt#]}D-.e._㜂rOaל rrms ^p sRbˊaoc8'9(~)xF𗛳HzNk.6fwG\o;}WkO'7V5+lvsS'S~~rd]8BޥȮ!2}qJYa-=ǷuJt<"<6ʮd;9b{!bgG(EfgfXqӉkk0mEfv T:f/& {0`x0( .(."LvdYJnd&Mk6]ۦv7٤vmKحٵMv5jչ?gf6ޛC8ߗ |*{yi$/ЦS}Gr dwʗe s'rPc^:>]i#ը"fb TB`,1!RBw$VH-l 3E'FfUie;l_>+d;WW9pWL#( 0EUa^%K0x LQn|`UJe2< ~8$$L$5g夜+q=YNkx26J[yh3-j֫whuDZ3~S5/S!D_(:tpf7V*5Mie݌)πhr9HsVCCQ$A?p|xnxCb~OP=J`Kkp$77> T5rhQIFIݬF9Dv!uo0'阑e t/8BRi*Րa2"hT g%Gl^yk!MT(JDqerVϢ16x//`p4.X:AFE#{lCt/@$.`uWfiaBNmjF&楬ob|p΅ َ4xKPAfotS0kd^4\1N%R%E)u )S(Db ;@'A7>_w էZD/Kx-_7A>6ŘhFBt5b} ÆlSPA(JhQ,M01󗊊`7d(8N>:J 3-n@ .X@8DP9~tat#Љ  6J"(^|/~seŞ^:/Ykr "JUF6P6ZV6ԋz(]!AJcQq0ӂnĞ$J\a4/7@\85H)DVy Vf,+lk\mVaO)>p,CbɽPno7'!Xc2dqN+r#b%4Ă:u zCwCn]˔IZwayIR8h܏BNȯzh,N:HGtǙ7:~Go~xc^1jI g?kmdE%y2<7rQWvW#+Psif a:a:;2}9ИsmrТ&I.v$}5V@\]ΥeRJe:~8Q\Xxz$TOׅm};U뿸ZϷ/z~A8I'Ө<2LH{ncZ_WG ^\/ϯy5oڮ#Qsps{gAQ[Uxzz+VF2,g:YAn11QQIxcU ~& BO0L@,ư€XL77l 0ґNJBJp4O9g>/^]h&c'3 2okv!,t|3֬"?ۉLfpsb`,AtArA1A;bPá[J1e|A+ݡR)3,UJڶI.w9c[U |%ccHvuĆnK6s[$?mF(594_e'rDcEV VBYl;&"%9sN-QdD#^CywՕ\k+zj]IѨ8HrbhLCtmK>F~J.}KR>#'(Z%D~.h|LQ !fH35RS#`1Bb'yS ŴK!-Mj&fWꬿ"UIaߑ"ED {~ HF@_1i—…dg{lh՟e݋/x#\dК?٘!oEilmdu.YڳC9{)|v/A+l9 O\-l3rq#Y9nU뽏Ӂ ~E3\-rK _֕3YNxo; ٥Nz\7̶3 CQjƒLW,cs]Aw0L ." 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Tf 1 0 0 1 28.35 477.17 Tm (\240)Tj 1 0 0 1 28.35 460.17 Tm (\240)Tj ET 0.953 0.953 0.953 RG 63.99 w 32.32 417.85 m 564.47 417.85 l S 0.753 0.753 0.753 RG 2.25 w 28.99 429.26 m 567.8 429.26 l S 28.99 452.09 m 567.8 452.09 l S 28.99 429.26 m 567.8 429.26 l S 28.99 385.85 m 567.8 385.85 l S 30.07 453.17 m 30.07 384.77 l S 298.32 430.34 m 298.32 384.77 l S 566.72 453.17 m 566.72 384.77 l S BT /T1_0 12 Tf 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 413.08 Tm (Category\(ies\) :)Tj 1 0 0 1 302.3 413.08 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.3 392.5 Tm (Under 65)Tj 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 299.55 371.06 m 431.45 371.06 l S 433.7 371.06 m 565.6 371.06 l S 35.16 w 31.2 340.94 m 297.3 340.94 l S 299.55 340.94 m 431.45 340.94 l S 433.7 340.94 m 565.6 340.94 l S 20.58 w 31.2 310.82 m 297.3 310.82 l S 299.55 310.82 m 431.45 310.82 l S 433.7 310.82 m 565.6 310.82 l S 0.953 0.953 0.953 RG 31.2 287.99 m 565.6 287.99 l S 0.753 0.753 0.753 RG 2.25 w 28.99 359.65 m 567.8 359.65 l S 28.99 322.24 m 567.8 322.24 l S 28.99 299.41 m 567.8 299.41 l S 28.99 276.58 m 567.8 276.58 l S 28.99 253.75 m 568.1 253.75 l S 28.99 382.48 m 567.8 382.48 l S 28.99 359.65 m 567.8 359.65 l S 28.99 322.24 m 567.8 322.24 l S 28.99 299.41 m 567.8 299.41 l S 28.99 276.58 m 568.1 276.58 l S 28.99 253.75 m 568.1 253.75 l S 28.99 230.92 m 568.1 230.92 l S 30.07 383.55 m 30.07 229.84 l S 298.42 383.55 m 298.42 298.33 l S 432.57 383.55 m 432.57 298.33 l S 566.72 383.55 m 566.72 229.84 l S BT /T1_0 12 Tf 1 0 0 1 34.05 366.29 Tm (dementia)Tj 1 0 0 1 302.4 366.29 Tm (0)Tj 1 0 0 1 436.55 366.29 Tm (17)Tj 1 0 0 1 34.05 343.46 Tm (old age, not falling within any other )Tj 1 0 0 1 34.05 328.88 Tm (category)Tj 1 0 0 1 302.4 343.46 Tm (0)Tj 1 0 0 1 436.55 343.46 Tm (17)Tj 1 0 0 1 34.05 306.05 Tm (physical disability)Tj 1 0 0 1 302.4 306.05 Tm (0)Tj 1 0 0 1 436.55 306.05 Tm (17)Tj 1 0 0 1 34.05 283.22 Tm (Additional conditions: )Tj 1 0 0 1 34.05 260.39 Tm (Old age, not falling within any other category \(OP\) maximum 17)Tj 1 0 0 1 34.05 237.56 Tm (Physical disability over 65 years of age \(PD\(E\)\) maximum 17)Tj ET 0.953 0.953 0.953 RG 20.58 w 31.2 216.13 m 315.25 216.13 l S 1 1 1 RG 317.5 216.13 m 346.55 216.13 l S 348.8 216.13 m 377.9 216.13 l S 380.15 216.13 m 409.2 216.13 l S 411.45 216.13 m 440.55 216.13 l S 442.8 216.13 m 471.9 216.13 l S 474.15 216.13 m 503.2 216.13 l S 505.45 216.13 m 534.55 216.13 l S 536.8 216.13 m 565.9 216.13 l S 0.753 0.753 0.753 RG 2.25 w 28.99 227.54 m 568.1 227.54 l S 28.99 204.71 m 568.1 204.71 l S 30.07 228.62 m 30.07 203.63 l S 316.37 228.62 m 316.37 203.63 l S 347.67 228.62 m 347.67 203.63 l S 379.02 228.62 m 379.02 203.63 l S 410.32 228.62 m 410.32 203.63 l S 441.67 228.62 m 441.67 203.63 l S 473.02 228.62 m 473.02 203.63 l S 504.32 228.62 m 504.32 203.63 l S 535.67 228.62 m 535.67 203.63 l S 567.02 228.62 m 567.02 203.63 l S BT /T1_0 12 Tf 1 0 0 1 34.05 211.36 Tm (Date of last inspection)Tj ET 0.953 0.953 0.953 RG 17 w 31.2 192.84 m 565.9 192.84 l S 0.753 0.753 0.753 RG 2.25 w 28.99 183.21 m 568.1 183.21 l S 30.07 184.29 m 30.07 39.15 l S 567.02 184.29 m 567.02 39.15 l S 28.99 202.46 m 568.1 202.46 l S 28.99 183.21 m 568.1 183.21 l S 28.99 40.22 m 568.1 40.22 l S 30.07 203.54 m 30.07 182.13 l S 567.02 203.54 m 567.02 182.13 l S BT /T1_0 12 Tf 1 0 0 1 35.5 189.28 Tm (Brief description of the )Tj 1 0 0 1 177.31 189.28 Tm (care home)Tj 1 0 0 1 35.5 170.03 Tm (The Grange Residential Hotel is a large, detached, grade two listed prop\ erty on the )Tj 1 0 0 1 35.5 153.03 Tm (edge of the Devon village of Ipplepen. Newton Abbot, a market town, and \ the holiday )Tj 1 0 0 1 35.5 136.03 Tm (area of Torbay are a few miles away.)Tj 1 0 0 1 35.5 119.03 Tm (\240)Tj 1 0 0 1 35.5 102.03 Tm (The home is located about 150 yards from the village centre near the sho\ ps and )Tj 1 0 0 1 35.5 85.03 Tm (Doctors surgery. Accommodation is arranged on two levels with a shaft li\ ft and stair lift )Tj 1 0 0 1 35.5 68.03 Tm (servicing the first floor. There are ample parking spaces at the front w\ ith level access )Tj 1 0 0 1 35.5 51.03 Tm (to the front door. A large lounge on the ground floor is complemented by\ a large dining )Tj ET endstream endobj 184 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.953 0.953 0.953 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.753 0.753 0.753 RG 2.25 w 28.99 794.4 m 568.1 794.4 l S 30.07 795.48 m 30.07 570.08 l S 567.02 795.48 m 567.02 570.08 l S 28.99 813.65 m 568.1 813.65 l S 28.99 794.4 m 568.1 794.4 l S 28.99 571.15 m 568.1 571.15 l S 30.07 814.73 m 30.07 793.33 l S 567.02 814.73 m 567.02 793.33 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.47 Tm (care home)Tj 1 0 0 1 33.25 783.47 Tm (room with a small conservatory leading to the secure, attractive garden \ at the rear of )Tj 1 0 0 1 33.25 766.47 Tm (the home.)Tj 1 0 0 1 33.25 749.47 Tm (\240)Tj 1 0 0 1 33.25 732.47 Tm (In all there are fifteen bedrooms, five of which are on the ground floor\ . Three )Tj 1 0 0 1 33.25 715.47 Tm (bedrooms are suited to shared / double accommodation if required. Some r\ ooms have )Tj 1 0 0 1 33.25 698.47 Tm (assisted en-suite bathing facilities.)Tj 1 0 0 1 33.25 681.47 Tm (\240)Tj 1 0 0 1 33.25 664.47 Tm (The Grange Residential Hotel caters for men and woman over the age of re\ tirement )Tj 1 0 0 1 33.25 647.47 Tm (who may have a degree of physical disability and memory problems. The ho\ me came )Tj 1 0 0 1 33.25 630.47 Tm (into the possession of its present owner in August 2004 who, with his Re\ gistered )Tj 1 0 0 1 33.25 613.47 Tm (Manager and team of workers have made many positive changes to the build\ ing and )Tj 1 0 0 1 33.25 596.47 Tm (the culture of the home.)Tj 1 0 0 1 33.25 579.47 Tm (\240)Tj ET endstream endobj 185 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.953 0.953 0.953 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 1 1 1 RG 383.3 754.22 m 566.2 754.22 l S 0.753 0.753 0.753 RG 2.25 w 28.99 765.64 m 568.4 765.64 l S 28.99 742.81 m 568.4 742.81 l S 30.07 766.71 m 30.07 741.73 l S 382.17 766.71 m 382.17 741.73 l S 567.32 766.71 m 567.32 741.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45 Tm (care home)Tj 1 0 0 1 255.59 749.45 Tm ( is:)Tj 1 0 0 1 411.34 749.45 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj 1 0 0 1 226.36 480.27 Tm (Environment)Tj 1 0 0 1 251.17 440.02 Tm (Staffing)Tj 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 334.3200073 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.753 0.753 0.753 RG 2.25 w 31.2 271.66 m 567.85 271.66 l S 30.12 271.66 m 568.92 271.66 l S 30.12 62.9 m 568.92 62.9 l S 31.2 272.74 m 31.2 61.82 l S 567.85 272.74 m 567.85 61.82 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (The quality rating for this service is Two Star. This means that the peo\ ple who use the )Tj 1 0 0 1 35.17 240.9 Tm (service experience GOOD quality outcomes.)Tj 1 0 0 1 35.17 226.32 Tm (\240)Tj 1 0 0 1 35.17 211.74 Tm (The Inspection was unannounced and took place over one full day on the 2\ 4th March )Tj 1 0 0 1 35.17 197.15 Tm (2009. The Registered Manager for the home was present throughout the ins\ pection )Tj 1 0 0 1 35.17 182.57 Tm (visit.)Tj 1 0 0 1 35.17 167.99 Tm (\240)Tj 1 0 0 1 35.17 153.41 Tm (A sample of surveys were sent out to the people who live in the home and\ six of these )Tj 1 0 0 1 35.17 138.84 Tm (were returned.)Tj 1 0 0 1 35.17 124.25 Tm (\240)Tj 1 0 0 1 35.17 109.68 Tm (The Provider completed a Annual Quality Assurance Assessment \(AQAA\) pr\ ior to the )Tj 1 0 0 1 35.17 95.1 Tm (visit. This provides the Commission with information we need to know abo\ ut how the )Tj 1 0 0 1 35.17 80.51 Tm (home is run and the people who live there.)Tj 1 0 0 1 35.17 65.93 Tm (\240)Tj ET endstream endobj 186 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 1 1 1 RG 119.64 w 32.32 752.71 m 566.72 752.71 l S 0.753 0.753 0.753 RG 2.25 w 30.12 813.65 m 568.92 813.65 l S 30.12 691.76 m 568.92 691.76 l S 31.2 814.73 m 31.2 690.69 l S 567.85 814.73 m 567.85 690.69 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.72 Tm (During the visit the Inspector was able to complete a full tour of the p\ remises and )Tj 1 0 0 1 32.92 788.14 Tm (meet with all the staff and management on duty.)Tj 1 0 0 1 32.92 773.56 Tm (\240)Tj 1 0 0 1 32.92 758.98 Tm (A sample of records relating to the running of the home and the resident\ s were )Tj 1 0 0 1 32.92 744.4 Tm (examined. These included care plans, risk assessments and health and saf\ ety records.)Tj 1 0 0 1 32.92 729.82 Tm (\240)Tj 1 0 0 1 32.92 715.24 Tm (The Inspector was able to spend time talking to residents and observing \ staff as they )Tj 1 0 0 1 32.92 700.66 Tm (provided support.)Tj ET endstream endobj 187 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 370.5 w 32.32 588.57 m 566.72 588.57 l S 20.58 w 32.7 390.78 m 569.35 390.78 l S 314.22 w 33.82 221.13 m 568.22 221.13 l S 0.753 0.753 0.753 RG 2.25 w 31.2 774.95 m 567.85 774.95 l S 30.12 774.95 m 568.92 774.95 l S 30.12 402.2 m 568.92 402.2 l S 31.2 776.03 m 31.2 401.12 l S 31.2 402.2 m 569.35 402.2 l S 32.7 379.37 m 569.35 379.37 l S 31.62 379.37 m 570.42 379.37 l S 31.62 62.9 m 570.42 62.9 l S 32.7 380.45 m 32.7 61.82 l S 567.85 776.03 m 567.85 401.12 l S 569.35 380.45 m 569.35 61.82 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.59 Tm (What the )Tj 1 0 0 1 90.52 781.59 Tm (care home)Tj 1 0 0 1 154.2 781.59 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.85 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76 Tm (The home undertakes a thorough assessment of peoples needs before they m\ ove in. )Tj 1 0 0 1 35.17 744.18 Tm (People are given good information about the home to enable help them mak\ e a )Tj 1 0 0 1 35.17 729.6 Tm (decision about where they live and the services they receive. People are\ given the )Tj 1 0 0 1 35.17 715.02 Tm (opportunity to visit the home before they decide to move in.)Tj 1 0 0 1 35.17 700.44 Tm (\240)Tj 1 0 0 1 35.17 685.86 Tm (Each resident has a detailed care plan, which describes their needs and \ the way they )Tj 1 0 0 1 35.17 671.28 Tm (choose and prefer to be supported.)Tj 1 0 0 1 35.17 656.7 Tm (\240)Tj 1 0 0 1 35.17 642.12 Tm (A detailed record is kept of peoples personal and health-care needs. Peo\ ples health is )Tj 1 0 0 1 35.17 627.54 Tm (closely monitored and any changes or concerns regarding a persons health\ is dealt with )Tj 1 0 0 1 35.17 612.96 Tm (promptly.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.8 Tm (The home gathers very good information about peoples interests and impor\ tant )Tj 1 0 0 1 35.17 569.22 Tm (contacts. There is a full activities programme and staff support people \ to partake in )Tj 1 0 0 1 35.17 554.64 Tm (activities in the home and in the local community.)Tj 1 0 0 1 35.17 540.06 Tm (\240)Tj 1 0 0 1 35.17 525.48 Tm (The staff listen to residents and take seriously any concerns or complai\ nts that are )Tj 1 0 0 1 35.17 510.9 Tm (raised. Staff receive training in the safeguarding of vulnerable adults \ and are aware of )Tj 1 0 0 1 35.17 496.32 Tm (the procedures to follow if they suspect an incident of abuse has occurr\ ed,)Tj 1 0 0 1 35.17 481.74 Tm (\240)Tj 1 0 0 1 35.17 467.16 Tm (The standard of accommodation is good. Recent improvements within the en\ vironment )Tj 1 0 0 1 35.17 452.58 Tm (has further ensured that people have a safe place to live.)Tj 1 0 0 1 35.17 438 Tm (\240)Tj 1 0 0 1 35.17 423.42 Tm (The home is staffed by workers who are well trained and competent. The m\ anager )Tj 1 0 0 1 35.17 408.84 Tm (presents a good role model for her staff and manages the home well.)Tj /T1_0 10 Tf 1 0 0 1 568.97 587.02 Tm (\240)Tj 1 0 0 1 31.2 388.67 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 386.01 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.35 389.23 Tm (\240)Tj 1 0 0 1 31.2 219.59 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 363.18 Tm (There are better systems in place for recording the care needs of people\ living in the )Tj 1 0 0 1 36.67 348.6 Tm (home. This information is now well organised, and can be understood and \ accessed by )Tj 1 0 0 1 36.67 334.02 Tm (the people providing care.)Tj 1 0 0 1 36.67 319.44 Tm (\240)Tj 1 0 0 1 36.67 304.86 Tm (Arrangements have been made for a Domiciliary Dentist to visit residents\ who cannot )Tj 1 0 0 1 36.67 290.28 Tm (leave the home for dental checks.)Tj 1 0 0 1 36.67 275.7 Tm (\240)Tj 1 0 0 1 36.67 261.12 Tm (Medication is now stored safely in a locked medication trolley. Medicati\ on requiring cold )Tj 1 0 0 1 36.67 246.54 Tm (temperature storage is now stored in a separate fridge.)Tj 1 0 0 1 36.67 231.96 Tm (\240)Tj 1 0 0 1 36.67 217.38 Tm (There has been redecoration of some bedrooms and communal areas as part \ of the )Tj 1 0 0 1 36.67 202.8 Tm (homes on-going maintenance and renewal plan.)Tj 1 0 0 1 36.67 188.22 Tm (\240)Tj 1 0 0 1 36.67 173.64 Tm (Health and Safety standards have improved in the home. The manager has w\ orked )Tj 1 0 0 1 36.67 159.06 Tm (hard to address the concerns raised by the Environmental Health Officer \ and last Key )Tj 1 0 0 1 36.67 144.48 Tm (Inspection.)Tj 1 0 0 1 36.67 129.9 Tm (\240)Tj 1 0 0 1 36.67 115.32 Tm (The home has registered with a new training provider and all staff now h\ ave a )Tj 1 0 0 1 36.67 100.74 Tm (individual training programme.)Tj 1 0 0 1 36.67 86.16 Tm (\240)Tj 1 0 0 1 36.67 71.58 Tm (A new staff member has been appointed to assist the night staff during t\ he busy part )Tj /T1_0 10 Tf 1 0 0 1 570.47 219.59 Tm (\240)Tj ET endstream endobj 188 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 31.8 Tm (31)Tj ET 1 1 1 RG 17.58 w 33.82 803.74 m 568.22 803.74 l S 20.58 w 33.45 782.41 m 570.1 782.41 l S 108.06 w 34.57 715.84 m 568.97 715.84 l S 0.753 0.753 0.753 RG 2.25 w 31.62 813.65 m 570.42 813.65 l S 31.62 793.82 m 570.42 793.82 l S 569.35 814.73 m 569.35 792.75 l S 33.45 770.99 m 570.1 770.99 l S 33.45 793.82 m 570.1 793.82 l S 32.37 770.99 m 571.17 770.99 l S 32.37 660.68 m 571.17 660.68 l S 32.7 814.73 m 32.7 792.75 l S 33.45 772.07 m 33.45 659.61 l S 570.1 772.07 m 570.1 659.61 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.42 802.72 Tm (of the evening.)Tj /T1_0 10 Tf 1 0 0 1 31.2 780.86 Tm (\240)Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 777.64 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 714.29 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 754.81 Tm (To improve the Fire safety arrangements the Provider must liaise with th\ e Fire )Tj 1 0 0 1 37.42 740.23 Tm (Authority regarding the entrance between the kitchen and Laundry area.)Tj 1 0 0 1 37.42 725.65 Tm (\240)Tj 1 0 0 1 37.42 711.07 Tm (Locks still need to be made available on one of the communal bathrooms s\ hower )Tj 1 0 0 1 37.42 696.49 Tm (rooms.)Tj 1 0 0 1 37.42 681.91 Tm (Consideration needs to be given to the privacy and dignity of people bei\ ng assisted to )Tj 1 0 0 1 37.42 667.33 Tm (use the communal toilet within the main hallway of the home.)Tj 1 0 0 1 28.35 646.12 Tm (\240)Tj 1 0 0 1 28.35 626.13 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 626.13 Tm (care home)Tj 1 0 0 1 480.04 626.13 Tm ( is taking )Tj 1 0 0 1 28.35 608.63 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35 588.64 Tm (\240)Tj 1 0 0 1 28.35 568.64 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85 568.64 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35 548.64 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 548.64 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35 528.65 Tm (order line 0870 240 7535.)Tj ET endstream endobj 189 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj /T1_0 14 Tf 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.753 0.753 0.753 RG 26 w 31.2 744.15 m 565.9 744.15 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.14 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 696.09 Tm (Choice of home\240 \(standards 1 - 6\))Tj ET 28.35 678.15 m 566.93 678.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 674.09 Tm (Health and personal care\240 \(standards 7 - 11\))Tj ET 28.35 656.15 m 566.93 656.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 652.09 Tm (Daily life and social activities\240 \(standards 12 - 15\))Tj ET 28.35 634.15 m 566.93 634.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 630.09 Tm (Complaints and protection\240 \(standards 16 - 18\))Tj ET 28.35 612.15 m 566.93 612.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 608.09 Tm (Environment\240 \(standards 19 - 26\))Tj ET 28.35 590.15 m 566.93 590.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 586.09 Tm (Staffing\240 \(standards 27 - 30\))Tj ET 28.35 568.15 m 566.93 568.15 l S BT /T1_0 12 Tf 1 0 0 1 28.35 564.09 Tm (Management and administration\240 \(standards 31 - 38\))Tj 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 190 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.953 0.953 0.953 RG 85 w 31.2 672.13 m 563.65 672.13 l S 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.753 0.753 0.753 RG 2.25 w 28.99 628.5 m 565.85 628.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 628.5 m 565.85 628.5 l S 28.99 507.25 m 565.85 507.25 l S 30.07 716.83 m 30.07 506.17 l S 564.78 716.83 m 564.78 506.17 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they nee\ d. People who )Tj 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment tha\ t includes a )Tj 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 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 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 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibili\ ties because )Tj 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and condit\ ions between )Tj 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 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj /C2_0 12 Tf 1 0 0 1 28.35 489 Tm <0003>Tj 1 0 0 1 28.35 467 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 467 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 444.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 194.33 w 34.6 343.01 m 562.54 343.01 l S 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 171.84 w 33.47 331.76 m 563.66 331.76 l S 0.753 0.753 0.753 RG 2.25 w 31.27 418.8 m 565.87 418.8 l S 32.35 419.88 m 32.35 243.64 l S 564.79 419.88 m 564.79 243.64 l S 32.35 418.8 m 564.79 418.8 l S 31.27 244.71 m 565.87 244.71 l S BT /T1_0 12 Tf 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 358.75 Tm (People who may be considering moving into the home are provided with goo\ d )Tj 1 0 0 1 36.62 341.25 Tm (information to enable them to make an informed choice about where they l\ ive and the )Tj 1 0 0 1 36.62 323.76 Tm (type of services they receive.)Tj 1 0 0 1 36.62 306.26 Tm (\240)Tj 1 0 0 1 36.62 288.77 Tm (Assessments and care planning processes ensure that people who use the s\ ervice , )Tj 1 0 0 1 36.62 271.27 Tm (and their relatives can be confident that care needs are fully identifie\ d and can be met )Tj 1 0 0 1 36.62 253.77 Tm (by competent staff.)Tj 1 0 0 1 28.35 229.03 Tm (\240)Tj ET 0.996 0.945 0.761 RG 136.82 w 34.6 150.43 m 562.54 150.43 l S 1 1 1 RG 22.5 w 32.35 209.84 m 564.79 209.84 l S 115.45 w 33.47 138.62 m 563.66 138.62 l S 0.753 0.753 0.753 RG 2.25 w 31.27 197.47 m 565.87 197.47 l S 32.35 198.55 m 32.35 78.7 l S 564.79 198.55 m 564.79 78.7 l S 32.35 197.47 m 564.79 197.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 206.53 Tm (Evidence:)Tj 1 0 0 1 36.57 181.79 Tm (A good range of information is available to people who may be considerin\ g moving )Tj 1 0 0 1 36.57 164.29 Tm (into the home. A Statement of Purpose and Service user guide contained i\ nformation )Tj 1 0 0 1 36.57 146.79 Tm (about the homes aims and objectives, the services provided including sta\ ffing )Tj 1 0 0 1 36.57 129.3 Tm (arrangements and all necessary contact details. The manager confirmed th\ at this )Tj 1 0 0 1 36.57 111.8 Tm (information would be given to all new residents and anyone making inquir\ ies about )Tj 1 0 0 1 36.57 94.31 Tm (the home. Copies of these documents were also available within the main \ reception )Tj ET endstream endobj 191 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 511.26 w 34.6 555.78 m 562.54 555.78 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 489.89 w 33.47 543.96 m 563.66 543.96 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 296.82 l S 564.79 791.11 m 564.79 296.82 l S 32.35 790.03 m 564.79 790.03 l S 31.27 297.89 m 565.87 297.89 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (area.)Tj 1 0 0 1 34.32 761.6 Tm (\240)Tj 1 0 0 1 34.32 744.11 Tm (The files of two residents recently admitted to the home were looked at \ during the )Tj 1 0 0 1 34.32 726.61 Tm (inspection. The purpose of this was to determine the quality of the home\ s admissions )Tj 1 0 0 1 34.32 709.11 Tm (procedure and the experiences of the people concerned.)Tj 1 0 0 1 34.32 691.62 Tm (\240)Tj 1 0 0 1 34.32 674.12 Tm (The manager confirmed that prior to admission she would visit the person\ concerned )Tj 1 0 0 1 34.32 656.63 Tm (and undertake a full assessment of their needs. This may take place with\ in the )Tj 1 0 0 1 34.32 639.13 Tm (persons own home, hospital or other setting. As well as speaking to the \ individual )Tj 1 0 0 1 34.32 621.63 Tm (information would also be gathered from family and other professionals s\ uch as a GP )Tj 1 0 0 1 34.32 604.14 Tm (or District Nurse.)Tj 1 0 0 1 34.32 586.64 Tm (\240)Tj 1 0 0 1 34.32 569.15 Tm (The pre-admission assessments seen during the inspection were very detai\ led and )Tj 1 0 0 1 34.32 551.65 Tm (contained particularly good information about peoples history, social in\ terests and )Tj 1 0 0 1 34.32 534.15 Tm (preferred choice of daily routines.)Tj 1 0 0 1 34.32 516.66 Tm (\240)Tj 1 0 0 1 34.32 499.16 Tm (Residents spoken to confirmed that before moving in they had been invite\ d to visit the )Tj 1 0 0 1 34.32 481.67 Tm (home, view their room and stay for afternoon tea.)Tj 1 0 0 1 34.32 464.17 Tm (\240)Tj 1 0 0 1 34.32 446.67 Tm (The manager said that following the initial assessment and visits to the\ home they )Tj 1 0 0 1 34.32 429.18 Tm (would contact the individual and/or their family to advice them whether \ or not the )Tj 1 0 0 1 34.32 411.68 Tm (home would be able to meet their needs. Arrangements would then be agree\ d for the )Tj 1 0 0 1 34.32 394.19 Tm (new resident to move in.)Tj 1 0 0 1 34.32 376.69 Tm (\240)Tj 1 0 0 1 34.32 359.19 Tm (Staff spoken to said that they are made aware of the care needs of new r\ esidents )Tj 1 0 0 1 34.32 341.7 Tm (before they move in and are not asked to care for people outside their a\ rea of )Tj 1 0 0 1 34.32 324.2 Tm (expertise. They said they felt well trained and supported by the Registe\ red Manager.)Tj 1 0 0 1 34.32 306.71 Tm (\240)Tj ET endstream endobj 192 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.953 0.953 0.953 RG 102 w 31.2 663.63 m 563.65 663.63 l S 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.753 0.753 0.753 RG 2.25 w 28.99 611.5 m 565.85 611.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 611.5 m 565.85 611.5 l S 28.99 541.25 m 565.85 541.25 l S 30.07 716.83 m 30.07 540.17 l S 564.78 716.83 m 564.78 540.17 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57 Tm (People\222s health, personal and social care needs are met. The home has\ a plan of care )Tj 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. \ If they take )Tj 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage t\ heir )Tj 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. People\222\ s right to privacy )Tj 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that \ maintains their )Tj 1 0 0 1 35.5 617.57 Tm (dignity.)Tj 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to the\ m, are )Tj 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35 523 Tm <0003>Tj 1 0 0 1 28.35 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 478.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 229.33 w 34.6 359.51 m 562.54 359.51 l S 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 206.83 w 33.47 348.26 m 563.66 348.26 l S 0.753 0.753 0.753 RG 2.25 w 31.27 452.8 m 565.87 452.8 l S 32.35 453.88 m 32.35 242.64 l S 564.79 453.88 m 564.79 242.64 l S 32.35 452.8 m 564.79 452.8 l S 31.27 243.72 m 565.87 243.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (People who live at The Grange can be assured that they will receive good\ personal and )Tj 1 0 0 1 36.62 375.25 Tm (health-care support.)Tj 1 0 0 1 36.62 357.76 Tm (\240)Tj 1 0 0 1 36.62 340.26 Tm (Peoples health-care needs will be regularly monitored and any changes de\ alt with )Tj 1 0 0 1 36.62 322.77 Tm (promptly.)Tj 1 0 0 1 36.62 305.27 Tm (\240)Tj 1 0 0 1 36.62 287.77 Tm (The recent review of the way peoples information is documented ensures t\ hat staff are )Tj 1 0 0 1 36.62 270.28 Tm (able to understand information about peoples needs and provide care in a\ consistent )Tj 1 0 0 1 36.62 252.78 Tm (manner.)Tj 1 0 0 1 28.35 228.04 Tm (\240)Tj ET 0.996 0.945 0.761 RG 135.82 w 34.6 149.94 m 562.54 149.94 l S 1 1 1 RG 22.5 w 32.35 208.85 m 564.79 208.85 l S 114.45 w 33.47 138.13 m 563.66 138.13 l S 0.753 0.753 0.753 RG 2.25 w 31.27 196.48 m 565.87 196.48 l S 32.35 197.56 m 32.35 78.7 l S 564.79 197.56 m 564.79 78.7 l S 32.35 196.48 m 564.79 196.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 205.54 Tm (Evidence:)Tj 1 0 0 1 36.57 180.79 Tm (The Inspector had access to all records during the visit. The care recor\ ds of five )Tj 1 0 0 1 36.57 163.3 Tm (residents were examined in greater detail. Each person living in the hom\ e had an )Tj 1 0 0 1 36.57 145.8 Tm (individual plan of care. It was noted at the last inspection that this i\ nformation was )Tj 1 0 0 1 36.57 128.31 Tm (stored in a number of different files making it difficult to understand \ and track the )Tj 1 0 0 1 36.57 110.81 Tm (residents plan of care. The home has now re-organized the way it documen\ t and )Tj 1 0 0 1 36.57 93.31 Tm (stores this information and the inspector commended the manager on how i\ n most )Tj ET endstream endobj 193 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 79.82 l S 564.79 791.11 m 564.79 79.82 l S 32.35 790.03 m 564.79 790.03 l S 31.27 80.9 m 565.87 80.9 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (cases the information now clearly describes peoples needs and in all cas\ es )Tj 1 0 0 1 34.32 761.6 Tm (demonstrated how this information is monitored and reviewed.)Tj 1 0 0 1 34.32 744.11 Tm (\240)Tj 1 0 0 1 34.32 726.61 Tm (Care plans are reviewed on a monthly basis, and comments within these re\ view notes )Tj 1 0 0 1 34.32 709.11 Tm (confirmed that residents are involved in this process and and are encour\ aged to )Tj 1 0 0 1 34.32 691.62 Tm (partake in issues concerning their care. A daily record is also kept for\ each resident )Tj 1 0 0 1 34.32 674.12 Tm (and information regarding their needs and any important issues are passe\ d to staff )Tj 1 0 0 1 34.32 656.63 Tm (during daily shift handover meetings. Information about people living in\ the home is )Tj 1 0 0 1 34.32 639.13 Tm (safely stored.)Tj 1 0 0 1 34.32 621.63 Tm (\240)Tj 1 0 0 1 34.32 604.14 Tm (Most of the residents care plan had good detailed information about thei\ r care needs )Tj 1 0 0 1 34.32 586.64 Tm (and how they prefer to be supported. Examples of recording included deta\ ils of oral )Tj 1 0 0 1 34.32 569.15 Tm (care, a falls record, nutritional screening, and weight monitoring. Indi\ vidual care plans )Tj 1 0 0 1 34.32 551.65 Tm (stated when particular monitoring processes were in place such as fluid \ intake, and )Tj 1 0 0 1 34.32 534.15 Tm (monitoring charts were found to be well maintained and up to date.)Tj 1 0 0 1 34.32 516.66 Tm (\240)Tj 1 0 0 1 34.32 499.16 Tm (Through discussion with the manager it was evident that some residents w\ ere )Tj 1 0 0 1 34.32 481.67 Tm (requiring more support due to health and /or their age. One care plan st\ ated that the )Tj 1 0 0 1 34.32 464.17 Tm (resident required total support in the bathroom. however the care plan d\ id not )Tj 1 0 0 1 34.32 446.67 Tm (describe the type of support or how this would be delivered. It was disc\ ussed with the )Tj 1 0 0 1 34.32 429.18 Tm (manager the importance of detailed information for staff to ensure that \ the care )Tj 1 0 0 1 34.32 411.68 Tm (provided is suitable and consistent.)Tj 1 0 0 1 34.32 394.19 Tm (\240)Tj 1 0 0 1 34.32 376.69 Tm (Risk assessments were found in each care plan for different areas of car\ e including; )Tj 1 0 0 1 34.32 359.19 Tm (prevention of falls, Moving and Handling and pressure care. The plan des\ cribed the )Tj 1 0 0 1 34.32 341.7 Tm (risk and the arrangements in place to reduce it, such as staffing levels\ and use of )Tj 1 0 0 1 34.32 324.2 Tm (equipment.)Tj 1 0 0 1 34.32 306.71 Tm (\240)Tj 1 0 0 1 34.32 289.21 Tm (All residents are registered with a local GP and are able to see visitin\ g health )Tj 1 0 0 1 34.32 271.71 Tm (professionals in the privacy of their own room. A Domiciliary Dentist no\ w also provides )Tj 1 0 0 1 34.32 254.22 Tm (annual visits to people who are unable to leave the home to visit a dent\ ist.)Tj 1 0 0 1 34.32 236.72 Tm (\240)Tj 1 0 0 1 34.32 219.23 Tm (The homes systems for the administration of medication were examined. Go\ od )Tj 1 0 0 1 34.32 201.73 Tm (information is gathered about a persons medical history prior to them be\ ing admitted )Tj 1 0 0 1 34.32 184.23 Tm (to the home. This information is documented along with information about\ particular )Tj 1 0 0 1 34.32 166.74 Tm (drugs and possible side effects, for staff to refer to if necessary. Sin\ ce the last )Tj 1 0 0 1 34.32 149.24 Tm (inspection the home has purchased a trolley for the safe storage of medi\ cation and a )Tj 1 0 0 1 34.32 131.75 Tm (separate fridge for medication cold temperature storage. Both of these f\ acilities as )Tj 1 0 0 1 34.32 114.25 Tm (well as medication recording charts were inspected and found to be well \ maintained )Tj 1 0 0 1 34.32 96.75 Tm (and in good order.)Tj ET endstream endobj 194 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 563.75 w 34.6 529.53 m 562.54 529.53 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 542.38 w 33.47 517.72 m 563.66 517.72 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 244.33 l S 564.79 791.11 m 564.79 244.33 l S 32.35 790.03 m 564.79 790.03 l S 31.27 245.41 m 565.87 245.41 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (\240)Tj 1 0 0 1 34.32 761.6 Tm (The manager said that at the time of the visit all residents required su\ pport to )Tj 1 0 0 1 34.32 744.11 Tm (administer medication. However, if a resident requested to do this indep\ endently a )Tj 1 0 0 1 34.32 726.61 Tm (risk assessment would be completed and facilities would be available to \ safely store )Tj 1 0 0 1 34.32 709.11 Tm (medication within the residents own room.)Tj 1 0 0 1 34.32 691.62 Tm (\240)Tj 1 0 0 1 34.32 674.12 Tm (Records showed which members of staff were able to administer medication\ . Staff )Tj 1 0 0 1 34.32 656.63 Tm (spoken to said they would only undertake this task if they had received \ training and if )Tj 1 0 0 1 34.32 639.13 Tm (the manager assessed that they were competent and confident enough to do\ so.)Tj 1 0 0 1 34.32 621.63 Tm (\240)Tj 1 0 0 1 34.32 604.14 Tm (Observations during the inspection showed that peoples dignity and priva\ cy were )Tj 1 0 0 1 34.32 586.64 Tm (respected by staff. Staff were seen knocking on peoples bedroom doors be\ fore )Tj 1 0 0 1 34.32 569.15 Tm (entering. All bedrooms and most communal rooms had locks provided. Howev\ er, locks )Tj 1 0 0 1 34.32 551.65 Tm (were not fitted on one of the communal shower rooms. It was noted that s\ everal )Tj 1 0 0 1 34.32 534.15 Tm (residents were using the toilet in the main hallway, which was within cl\ ose proximity )Tj 1 0 0 1 34.32 516.66 Tm (to the main front door and busy part of the home. Several of these resid\ ents required )Tj 1 0 0 1 34.32 499.16 Tm (support from staff and due to the small size of the room this involved t\ he door being )Tj 1 0 0 1 34.32 481.67 Tm (opened and closed several times. Staff could also be heard providing sup\ port to )Tj 1 0 0 1 34.32 464.17 Tm (residents during this time. Consideration should be given to the locatio\ n of this room )Tj 1 0 0 1 34.32 446.67 Tm (to ensure that the privacy and dignity of residents is maintained at all\ times.)Tj 1 0 0 1 34.32 429.18 Tm (\240)Tj 1 0 0 1 34.32 411.68 Tm (Feedback from residents and family regarding health and personal care su\ pport )Tj 1 0 0 1 34.32 394.19 Tm (included:)Tj 1 0 0 1 34.32 376.69 Tm (\240)Tj 1 0 0 1 34.32 359.19 Tm ("I feel my mother health has improved since she has moved into the home"\ ,)Tj 1 0 0 1 34.32 341.7 Tm (\240)Tj 1 0 0 1 34.32 324.2 Tm ("The staff are always happy to help me make any appointments and arrange\ transport )Tj 1 0 0 1 34.32 306.71 Tm (when required".)Tj 1 0 0 1 34.32 289.21 Tm (\240)Tj 1 0 0 1 34.32 271.71 Tm (\240)Tj 1 0 0 1 34.32 254.22 Tm (\240)Tj ET endstream endobj 195 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.953 0.953 0.953 RG 119 w 31.2 655.13 m 563.65 655.13 l S 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.753 0.753 0.753 RG 2.25 w 28.99 594.5 m 565.85 594.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 594.5 m 565.85 594.5 l S 28.99 575.25 m 565.85 575.25 l S 30.07 716.83 m 30.07 574.17 l S 564.78 716.83 m 564.78 574.17 l S BT /T1_0 12 Tf 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 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They are part of )Tj 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal \ interests and )Tj 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives. )Tj 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 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious \ and attractive )Tj 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 557 Tm <0003>Tj 1 0 0 1 28.35 535 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 535 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 512.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 159.34 w 34.6 428.5 m 562.54 428.5 l S 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 136.85 w 33.47 417.25 m 563.66 417.25 l S 0.753 0.753 0.753 RG 2.25 w 31.27 486.8 m 565.87 486.8 l S 32.35 487.88 m 32.35 346.63 l S 564.79 487.88 m 564.79 346.63 l S 32.35 486.8 m 564.79 486.8 l S 31.27 347.7 m 565.87 347.7 l S BT /T1_0 12 Tf 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 426.75 Tm (People living at The Grange are well supported to maintain their social \ interests and )Tj 1 0 0 1 36.62 409.25 Tm (contacts. There is a commendable varied and interesting range of activit\ ies on offer.)Tj 1 0 0 1 36.62 391.76 Tm (\240)Tj 1 0 0 1 36.62 374.26 Tm (People are able to enjoy a well balanced diet, which is suitable to thei\ r needs within )Tj 1 0 0 1 36.62 356.77 Tm (comfortable and unrushed surroundings.)Tj 1 0 0 1 28.35 332.02 Tm (\240)Tj ET 0.996 0.945 0.761 RG 239.81 w 34.6 201.93 m 562.54 201.93 l S 1 1 1 RG 22.5 w 32.35 312.84 m 564.79 312.84 l S 218.44 w 33.47 190.12 m 563.66 190.12 l S 0.753 0.753 0.753 RG 2.25 w 31.27 300.46 m 565.87 300.46 l S 32.35 301.54 m 32.35 78.7 l S 564.79 301.54 m 564.79 78.7 l S 32.35 300.46 m 564.79 300.46 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.52 Tm (Evidence:)Tj 1 0 0 1 36.57 284.78 Tm (Records confirmed that the home gathers really good information about pe\ ople's )Tj 1 0 0 1 36.57 267.28 Tm (backgrounds, hobbies, interests and social contacts before they move in.\ This )Tj 1 0 0 1 36.57 249.79 Tm (information is then used to help plan daily activities and social events\ for the )Tj 1 0 0 1 36.57 232.29 Tm (individual and the home.)Tj 1 0 0 1 36.57 214.79 Tm (\240)Tj 1 0 0 1 36.57 197.3 Tm (There was a lovely atmosphere in the home when the inspector arrived. Se\ veral )Tj 1 0 0 1 36.57 179.8 Tm (residents were sat together in the main sitting room talking, watching t\ elevision and )Tj 1 0 0 1 36.57 162.31 Tm (reading the morning papers. Some of the residents spoken to said they pr\ eferred to )Tj 1 0 0 1 36.57 144.81 Tm (spend time in their rooms and were able to do so. During the afternoon o\ f the visit )Tj 1 0 0 1 36.57 127.31 Tm (one staff member sat and read to residents in the communal lounge. This \ seemed to )Tj 1 0 0 1 36.57 109.82 Tm (be an activity which residents enjoyed.)Tj 1 0 0 1 36.57 92.32 Tm (\240)Tj ET endstream endobj 196 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 79.82 l S 564.79 791.11 m 564.79 79.82 l S 32.35 790.03 m 564.79 790.03 l S 31.27 80.9 m 565.87 80.9 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (A very full activities programme was advertised on the notice board, and\ included )Tj 1 0 0 1 34.32 761.6 Tm (information about visiting entertainers, hairdresser visits and events w\ ithin the local )Tj 1 0 0 1 34.32 744.11 Tm (community.)Tj 1 0 0 1 34.32 726.61 Tm (\240)Tj 1 0 0 1 34.32 709.11 Tm (Staff said that the home has visits from at least 8 different entertaine\ rs including, )Tj 1 0 0 1 34.32 691.62 Tm (musicians and dancers. There are also regular art and craft sessions and\ gentle )Tj 1 0 0 1 34.32 674.12 Tm (exercises programmes.)Tj 1 0 0 1 34.32 656.63 Tm (\240)Tj 1 0 0 1 34.32 639.13 Tm (The manager said that as a result of feedback from residents the home ha\ s recently )Tj 1 0 0 1 34.32 621.63 Tm (increased their staffing levels to assist residents to pursue interests \ and hobbies )Tj 1 0 0 1 34.32 604.14 Tm (outside of the home.)Tj 1 0 0 1 34.32 586.64 Tm (\240)Tj 1 0 0 1 34.32 569.15 Tm (Residents spoken to said that there is always a range of activities to j\ oin in if they )Tj 1 0 0 1 34.32 551.65 Tm (choose to do so. One resident was looking forward to a meal out with fri\ ends to )Tj 1 0 0 1 34.32 534.15 Tm (celebrate a birthday and others said that during the summer months cream\ teas are )Tj 1 0 0 1 34.32 516.66 Tm (served in the garden and the opportunity to help with potting plants in \ the )Tj 1 0 0 1 34.32 499.16 Tm (conservatory.)Tj 1 0 0 1 34.32 481.67 Tm (\240)Tj 1 0 0 1 34.32 464.17 Tm (The Inspector was able to meet with relatives who were visiting the home\ during the )Tj 1 0 0 1 34.32 446.67 Tm (visit. One relative said that she was always made to feel very welcome b\ y staff and )Tj 1 0 0 1 34.32 429.18 Tm (was kept well informed of any important issues. Another resident and the\ ir relative )Tj 1 0 0 1 34.32 411.68 Tm (had returned from a trip out and was being served tea and biscuits by th\ e staff.)Tj 1 0 0 1 34.32 394.19 Tm (\240)Tj 1 0 0 1 34.32 376.69 Tm (Staff were seen supporting one resident to write a letter to a relative.\ )Tj 1 0 0 1 34.32 359.19 Tm (\240)Tj 1 0 0 1 34.32 341.7 Tm (Private telephone lines are available in each room. There is also a priv\ ate telephone )Tj 1 0 0 1 34.32 324.2 Tm (booth in the main hallway. The home assists people to join activities in\ the local )Tj 1 0 0 1 34.32 306.71 Tm (community by providing transport.)Tj 1 0 0 1 34.32 289.21 Tm (\240)Tj 1 0 0 1 34.32 271.71 Tm (On the day of the visit the cook was unwell and staff were assisting to \ prepare lunch. )Tj 1 0 0 1 34.32 254.22 Tm (This seemed to be very well organised and residents were full of praise \ for the staff )Tj 1 0 0 1 34.32 236.72 Tm (concerned. A very tasty, hot meal was served within the homes attractive\ dining area. )Tj 1 0 0 1 34.32 219.23 Tm (The tables were attractively laid with fresh flowers, and quiet music wa\ s played in the )Tj 1 0 0 1 34.32 201.73 Tm (background.Overall this created a relaxing, comfortable environment for \ people to eat )Tj 1 0 0 1 34.32 184.23 Tm (their meals.)Tj 1 0 0 1 34.32 166.74 Tm (\240)Tj 1 0 0 1 34.32 149.24 Tm (Residents' files contained good information about any special dietary ne\ eds and )Tj 1 0 0 1 34.32 131.75 Tm (particular food preferences. This information was also available in the \ kitchen and )Tj 1 0 0 1 34.32 114.25 Tm (included peoples' preferred choice of snacks and drinks. Staff were obse\ rved serving )Tj 1 0 0 1 34.32 96.75 Tm (meals on trays to residents who chose to eat in their rooms.)Tj ET endstream endobj 197 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 108.85 w 34.6 756.98 m 562.54 756.98 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 87.48 w 33.47 745.17 m 563.66 745.17 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 699.23 l S 564.79 791.11 m 564.79 699.23 l S 32.35 790.03 m 564.79 790.03 l S 31.27 700.3 m 565.87 700.3 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (\240)Tj 1 0 0 1 34.32 761.6 Tm (All of the residents who completed surveys stated that the food is alway\ s good. One )Tj 1 0 0 1 34.32 744.11 Tm (person commented;)Tj 1 0 0 1 34.32 726.61 Tm (\240)Tj 1 0 0 1 34.32 709.11 Tm (" I enjoy the food, it is always delicious".)Tj ET endstream endobj 198 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.953 0.953 0.953 RG 68 w 31.2 680.63 m 563.65 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.753 0.753 0.753 RG 2.25 w 28.99 645.5 m 565.85 645.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 645.5 m 565.85 645.5 l S 28.99 626.25 m 565.85 626.25 l S 30.07 716.83 m 30.07 625.17 l S 564.78 716.83 m 564.78 625.17 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them kn\ ow how to )Tj 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things righ\ t. The care )Tj 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow\ up any )Tj 1 0 0 1 35.5 651.57 Tm (allegations.)Tj 1 0 0 1 35.5 632.32 Tm (People\222s legal rights are protected, including being able to vote in \ elections.)Tj /C2_0 12 Tf 1 0 0 1 28.35 608 Tm <0003>Tj 1 0 0 1 28.35 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 563.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 141.85 w 34.6 488.25 m 562.54 488.25 l S 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 119.35 w 33.47 477 m 563.66 477 l S 0.753 0.753 0.753 RG 2.25 w 31.27 537.8 m 565.87 537.8 l S 32.35 538.88 m 32.35 415.12 l S 564.79 538.88 m 564.79 415.12 l S 32.35 537.8 m 564.79 537.8 l S 31.27 416.2 m 565.87 416.2 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People who live at The Grange can feel confident that their concerns wil\ l be listened to )Tj 1 0 0 1 36.62 460.25 Tm (and taken seriously.)Tj 1 0 0 1 36.62 442.76 Tm (\240)Tj 1 0 0 1 36.62 425.26 Tm (There are sufficiently robust systems in place to safeguard people from \ abuse.)Tj 1 0 0 1 28.35 400.52 Tm (\240)Tj ET 0.996 0.945 0.761 RG 308.3 w 34.6 236.18 m 562.54 236.18 l S 1 1 1 RG 22.5 w 32.35 381.33 m 564.79 381.33 l S 286.93 w 33.47 224.37 m 563.66 224.37 l S 0.753 0.753 0.753 RG 2.25 w 31.27 368.96 m 565.87 368.96 l S 32.35 370.04 m 32.35 78.7 l S 564.79 370.04 m 564.79 78.7 l S 32.35 368.96 m 564.79 368.96 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 378.02 Tm (Evidence:)Tj 1 0 0 1 36.57 353.27 Tm (The Grange has a written complaints procedure and policy. A copy of this\ information )Tj 1 0 0 1 36.57 335.78 Tm (is provided to residents at the time of admission and is also available \ on the homes )Tj 1 0 0 1 36.57 318.28 Tm (notice board. No complaints had been received by the home since the last\ key )Tj 1 0 0 1 36.57 300.79 Tm (inspection.)Tj 1 0 0 1 36.57 283.29 Tm (\240)Tj 1 0 0 1 36.57 265.79 Tm (Questionnaires completed by residents confirmed that people were clear a\ bout who )Tj 1 0 0 1 36.57 248.3 Tm (they should speak to if they had a problem.)Tj 1 0 0 1 36.57 230.8 Tm (\240)Tj 1 0 0 1 36.57 213.31 Tm (Residents and relatives spoken to said that the manager is often availab\ le and that )Tj 1 0 0 1 36.57 195.81 Tm (there is a very open atmosphere in the home. During the inspection the m\ anager was )Tj 1 0 0 1 36.57 178.31 Tm (approached numerous times by residents and staff to answer questions, di\ scuss daily )Tj 1 0 0 1 36.57 160.82 Tm (arrangements or just to have a chat, and at all times responded in a sen\ sitive and )Tj 1 0 0 1 36.57 143.32 Tm (respectful manner.)Tj 1 0 0 1 36.57 125.83 Tm (\240)Tj 1 0 0 1 36.57 108.33 Tm (The homes induction and training programme includes training related to \ safeguarding )Tj 1 0 0 1 36.57 90.83 Tm (vulnerable adults and all staff are expected to attend this training. Th\ e Registered )Tj ET endstream endobj 199 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 178.84 w 34.6 721.99 m 562.54 721.99 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 157.46 w 33.47 710.18 m 563.66 710.18 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 629.24 l S 564.79 791.11 m 564.79 629.24 l S 32.35 790.03 m 564.79 790.03 l S 31.27 630.32 m 565.87 630.32 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (Manager is knowledgeable about the correct procedures to follow should a\ ny form of )Tj 1 0 0 1 34.32 761.6 Tm (abuse or neglect be alleged or suspected.)Tj 1 0 0 1 34.32 744.11 Tm (\240)Tj 1 0 0 1 34.32 726.61 Tm (Small amounts of money are held for people living in the home. This is s\ ecurely stored )Tj 1 0 0 1 34.32 709.11 Tm (and records maintained of all transactions. It was discussed with the ma\ nager that )Tj 1 0 0 1 34.32 691.62 Tm (any agreements made between the home and individual regarding management\ of )Tj 1 0 0 1 34.32 674.12 Tm (their finances should be documented as part of their care plan arrangeme\ nts.)Tj 1 0 0 1 34.32 656.63 Tm (\240)Tj 1 0 0 1 34.32 639.13 Tm (\240)Tj ET endstream endobj 200 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.953 0.953 0.953 RG 34 w 31.2 697.63 m 563.65 697.63 l S 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.753 0.753 0.753 RG 2.25 w 28.99 679.5 m 565.85 679.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 679.5 m 565.85 679.5 l S 28.99 609.25 m 565.85 609.25 l S 30.07 716.83 m 30.07 608.17 l S 564.78 716.83 m 564.78 608.17 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pl\ easant and )Tj 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 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 /C2_0 12 Tf 1 0 0 1 28.35 591 Tm <0003>Tj 1 0 0 1 28.35 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 546.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 176.84 w 34.6 453.75 m 562.54 453.75 l S 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 154.34 w 33.47 442.51 m 563.66 442.51 l S 0.753 0.753 0.753 RG 2.25 w 31.27 520.8 m 565.87 520.8 l S 32.35 521.88 m 32.35 363.13 l S 564.79 521.88 m 564.79 363.13 l S 32.35 520.8 m 564.79 520.8 l S 31.27 364.21 m 565.87 364.21 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People living at The Grange benefit from a homely and comfortable enviro\ nment in )Tj 1 0 0 1 36.62 443.25 Tm (which safety measures have continued to improve.)Tj 1 0 0 1 36.62 425.76 Tm (\240)Tj 1 0 0 1 36.62 408.26 Tm (On-going maintenance and attention to the areas of the home that have be\ en )Tj 1 0 0 1 36.62 390.77 Tm (identified will ensure that people continue to live in a home that is sa\ fe and meets )Tj 1 0 0 1 36.62 373.27 Tm (their needs.)Tj 1 0 0 1 28.35 348.52 Tm (\240)Tj ET 0.996 0.945 0.761 RG 256.31 w 34.6 210.18 m 562.54 210.18 l S 1 1 1 RG 22.5 w 32.35 329.34 m 564.79 329.34 l S 234.94 w 33.47 198.37 m 563.66 198.37 l S 0.753 0.753 0.753 RG 2.25 w 31.27 316.97 m 565.87 316.97 l S 32.35 318.04 m 32.35 78.7 l S 564.79 318.04 m 564.79 78.7 l S 32.35 316.97 m 564.79 316.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 326.03 Tm (Evidence:)Tj 1 0 0 1 36.57 301.28 Tm (The home is located about 150 yards from the village centre near the sho\ ps and )Tj 1 0 0 1 36.57 283.79 Tm (Doctors' Surgery. Accommodation is arranged on two levels with a shaft a\ nd stair lift )Tj 1 0 0 1 36.57 266.29 Tm (servicing the first floor. There is ample parking space at the front wit\ h level access to )Tj 1 0 0 1 36.57 248.79 Tm (the front door. A large lounge on the ground floor is complemented by a \ large dining )Tj 1 0 0 1 36.57 231.3 Tm (room with conservatory leading to the secure, attractively laid out gard\ en at the rear )Tj 1 0 0 1 36.57 213.8 Tm (of the home.)Tj 1 0 0 1 36.57 196.31 Tm (\240)Tj 1 0 0 1 36.57 178.81 Tm (In all there are fifteen bedrooms, five of which are on the ground floor\ . Three )Tj 1 0 0 1 36.57 161.31 Tm (bedrooms are suited to shared/double accommodation if required. Several \ of the )Tj 1 0 0 1 36.57 143.82 Tm (bedrooms were seen during the inspection and all were found to be clean,\ bright, )Tj 1 0 0 1 36.57 126.32 Tm (attractively decorated with plenty of furnishings and personal belonging\ s to reflect the )Tj 1 0 0 1 36.57 108.83 Tm (residents personality and interests.)Tj 1 0 0 1 36.57 91.33 Tm (\240)Tj ET endstream endobj 201 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 79.82 l S 564.79 791.11 m 564.79 79.82 l S 32.35 790.03 m 564.79 790.03 l S 31.27 80.9 m 565.87 80.9 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (A kitchen and laundry are also sited on the ground floor. To the rear of\ the kitchen )Tj 1 0 0 1 34.32 761.6 Tm (there is a former bedroom, which has been converted to office accommodat\ ion. Prior )Tj 1 0 0 1 34.32 744.11 Tm (to the Inspection concerns were passed to the Commission from Environmen\ tal Health )Tj 1 0 0 1 34.32 726.61 Tm (regarding the location of this office and the potential risk this could \ pose to residents )Tj 1 0 0 1 34.32 709.11 Tm (who may wander through the kitchen while hot meals and drinks are being \ prepared. )Tj 1 0 0 1 34.32 691.62 Tm (This concern was raised with the manager and records confirmed that a ri\ sk )Tj 1 0 0 1 34.32 674.12 Tm (assessment had been completed for this part of the building and individu\ al residents. )Tj 1 0 0 1 34.32 656.63 Tm (As a result the kitchen door is now shut at two busy periods of the day.\ The risk )Tj 1 0 0 1 34.32 639.13 Tm (assessment for one resident highlights the need for staff to be extra vi\ gilant of her )Tj 1 0 0 1 34.32 621.63 Tm (whereabouts and to provide her with information she needs to reduce her \ need to )Tj 1 0 0 1 34.32 604.14 Tm (walk through the kitchen area.)Tj 1 0 0 1 34.32 586.64 Tm (\240)Tj 1 0 0 1 34.32 569.15 Tm (Concerns were also raised by Environmental Health regarding the absence \ of a door )Tj 1 0 0 1 34.32 551.65 Tm (between the kitchen and Laundry area. The manager said that this has bee\ n discussed )Tj 1 0 0 1 34.32 534.15 Tm (with a Fire officer and options are being explored.)Tj 1 0 0 1 34.32 516.66 Tm (\240)Tj 1 0 0 1 34.32 499.16 Tm (Since the last Key inspection a number of improvements to the homes envi\ ronment )Tj 1 0 0 1 34.32 481.67 Tm (have been made. These were identified in the Annual Quality Assurance As\ sessment )Tj 1 0 0 1 34.32 464.17 Tm (returned by the Registered Manager and confirmed by our own observations\ . )Tj 1 0 0 1 34.32 446.67 Tm (Examples included;)Tj 1 0 0 1 34.32 429.18 Tm (\240)Tj 1 0 0 1 34.32 411.68 Tm (- Updated and refurbished the kitchen washroom, installing a new stainle\ ss steel )Tj 1 0 0 1 34.32 394.19 Tm (commercial double sink with full tiled walls. - Provided additional glov\ e and apron )Tj 1 0 0 1 34.32 376.69 Tm (dispensers on the 1st floor. - Fire resistant windows fitted in two bedr\ ooms and staff )Tj 1 0 0 1 34.32 359.19 Tm (bathroom. - Dining room and communal lounge redecorated with new light f\ ittings and )Tj 1 0 0 1 34.32 341.7 Tm (carpets.)Tj 1 0 0 1 34.32 324.2 Tm (\240)Tj 1 0 0 1 34.32 306.71 Tm (Requirements and recommendations relating to the environment identified \ at the last )Tj 1 0 0 1 34.32 289.21 Tm (key inspection have been addressed including;)Tj 1 0 0 1 34.32 271.71 Tm (\240)Tj 1 0 0 1 34.32 254.22 Tm (- The fitting of a window restrictor on the room identified during the v\ isit. - A potential )Tj 1 0 0 1 34.32 236.72 Tm (tripping hazard between the conservatory and dining room, and at the top\ of the stairs )Tj 1 0 0 1 34.32 219.23 Tm (between a bedroom and stair-lift have both been addressed.)Tj 1 0 0 1 34.32 201.73 Tm (\240)Tj 1 0 0 1 34.32 184.23 Tm (The Inspector noted that the Registered manager has worked hard to addre\ ss the )Tj 1 0 0 1 34.32 166.74 Tm (areas of concern raised at the last inspection. Discussion took place fo\ r the need to )Tj 1 0 0 1 34.32 149.24 Tm (still ensure that,)Tj 1 0 0 1 34.32 131.75 Tm (\240)Tj 1 0 0 1 34.32 114.25 Tm (- A door is fitted between the kitchen and laundry area. -Locks still ne\ ed to be fitted )Tj 1 0 0 1 34.32 96.75 Tm (on one communal shower room.)Tj ET endstream endobj 202 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 126.35 w 34.6 748.23 m 562.54 748.23 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 104.98 w 33.47 736.42 m 563.66 736.42 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 681.73 l S 564.79 791.11 m 564.79 681.73 l S 32.35 790.03 m 564.79 790.03 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (\240)Tj 1 0 0 1 34.32 761.6 Tm (The home also has some very attractive original features including a til\ ed floor in the )Tj 1 0 0 1 34.32 744.11 Tm (main hallway and natural stone floor in the conservatory. These need to \ be well )Tj 1 0 0 1 34.32 726.61 Tm (maintained to ensure that they do not present a potential tripping hazar\ d for people )Tj 1 0 0 1 34.32 709.11 Tm (living in the home. Risk assessments need to be in place for these parts\ of the home.)Tj 1 0 0 1 34.32 691.62 Tm (\240)Tj ET endstream endobj 203 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.953 0.953 0.953 RG 85 w 31.2 672.13 m 563.65 672.13 l S 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.753 0.753 0.753 RG 2.25 w 28.99 628.5 m 565.85 628.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 628.5 m 565.85 628.5 l S 28.99 609.25 m 565.85 609.25 l S 30.07 716.83 m 30.07 608.17 l S 564.78 716.83 m 564.78 608.17 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent s\ taff on duty )Tj 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because chec\ ks have been )Tj 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs a\ re met and )Tj 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support fr\ om their )Tj 1 0 0 1 35.5 634.57 Tm (managers.)Tj 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 591 Tm <0003>Tj 1 0 0 1 28.35 569 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 569 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 546.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 106.85 w 34.6 488.74 m 562.54 488.74 l S 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 84.36 w 33.47 477.5 m 563.66 477.5 l S 0.753 0.753 0.753 RG 2.25 w 31.27 520.8 m 565.87 520.8 l S 32.35 521.88 m 32.35 433.12 l S 564.79 521.88 m 564.79 433.12 l S 32.35 520.8 m 564.79 520.8 l S 31.27 434.19 m 565.87 434.19 l S BT /T1_0 12 Tf 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 460.75 Tm (People who live at The Grange will recieve care from a skilled group of \ staff who will )Tj 1 0 0 1 36.62 443.25 Tm (be sufficient in number to meet their current and changing needs.)Tj 1 0 0 1 28.35 418.51 Tm (\240)Tj ET 0.996 0.945 0.761 RG 326.3 w 34.6 245.17 m 562.54 245.17 l S 1 1 1 RG 22.5 w 32.35 399.32 m 564.79 399.32 l S 304.93 w 33.47 233.36 m 563.66 233.36 l S 0.753 0.753 0.753 RG 2.25 w 31.27 386.95 m 565.87 386.95 l S 32.35 388.03 m 32.35 78.7 l S 564.79 388.03 m 564.79 78.7 l S 32.35 386.95 m 564.79 386.95 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 396.01 Tm (Evidence:)Tj 1 0 0 1 36.57 371.27 Tm (Staff were described by people living in the home and those visiting as \ "very kind and )Tj 1 0 0 1 36.57 353.77 Tm (caring" with nothing being too much trouble. People said that they were \ supported )Tj 1 0 0 1 36.57 336.27 Tm (promptly indicating that staff were employed in sufficient numbers to me\ et the needs )Tj 1 0 0 1 36.57 318.78 Tm (of those living in the home.)Tj 1 0 0 1 36.57 301.28 Tm (\240)Tj 1 0 0 1 36.57 283.79 Tm (On the day of the inspection there were 14 residents living in the home.\ The staff )Tj 1 0 0 1 36.57 266.29 Tm (team consisted of the Registered Manager a senior carer, care worker and\ two house )Tj 1 0 0 1 36.57 248.79 Tm (keepers. The Chef was absent on the day of the visit but the staff appea\ red to be )Tj 1 0 0 1 36.57 231.3 Tm (managing with additional tasks as well as assisting the Inspector throug\ hout the day. )Tj 1 0 0 1 36.57 213.8 Tm (The manager said that staffing levels are regularly reviewed and discuss\ ed within staff )Tj 1 0 0 1 36.57 196.31 Tm (meetings and supervision. Since the last inspection some additional staf\ fing hours )Tj 1 0 0 1 36.57 178.81 Tm (have been agreed to cover the busy period during the evening and to allo\ w staff to )Tj 1 0 0 1 36.57 161.31 Tm (spend more time with residents who may want to partake in activities out\ side the )Tj 1 0 0 1 36.57 143.82 Tm (home.)Tj 1 0 0 1 36.57 126.32 Tm (\240)Tj 1 0 0 1 36.57 108.83 Tm (Staffing at night consists of one person remaining awake in the home and\ a staff )Tj 1 0 0 1 36.57 91.33 Tm (member who is on call after 8pm and sleeping in the staff facility, "Nor\ th Grange", )Tj ET endstream endobj 204 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 703.72 w 34.6 459.55 m 562.54 459.55 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 682.34 w 33.47 447.74 m 563.66 447.74 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 104.36 l S 564.79 791.11 m 564.79 104.36 l S 32.35 790.03 m 564.79 790.03 l S 31.27 105.44 m 565.87 105.44 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (which is a separate unit attached to the main house. At the last key ins\ pection the )Tj 1 0 0 1 34.32 761.6 Tm (manager was asked to review this arrangement and has since appointed a s\ taff )Tj 1 0 0 1 34.32 744.11 Tm (member to cover the busy 8-10pm shift within the home.)Tj 1 0 0 1 34.32 726.61 Tm (\240)Tj 1 0 0 1 34.32 709.11 Tm (Throughout the visit staff were attending to chores, assisting residents\ with personal )Tj 1 0 0 1 34.32 691.62 Tm (care needs and spending time with residents in the communal parts of the\ home. )Tj 1 0 0 1 34.32 674.12 Tm (During the afternoon one staff member spent time reading to a group of r\ esidents, )Tj 1 0 0 1 34.32 656.63 Tm (whilst another helped a resident write a letter to a relative.)Tj 1 0 0 1 34.32 639.13 Tm (\240)Tj 1 0 0 1 34.32 621.63 Tm (Staff spoken to said that they felt well supported by their colleagues a\ nd the )Tj 1 0 0 1 34.32 604.14 Tm (Registered Manager. One commented that their had been several recent )Tj 1 0 0 1 34.32 586.64 Tm (improvements particularly in the way that information about residents is\ documented )Tj 1 0 0 1 34.32 569.15 Tm (and stored. The staff member felt that this change made it easier for st\ aff to )Tj 1 0 0 1 34.32 551.65 Tm (understand and access the information they needed to provide care to res\ idents.)Tj 1 0 0 1 34.32 534.15 Tm (\240)Tj 1 0 0 1 34.32 516.66 Tm (Three staff files were examined during the inspection. The files seen co\ ntained )Tj 1 0 0 1 34.32 499.16 Tm (references, evidence of identity checks, and Criminal records checks. St\ aff from )Tj 1 0 0 1 34.32 481.67 Tm (abroad had work permits. There was also information about the interview \ process and )Tj 1 0 0 1 34.32 464.17 Tm (Induction training.)Tj 1 0 0 1 34.32 446.67 Tm (\240)Tj 1 0 0 1 34.32 429.18 Tm (Since the last key inspection the home has registered with a new trainin\ g provider and )Tj 1 0 0 1 34.32 411.68 Tm (each staff member has a personal development plan.)Tj 1 0 0 1 34.32 394.19 Tm (\240)Tj 1 0 0 1 34.32 376.69 Tm (New staff were provided with Induction training to ensure they are given\ information )Tj 1 0 0 1 34.32 359.19 Tm (about the care home and the people living there. This was evidenced in a\ number of )Tj 1 0 0 1 34.32 341.7 Tm (staff files.)Tj 1 0 0 1 34.32 324.2 Tm (\240)Tj 1 0 0 1 34.32 306.71 Tm (Staff files confirmed that staff complete training in health and safety,\ and most have )Tj 1 0 0 1 34.32 289.21 Tm (had this updated since the last key inspection. Staff also have the oppo\ rtunity to )Tj 1 0 0 1 34.32 271.71 Tm (complete training for a National Vocational Qualification, a nationally \ recognised )Tj 1 0 0 1 34.32 254.22 Tm (qualification for which staff must demonstrate their knowledge and skill\ s in supporting )Tj 1 0 0 1 34.32 236.72 Tm (older people. One staff member spoken to during the inspection was parti\ cularly keen )Tj 1 0 0 1 34.32 219.23 Tm (to complete training relavent to her role and said that her enthusiasm w\ as encouraged )Tj 1 0 0 1 34.32 201.73 Tm (and supported by the manager.)Tj 1 0 0 1 34.32 184.23 Tm (\240)Tj 1 0 0 1 34.32 166.74 Tm (In addition to the Mandatory training staff also attend a range of speci\ alised courses )Tj 1 0 0 1 34.32 149.24 Tm (relavent to their role and needs of the people they care for including B\ ereavement and )Tj 1 0 0 1 34.32 131.75 Tm (Safeguarding of vulnerable adults.)Tj 1 0 0 1 34.32 114.25 Tm (\240)Tj ET endstream endobj 205 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35 717.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.953 0.953 0.953 RG 85 w 31.2 672.13 m 563.65 672.13 l S 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.753 0.753 0.753 RG 2.25 w 28.99 628.5 m 565.85 628.5 l S 28.99 715.75 m 565.85 715.75 l S 28.99 628.5 m 565.85 628.5 l S 28.99 524.25 m 565.85 524.25 l S 30.07 716.83 m 30.07 523.17 l S 564.78 716.83 m 564.78 523.17 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed ap\ propriately. )Tj 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 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 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because app\ ropriate health )Tj 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and resp\ ected. The )Tj 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear fina\ ncial and )Tj 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their sta\ ff understand )Tj 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 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj /C2_0 12 Tf 1 0 0 1 28.35 506 Tm <0003>Tj 1 0 0 1 28.35 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.04 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35 461.94 Tm (\240)Tj ET 0.996 0.945 0.761 RG 194.33 w 34.6 360.01 m 562.54 360.01 l S 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 171.84 w 33.47 348.76 m 563.66 348.76 l S 0.753 0.753 0.753 RG 2.25 w 31.27 435.8 m 565.87 435.8 l S 32.35 436.88 m 32.35 260.64 l S 564.79 436.88 m 564.79 260.64 l S 32.35 435.8 m 564.79 435.8 l S 31.27 261.71 m 565.87 261.71 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (The manager is supported well by the staff team in providing clear leade\ rship )Tj 1 0 0 1 36.62 358.25 Tm (throughout the home with staff demonstrating an awareness of their roles\ and )Tj 1 0 0 1 36.62 340.76 Tm (responsibilities.)Tj 1 0 0 1 36.62 323.26 Tm (\240)Tj 1 0 0 1 36.62 305.77 Tm (Improvements in recording systems and health and safety procedures will \ ensure that )Tj 1 0 0 1 36.62 288.27 Tm (people receive good quality care within a safe environment.)Tj 1 0 0 1 36.62 270.77 Tm (\240)Tj 1 0 0 1 28.35 246.03 Tm (\240)Tj ET 0.996 0.945 0.761 RG 153.82 w 34.6 158.93 m 562.54 158.93 l S 1 1 1 RG 22.5 w 32.35 226.84 m 564.79 226.84 l S 132.45 w 33.47 147.12 m 563.66 147.12 l S 0.753 0.753 0.753 RG 2.25 w 31.27 214.47 m 565.87 214.47 l S 32.35 215.55 m 32.35 78.7 l S 564.79 215.55 m 564.79 78.7 l S 32.35 214.47 m 564.79 214.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 223.53 Tm (Evidence:)Tj 1 0 0 1 36.57 198.79 Tm (The Registered Manager has a National Vocational qualification at level \ 3 and at level )Tj 1 0 0 1 36.57 181.29 Tm (4 in Management. She also holds an NVQ Assessors award. In addition to c\ ompleting )Tj 1 0 0 1 36.57 163.79 Tm (Health and Safety training she has also attended recent training in the \ Mental )Tj 1 0 0 1 36.57 146.3 Tm (Capacity Act and Safeguarding of vulnerable adults.)Tj 1 0 0 1 36.57 128.8 Tm (\240)Tj 1 0 0 1 36.57 111.31 Tm (The Registered Manager said she is well supported by a good core team of\ staff who )Tj 1 0 0 1 36.57 93.81 Tm (have worked in the home for many years. She meet with the Director and P\ roprietor )Tj ET endstream endobj 206 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.46 52.04 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj 0 Tr 1 0 0 1 522.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj ET 0.996 0.945 0.761 RG 581.24 w 34.6 520.78 m 562.54 520.78 l S 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 559.87 w 33.47 508.97 m 563.66 508.97 l S 0.753 0.753 0.753 RG 2.25 w 31.27 790.03 m 565.87 790.03 l S 32.35 791.11 m 32.35 226.83 l S 564.79 791.11 m 564.79 226.83 l S 32.35 790.03 m 564.79 790.03 l S 31.27 227.91 m 565.87 227.91 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj 1 0 0 1 34.32 779.1 Tm (of the home on a weekly basis.)Tj 1 0 0 1 34.32 761.6 Tm (\240)Tj 1 0 0 1 34.32 744.11 Tm (Feedback from the staff group indicated that they felt well supported. D\ iscussion with )Tj 1 0 0 1 34.32 726.61 Tm (staff during the visit and examination of staff files confirmed that the\ y received )Tj 1 0 0 1 34.32 709.11 Tm (regular supervision. The Inspector was able to observe staff within a sh\ ift handover )Tj 1 0 0 1 34.32 691.62 Tm (meeting when staff were given detailed information about the days events\ and )Tj 1 0 0 1 34.32 674.12 Tm (anything specific to individual residents.)Tj 1 0 0 1 34.32 656.63 Tm (\240)Tj 1 0 0 1 34.32 639.13 Tm (Evidence was seen that people living in the home, relatives and other ag\ encies were )Tj 1 0 0 1 34.32 621.63 Tm (consulted about the quality of the service provided. Questionnaires are \ sent out to )Tj 1 0 0 1 34.32 604.14 Tm (residents and their families on an annual basis and details of the findi\ ngs discussed )Tj 1 0 0 1 34.32 586.64 Tm (with staff and management. The homes Annual quality Assurance Assessment\ )Tj 1 0 0 1 34.32 569.15 Tm (completed by the home prior to the inspection stated that as a result of\ feedback from )Tj 1 0 0 1 34.32 551.65 Tm (residents the home had recruited more staff to provide support with day \ time )Tj 1 0 0 1 34.32 534.15 Tm (activities.)Tj 1 0 0 1 34.32 516.66 Tm (\240)Tj 1 0 0 1 34.32 499.16 Tm (Health and Safety issues were examined. Staff files confirmed that since\ the last )Tj 1 0 0 1 34.32 481.67 Tm (inspection all staff have had their health and safety training updated. \ Practices )Tj 1 0 0 1 34.32 464.17 Tm (concerning the transfer of laundry had been reviewed and laundry was no \ longer being )Tj 1 0 0 1 34.32 446.67 Tm (transfered through the kitchen area.To further prevent to spread of infe\ ction the home )Tj 1 0 0 1 34.32 429.18 Tm (had also purchased a large laundry trolley for transferring soiled linen\ .)Tj 1 0 0 1 34.32 411.68 Tm (\240)Tj 1 0 0 1 34.32 394.19 Tm (The manager has worked hard to address all the issues raised at the last\ inspection. )Tj 1 0 0 1 34.32 376.69 Tm (This has included a review of all records relating to the care needs of \ residents. The )Tj 1 0 0 1 34.32 359.19 Tm (records are now documented separately for each resident and provide clea\ r )Tj 1 0 0 1 34.32 341.7 Tm (information for staff about current and changing needs.)Tj 1 0 0 1 34.32 324.2 Tm (\240)Tj 1 0 0 1 34.32 306.71 Tm (Most of the concerns regarding the environment have now been addressed a\ nd the )Tj 1 0 0 1 34.32 289.21 Tm (manager was aware of work that still needs completing. This included the\ fitting of a )Tj 1 0 0 1 34.32 271.71 Tm (door between the kitchen and laundry and locking facilities on communal \ toilets and )Tj 1 0 0 1 34.32 254.22 Tm (shower room.)Tj 1 0 0 1 34.32 236.72 Tm (\240)Tj ET endstream endobj 207 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.992 0.945 0.761 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.953 0.953 0.953 RG 17 w 28.35 804.03 m 566.1 804.03 l S 28.35 784.78 m 422.1 784.78 l S 424.35 784.78 m 467.1 784.78 l S 1 1 1 RG 469.35 784.78 m 494.1 784.78 l S 0.953 0.953 0.953 RG 496.35 784.78 m 539.1 784.78 l S 1 1 1 RG 541.35 784.78 m 566.1 784.78 l S 0.753 0.753 0.753 RG 2.25 w 26.14 794.4 m 568.3 794.4 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person had to meet these within 48 hours.)Tj /T1_0 10 Tf 1 0 0 1 31.2 709.92 Tm (No.)Tj 1 0 0 1 96.1 706.92 Tm (Standard)Tj 1 0 0 1 202.5 706.92 Tm (Regulation)Tj 1 0 0 1 294.6 706.92 Tm (Requirement)Tj 1 0 0 1 479 706.92 Tm (Timescale for )Tj 1 0 0 1 479 694.77 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 675.36 Tm (\240)Tj 1 0 0 1 96.15 672.36 Tm (\240)Tj 1 0 0 1 202.5 672.36 Tm (\240)Tj 1 0 0 1 294.55 672.36 Tm (\240)Tj 1 0 0 1 478.9 672.36 Tm (\240)Tj ET 0.953 0.953 0.953 RG 305.54 w 32.32 473.32 m 564.97 473.32 l S 1 1 1 RG 204 w 31.2 423.68 m 91.05 423.68 l S 93.3 423.68 m 197.4 423.68 l S 199.65 423.68 m 289.45 423.68 l S 291.7 423.68 m 473.8 423.68 l S 476.05 423.68 m 566.1 423.68 l S 0.753 0.753 0.753 RG 2.25 w 30.07 527.88 m 30.07 319.48 l S 567.22 527.88 m 567.22 319.48 l S 28.99 559.35 m 568.4 559.35 l S 28.99 526.8 m 568.3 526.8 l S 92.17 527.88 m 92.17 319.48 l S 198.52 527.88 m 198.52 319.48 l S 290.57 527.88 m 290.57 319.48 l S 474.92 527.88 m 474.92 319.48 l S 28.99 628.34 m 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The registered person\(s\) must do this within the timescales\ we have set.)Tj /T1_0 10 Tf 1 0 0 1 31.2 548.18 Tm (No.)Tj 1 0 0 1 96.1 545.18 Tm (Standard)Tj 1 0 0 1 202.5 545.18 Tm (Regulation)Tj 1 0 0 1 294.6 545.18 Tm (Requirement)Tj 1 0 0 1 479 545.18 Tm (Timescale for )Tj 1 0 0 1 479 533.03 Tm (action)Tj /T1_0 12 Tf 1 0 0 1 35.5 513.62 Tm (1)Tj 1 0 0 1 99.3 513.62 Tm (19)Tj 1 0 0 1 201.55 513.62 Tm (13)Tj 1 0 0 1 298.05 513.62 Tm (The Registered Provider )Tj 1 0 0 1 298.05 496.62 Tm (must seek advice from the )Tj 1 0 0 1 298.05 479.62 Tm (Fire Officer regarding the )Tj 1 0 0 1 298.05 462.62 Tm (need for a door between the )Tj 1 0 0 1 298.05 445.62 Tm (kitchen and laundry.)Tj 1 0 0 1 298.05 428.62 Tm (\240)Tj 1 0 0 1 298.05 411.62 Tm (The Registered provider )Tj 1 0 0 1 298.05 394.62 Tm (must ensure that all parts of )Tj 1 0 0 1 298.05 377.62 Tm (the home to which people )Tj 1 0 0 1 298.05 360.62 Tm (have access are so far as )Tj 1 0 0 1 298.05 343.62 Tm (reasonably practicable free )Tj 1 0 0 1 298.05 326.62 Tm (from hazards to their safety.)Tj 1 0 0 1 482.1 513.62 Tm (09/08/2009)Tj 1 0 0 1 554.05 513.62 Tm (\240)Tj ET 0.953 0.953 0.953 RG 226.07 w 32.32 186.02 m 564.97 186.02 l S 1 1 1 RG 137.22 w 31.2 142.72 m 91.05 142.72 l S 93.3 142.72 m 197.4 142.72 l S 199.65 142.72 m 566.1 142.72 l S 0.753 0.753 0.753 RG 2.25 w 30.07 213.54 m 30.07 71.91 l S 567.22 213.54 m 567.22 71.91 l S 28.99 231.73 m 568.4 231.73 l S 28.99 212.46 m 568.3 212.46 l S 92.17 213.54 m 92.17 71.91 l S 198.52 213.54 m 198.52 71.91 l S 28.99 301.3 m 568.4 301.3 l S 28.99 231.73 m 568.4 231.73 l S 28.99 72.99 m 568.3 72.99 l S 30.07 302.38 m 30.07 211.38 l S 92.17 232.81 m 92.17 212.46 l S 198.47 232.81 m 198.47 212.46 l S 567.32 302.38 m 567.32 211.38 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 285.12 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 267.54 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 252.96 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 238.38 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 217.56 Tm (No)Tj 1 0 0 1 96.15 217.56 Tm (Refer to Standard)Tj 1 0 0 1 202.45 217.56 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 196.27 Tm (1)Tj 1 0 0 1 96.15 196.27 Tm (10)Tj 1 0 0 1 202.5 196.27 Tm (The home should complete their programme of fitting locks )Tj 1 0 0 1 202.5 181.69 Tm (to doors. This should include the two remaining communal )Tj 1 0 0 1 202.5 167.11 Tm (toilets and shower room, which do not have this facility.)Tj 1 0 0 1 202.5 152.53 Tm (\240)Tj 1 0 0 1 202.5 137.95 Tm (Consideration should be given to the location and use of )Tj 1 0 0 1 202.5 123.37 Tm (the communal toilet in the main downstairs hallway. This )Tj 1 0 0 1 202.5 108.79 Tm (facility should not be used by residents requiring support )Tj 1 0 0 1 202.5 94.21 Tm (by staff. This would further ensure that that the privacy )Tj 1 0 0 1 202.5 79.63 Tm (and dignity of residents is maintained at all times.)Tj ET endstream endobj 209 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.953 0.953 0.953 RG 138.59 w 32.32 742.11 m 564.97 742.11 l S 1 1 1 RG 49.74 w 31.2 698.81 m 91.05 698.81 l S 93.3 698.81 m 197.4 698.81 l S 199.65 698.81 m 566.1 698.81 l S 0.753 0.753 0.753 RG 2.25 w 30.07 725.89 m 30.07 671.74 l S 567.22 725.89 m 567.22 671.74 l S 28.99 744.08 m 568.4 744.08 l S 28.99 724.81 m 568.3 724.81 l S 92.17 725.89 m 92.17 671.74 l S 198.52 725.89 m 198.52 671.74 l S 28.99 813.65 m 568.4 813.65 l S 28.99 744.08 m 568.4 744.08 l S 28.99 672.82 m 568.3 672.82 l S 30.07 814.73 m 30.07 723.73 l S 92.17 745.16 m 92.17 724.81 l S 198.47 745.16 m 198.47 724.81 l S 567.32 814.73 m 567.32 723.73 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj 0 Tr 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the \ National )Tj 1 0 0 1 34.05 765.31 Tm (Minimum Standards and the registered person\(s\) should consider them as\ a way of )Tj 1 0 0 1 34.05 750.73 Tm (improving their service.)Tj /T1_0 10 Tf 1 0 0 1 34.05 729.91 Tm (No)Tj 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj /T1_0 12 Tf 1 0 0 1 34.05 708.62 Tm (2)Tj 1 0 0 1 96.15 708.62 Tm (18)Tj 1 0 0 1 202.5 708.62 Tm (Any arrangements agreed between the resident and the )Tj 1 0 0 1 202.5 694.04 Tm (home regarding finances should be documented and )Tj 1 0 0 1 202.5 679.46 Tm (reviewed as part of the service user care plan.)Tj ET endstream endobj 210 0 obj<>stream 0.753 0.753 0.753 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.753 0.753 0.753 RG 22.5 w 22.95 802.41 m 560.45 802.41 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 28.35 781.11 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj 0 Tr 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj 0 Tr 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj 0 Tr 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj 1 0 0 1 28.35 699.61 Tm (\240)Tj 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 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 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 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 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 1 0 0 1 28.35 552.64 Tm (misleading context. The material should be acknowledged as CQC copyright\ , with the )Tj 1 0 0 1 28.35 535.14 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 211 0 obj<>stream 2009-07-22T12:36:42+01:00 2009-07-22T13:23:05+01:00 2009-07-22T13:23:05+01:00 application/pdf iText 1.3.6 (by lowagie.com) distributed with the Software Developer's Journal uuid:e40ceef1-d8b3-4256-8041-47c6e810d455 uuid:68c316e6-84fe-4aac-843f-82c0a3dcad39 endstream endobj xref 6 1 0000385742 00000 n 11 1 0000385937 00000 n 14 1 0000386094 00000 n 16 1 0000386266 00000 n 18 1 0000386424 00000 n 22 1 0000386559 00000 n 24 1 0000386728 00000 n 26 1 0000386863 00000 n 28 1 0000386998 00000 n 30 1 0000387133 00000 n 35 1 0000387279 00000 n 37 1 0000387450 00000 n 39 1 0000387598 00000 n 41 1 0000387769 00000 n 43 1 0000387917 00000 n 45 1 0000388065 00000 n 47 1 0000388236 00000 n 49 1 0000388384 00000 n 51 1 0000388532 00000 n 53 1 0000388703 00000 n 56 1 0000388851 00000 n 58 1 0000389022 00000 n 60 1 0000389170 00000 n 62 1 0000389318 00000 n 64 1 0000389489 00000 n 66 1 0000389637 00000 n 68 1 0000389808 00000 n 71 1 0000389956 00000 n 73 1 0000390104 00000 n 75 1 0000390240 00000 n 78 1 0000390376 00000 n 103 109 0000390512 00000 n 0000390591 00000 n 0000390822 00000 n 0000392034 00000 n 0000392258 00000 n 0000399929 00000 n 0000407601 00000 n 0000415274 00000 n 0000422948 00000 n 0000430623 00000 n 0000438299 00000 n 0000445976 00000 n 0000453654 00000 n 0000461331 00000 n 0000469007 00000 n 0000476682 00000 n 0000484356 00000 n 0000492029 00000 n 0000499701 00000 n 0000507372 00000 n 0000515042 00000 n 0000522711 00000 n 0000530379 00000 n 0000538081 00000 n 0000545784 00000 n 0000553488 00000 n 0000561193 00000 n 0000568899 00000 n 0000576622 00000 n 0000584346 00000 n 0000592071 00000 n 0000599797 00000 n 0000607524 00000 n 0000615252 00000 n 0000622981 00000 n 0000630711 00000 n 0000638442 00000 n 0000646174 00000 n 0000653907 00000 n 0000661641 00000 n 0000669376 00000 n 0000677112 00000 n 0000684849 00000 n 0000692587 00000 n 0000700326 00000 n 0000708066 00000 n 0000715807 00000 n 0000723549 00000 n 0000731292 00000 n 0000739036 00000 n 0000746781 00000 n 0000754527 00000 n 0000762274 00000 n 0000770022 00000 n 0000777771 00000 n 0000785521 00000 n 0000793272 00000 n 0000801024 00000 n 0000808777 00000 n 0000816531 00000 n 0000824286 00000 n 0000832042 00000 n 0000839799 00000 n 0000847557 00000 n 0000855316 00000 n 0000863076 00000 n 0000870837 00000 n 0000878599 00000 n 0000886362 00000 n 0000894126 00000 n 0000901891 00000 n 0000909657 00000 n 0000917424 00000 n 0000925192 00000 n 0000932961 00000 n 0000937051 00000 n 0000942257 00000 n 0000947347 00000 n 0000948559 00000 n 0000948801 00000 n 0001031342 00000 n 0001039111 00000 n 0001041064 00000 n 0001044151 00000 n 0001045445 00000 n 0001050643 00000 n 0001053063 00000 n 0001054728 00000 n 0001060211 00000 n 0001063423 00000 n 0001068735 00000 n 0001073412 00000 n 0001076916 00000 n 0001082235 00000 n 0001086639 00000 n 0001087855 00000 n 0001092985 00000 n 0001094633 00000 n 0001099842 00000 n 0001104331 00000 n 0001105778 00000 n 0001111110 00000 n 0001115481 00000 n 0001120784 00000 n 0001124572 00000 n 0001127730 00000 n 0001134140 00000 n 0001136005 00000 n 0001137801 00000 n trailer <<23B26E5282C49D44823568BEE58372AE>]/Prev 383486 >> startxref 1141612 %%EOF