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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 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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 (38)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 (38)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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28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 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 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 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 (Merrie Meade)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 (3 Watergate Road )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Newport)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Isle Of Wight)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (PO30 1XN)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01983520299)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01983520299)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (merrymeade@btconnect.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 126.48 w 32.32 510.05 m 564.77 510.05 l S 0.001 w 1 1 1 RG 35.16 w 355.5 556.83 m 565.9 556.83 l S 0.001 w 20.58 w 31.2 503.88 m 565.9 503.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 481.05 m 353.25 481.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 481.05 m 565.9 481.05 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 458.22 m 353.25 458.22 l S 0.001 w 1 1 1 RG 20.58 w 355.5 458.22 m 565.9 458.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 538.13 m 568.1 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 567.8 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 537.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.64 m 568.1 469.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.13 m 567.8 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 568.1 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.64 m 568.1 469.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.81 m 568.1 446.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 445.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 493.54 m 354.37 445.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 445.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Merrie Meade Residential Home )Tj ET /F2 12 Tf BT 1 0 0 1 355.5 544.77 Tm (Ltd)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 521.94 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 499.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 476.28 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 476.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 453.45 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 453.45 Tm (31)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 434.51 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 417.51 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 375.19 m 564.47 375.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 386.6 m 567.8 386.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 409.43 m 567.8 409.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.6 m 567.8 386.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.19 m 567.8 343.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 410.51 m 30.07 342.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 387.68 m 298.32 342.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 410.51 m 566.72 342.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 393.25 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 370.42 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 370.42 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 349.84 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 349.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 328.4 m 297.3 328.4 l S 0.001 w 20.58 w 299.55 328.4 m 431.45 328.4 l S 0.001 w 20.58 w 433.7 328.4 m 565.6 328.4 l S 0.001 w 35.16 w 31.2 298.28 m 297.3 298.28 l S 0.001 w 35.16 w 299.55 298.28 m 431.45 298.28 l S 0.001 w 35.16 w 433.7 298.28 m 565.6 298.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 268.16 m 565.6 268.16 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279.58 m 567.8 279.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.75 m 567.8 256.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.92 m 568.1 233.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279.58 m 567.8 279.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.75 m 568.1 256.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.92 m 568.1 233.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 167.35 m 568.1 167.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 340.89 m 30.07 166.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 340.89 m 298.42 278.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 340.89 m 432.57 278.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 340.89 m 566.72 166.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 323.63 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 323.63 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 323.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.8 Tm (mental disorder, excluding learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 286.22 Tm (disability or dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 300.8 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 300.8 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 263.39 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 240.56 Tm (The maximum number of service users to be accommodated is 31)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 217.73 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 203.15 Tm (home only ? \(PC\) to service users of the following gender: Either Whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 188.57 Tm (needs on admission to the home are within the following categories: Dementia \(DE\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 173.99 Tm (Mental disorder, excluding learning disability or dementia \(MD\))Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 152.56 m 315.25 152.56 l S 0.001 w 1 1 1 RG 20.58 w 317.5 152.56 m 346.55 152.56 l S 0.001 w 20.58 w 348.8 152.56 m 377.9 152.56 l S 0.001 w 20.58 w 380.15 152.56 m 409.2 152.56 l S 0.001 w 20.58 w 411.45 152.56 m 440.55 152.56 l S 0.001 w 20.58 w 442.8 152.56 m 471.9 152.56 l S 0.001 w 20.58 w 474.15 152.56 m 503.2 152.56 l S 0.001 w 20.58 w 505.45 152.56 m 534.55 152.56 l S 0.001 w 20.58 w 536.8 152.56 m 565.9 152.56 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 163.97 m 568.1 163.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.14 m 568.1 141.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 165.05 m 30.07 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 165.05 m 316.37 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 165.05 m 347.67 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 165.05 m 379.02 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 165.05 m 410.32 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 165.05 m 441.67 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 165.05 m 473.02 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 165.05 m 504.32 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 165.05 m 535.67 140.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 165.05 m 567.02 140.07 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 147.79 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 147.79 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 147.79 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 147.79 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 147.79 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 147.79 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 147.79 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 147.79 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 147.79 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 129.27 m 565.9 129.27 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 119.64 m 568.1 119.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 120.72 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 120.72 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.89 m 568.1 138.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 119.64 m 568.1 119.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 139.97 m 30.07 118.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 139.97 m 567.02 118.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 125.71 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 125.71 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 106.46 Tm (Merrie Meade is a registered residential home and provides long stay care and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 89.46 Tm (accommodation for older people with mental frailty and illness associated with )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 72.46 Tm (dementia and long-term care/support and accommodation for younger adults with )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 55.46 Tm (mental health needs. The older people are cared for in the purpose built extension, )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 (38)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 30.07 553.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 553.08 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 28.99 554.15 m 568.1 554.15 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 (which provides a suitable environment for their care needs. The younger people are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (accommodated in the main building. Merrie Meade is a large detached two-storey )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (property with a two-storey extension, set in reasonable sized grounds with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (summerhouse and two storage sheds, one of which is available for use by people who )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (live at the home. The home is located on the outskirts of Newport within walking )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (distance of the town centre shops and amenities. There is off road car parking to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (front.)Tj ET /F2 12 Tf BT 1 0 0 1 66.57 681.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 79.24 681.47 Tm (Residents)Tj ET /F2 12 Tf BT 1 0 0 1 137.48 681.47 Tm ( accommodation is provided on both floors. All but two bedrooms are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (for single occupancy, many have en-suite facilities. Separate communal facilities are )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (provided for each service user group. There is a lift in the extension to provide access )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (to the first floor. There is also ramped access into the garden leading from a side )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (entrance of the ground floor. The home is owned by Merrie Mead Residential Home )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (Ltd and at the time of this inspection did not have a registered )Tj ET /F2 12 Tf BT 1 0 0 1 416.92 596.47 Tm (manager.)Tj ET /F2 12 Tf BT 1 0 0 1 474.74 596.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 532/Matrix [1 0 0 1 0 0]>>stream xMo0 :nLة|v(E.[%E*3 ZHʤd05>&885ȒZ{zsni>YF=9F2e÷dr6B5 )U=0"95x9z`%//=^KVjBkvkjOϚlz%Y_4 PjxEl"a7T "kEL v,; A{"IL&A#Es*3v1GGHg4mb\c'ltRau 2#,V2#l61t0tٞ};/8i},ޜ:ۻV]0UeFAk%{]г[͊Ej˱kwr?Ç1oݯ8np1VwO]f6& Zb#]3ƙ5u\3SY\# Րgq٣MbŅ噦oGrέm7Zju7닿7n7l~ҿ 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 (38)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 1 398 749.45 Tm (one star adequate 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 (This report contains information gained prior to and during an unannounced visit to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (home undertaken on the 15th December 2009. All core standards and a number of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm (additional standards were assessed. Compliance with the requirements made following )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm (the previous inspection were also reviewed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (The home was previously inspected in July 2009. The visit to the home was undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (by two inspectors and lasted approximately eight hours commencing at 9.45 am and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (being completed at 5.30pm.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm (The inspectors were able to spend time with the staff on duty and were provided with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm (free access to all areas of the home, documentation requested, visitors and people who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (live at the home. Information was also gained from the notification of incidents in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (home, from other information sent by the home to the commission and from the local )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (social services safeguarding team.)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 (38)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 32.32 789.16 m 566.72 789.16 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 30.12 764.66 m 568.92 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 763.59 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (Reference is also made to the random inspection completed by the commission in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (October 2009. )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 (38)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 122.64 w 32.32 712.5 m 566.72 712.5 l S 0.001 w 20.58 w 32.7 638.64 m 569.35 638.64 l S 0.001 w 562.08 w 33.82 345.07 m 568.22 345.07 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 30.12 650.06 m 568.92 650.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 648.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 650.06 m 569.35 650.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 627.23 m 569.35 627.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 627.23 m 570.42 627.23 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 32.7 628.31 m 32.7 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 648.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 628.31 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 (People who live at the home, who the inspectors spoke with, stated that they were )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (happy living there.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (People living at the home stated that care staff are nice. People cited incidents where )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm (their individual needs and wishes were met such as one older person who described )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (staff making her favorite supper of hot milk cereal each evening.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm (Staff appeared knowledgeable about individual people's care needs.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 710.95 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 636.53 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 633.87 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 1 569.35 637.09 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 343.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 611.04 Tm (At the previous key inspection in July 2009 it was identified that two of the four )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 596.46 Tm (requirements made following the inspection in July 2008 had not been complied with. A )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 581.88 Tm (statutory requirement notice was issued which required the responsible person to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 567.3 Tm (ensure that all staff have the necessary training to enable them to meet the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 552.72 Tm (the people living at the home and that the registered manager must have the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 538.14 Tm (necessary qualifications for managing the home. A random inspection was undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 523.56 Tm (in October 2009 and this concluded that these requirements had been met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 508.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 494.4 Tm (Four requirements were made following the previous inspection undertaken in July )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 479.82 Tm (2009. These have all been complied with.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 465.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 450.66 Tm (The home was required to ensure that all people living at the home had the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm (opportunity to join in a programme of activities arranged by or on behalf of the home )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm (to provide mental and physical stimulation and enjoyment. The home now has a range )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (of activities for both the younger adults and older people with some outings organised )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm (for both service user groups. People living at the home were positive about the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 377.76 Tm (activities as were staff. The home now has a computer with internet access for service )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 363.18 Tm (users use.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 348.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 334.02 Tm (The home was required to ensure that people receive a nutritional intake suitable for )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 319.44 Tm (their needs. People were positive about the meals provided at the home and the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 304.86 Tm (arrangements in respect of the younger adults meals have been changed ensuring that )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 290.28 Tm (even if a meal has not been ordered one is available.)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 (A requirement was made in relation to the poor relationship between the registered )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 246.54 Tm (manager and responsible individual. The registered manager has since resigned and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 231.96 Tm (therefore this requirement should be no longer an issue.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 217.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 202.8 Tm (The responsible individual was required to ensure that a monthly visit and report )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 188.22 Tm (\(known as regulation 26 visits and reports\) are undertaken every month to monitor the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 173.64 Tm (service provided at the home. These are now occurring with reports received at the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 159.06 Tm (commission.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 144.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 129.9 Tm (Some work has also been completed at the front of the home with a new footpath to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 115.32 Tm (the home avoiding the car park and new bin storage area provided.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 100.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 86.16 Tm (Fire risk assessments have been completed and fire evacuation equipment purchased.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 71.58 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 570.47 343.52 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 (38)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 32.16 w 33.82 796.45 m 568.22 796.45 l S 0.001 w 20.58 w 33.45 767.83 m 570.1 767.83 l S 0.001 w 487.14 w 34.57 511.72 m 568.97 511.72 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 31.62 779.24 m 570.42 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 778.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 756.41 m 570.1 756.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 779.24 m 570.1 779.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 756.41 m 571.17 756.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 267.02 m 571.17 267.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 778.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 757.49 m 33.45 265.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 757.49 m 570.1 265.95 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (The home now has sit on scales suitable to weigh all service users.)Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 766.28 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 763.06 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 31.2 510.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 740.23 Tm (Five requirements are made following this inspection.)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 (The medication administration records for some people living in the younger adults )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm (part of the home were not clear as to what medication and how much should be )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm (administered. This had resulted from many changes to the person's medication by the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm (GP as the person had been unwell. However when medication administration records )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 652.75 Tm (are not clear there is a high risk that people will not receive the correct medication.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 638.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 623.59 Tm (The home had not sought references from a new staff members previous employer and )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 609.01 Tm (had accepted a reference supplied by the applicant. The failure to seek a reference )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 594.43 Tm (from previous employers and the use of a reference supplied by applicants places )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 579.85 Tm (people at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 565.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 550.69 Tm (Staff have not received regular formal supervision placing service users and staff at )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 536.11 Tm (risk. The responsible individual must ensure that a supervision programme is in place )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 521.53 Tm (for all staff.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 506.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 492.37 Tm (It was identified that within the older person's part of the home night staff commence )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 477.79 Tm (getting people up out, washed, dressed and take them to the lounge from 6am )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 463.21 Tm (onwards. There was no evidence that this was people's preferences or previous )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 448.63 Tm (routines and nine of the ten service users were up and dressed when day staff arrive )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 434.05 Tm (on duty. The responsible individual must ensure that people's preferred routines or )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 419.47 Tm (previous desired daily routines are continued and institutional task orientated care )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 404.89 Tm (practices discontinued.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 390.31 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 375.73 Tm (There were some concerns identified in how the home supports people with their )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 361.15 Tm (personal finances. The responsible individual must ensure that service users personal )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 346.57 Tm (moeny is only paid into an account in the name of the service user and that people are )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 331.99 Tm (only charged for items they have agreed to apy for and are listed in the service users )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 317.41 Tm (guide.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 302.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 288.25 Tm (There are also some areas that the home could improve on recorded in the relevant )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 273.67 Tm (outcome group in this report. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 252.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.47 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 232.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 232.47 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 214.97 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 194.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 174.98 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 174.98 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 154.98 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 154.98 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 134.99 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 (38)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 (38)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 176.84 w 34.6 351.75 m 562.54 351.75 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 154.34 w 33.47 340.51 m 563.66 340.51 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 32.35 261.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 261.13 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 31.27 262.21 m 565.87 262.21 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 403.12 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 would be assessed prior to moving into the home to determine if their needs )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (could be met and would be provided with written information about the home and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.76 Tm (services provided. It is not possible to fully assess how the home would manage )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 306.26 Tm (admissions.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 288.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.62 271.27 Tm (Standard 6 is not applicable as the home does not provide intermediate care.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 246.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.31 w 34.6 159.18 m 562.54 159.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 227.34 m 564.79 227.34 l S 0.001 w 132.94 w 33.47 147.37 m 563.66 147.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 214.97 m 565.87 214.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 216.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 216.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 214.97 m 564.79 214.97 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 35.5 224.03 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (Discussions with the responsible individual and staff members on duty are considered )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (as is information in the homes statement of purpose and service users guide provided )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (by the responsible individual during the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (The home has developed a statement of purpose, which sets out the aims and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (objectives of the home and two service users guides one for the younger adults part of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (the home and the other specifically for the older person's part of the home. The )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 (38)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 (information contained within the statement of purpose and service users guides is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (relevant to the specific needs of the people and, for the younger adults, makes house )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (rules clear such as not smoking in the home and action that may be taken by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (home if people are not confirming to the house rules. The house rules are essentially )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (around safety and acceptable behaviour so as not to upset or disturb other people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (living in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The statement of purpose and service users guides were reviewed in May 2009 and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (require updating to reflect the fact that the homes registered manager resigned in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (November 2009 and provide up to date details of the commissions address and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (contact details. The guides do not contain contact details for the local social services )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (departments. The guides are available on a standard printed format suitable for most )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (people living at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (The statement of purpose contained a sample contract and this provides basic )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (information on what people who live at the home can expect to receive for the fee )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (they pay and terms and conditions of occupancy. Again this requires updating to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (reflect the current name and contact details for the commission.)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 statement of purpose includes information about the homes admission process )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (and this would allow for visits and day care prior to admission on an initial one month )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (trial basis.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (The home has not admitted any new service users since the previous key inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (undertaken in July 2009. The home voluntarily agreed in June 2009 not to admit new )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (people during a safeguarding investigation being undertaken by Isle of Wight social )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (services department and until they were assessed as no longer providing a poor )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (service. Previous reports identified that the registered manager who resigned in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (November 2009 undertook pre-admission assessments to determine if the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (would be able to meet people's needs. Discussions were held during the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (visit with the responsible individual who stated that they and a senior staff member )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (would jointly undertake pre-admission assessments. It is therefore not possible to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (fully assess how the home would manage admissions. Care staff confirmed that no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (new people had been admitted to the home since the previous inspection and records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (viewed evidenced that people had been living at the home since before July 2009.)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 (The service can provide respite, short stay or day care within the older persons part of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (the home if a suitable bedroom is available. The home does not provide intermediate )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (or nursing care. )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 (38)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 194.33 w 34.6 377.01 m 562.54 377.01 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 171.84 w 33.47 365.76 m 563.66 365.76 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 32.35 277.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 277.64 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 31.27 278.71 m 565.87 278.71 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 437.12 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 (Care plans and risk assessments are in place for all people however these do not all )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (contain current information and some require reviewing placing people at risk that all )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 357.76 Tm (their needs will not be met. Peoples privacy and dignity is generally maintained )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.26 Tm (although the institutional practice of commencing getting people up at 6am is )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 322.77 Tm (unacceptable. Medication is stored securely however there is a need to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.27 Tm (changes to medication are clearly recorded and that as required protocols are in place )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 287.77 Tm (for all as required medication. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 263.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 170.82 w 34.6 167.43 m 562.54 167.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 243.84 m 564.79 243.84 l S 0.001 w 149.45 w 33.47 155.62 m 563.66 155.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 231.47 m 565.87 231.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 232.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 232.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 231.47 m 564.79 231.47 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 35.5 240.53 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (Four care plans were viewed, two for people living in the younger adults part of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (home and two for people living in the older persons part of the home. The people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm (whose care plans were viewed had been living at the home for varying lengths of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (time. The inspectors discussed with staff and people who live at the home how care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (needs are met. The arrangements for the storage, administration and records relating )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (to medication were viewed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (Care plans were selected at random with two viewed from each section of the home. )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 (38)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 (In all files looked at there was no evidence of a signed agreement concerning the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (sharing of information or that service users or their representatives had agreed to care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (plans and risk assessments.)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 (A new system of care plans was introduced in July 2009 to the younger adults part of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (the home. Not all information in care plans was up to date or person centred however )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (staff appeared knowledgeable about the service users and each service user has a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (worker. In one plan viewed there were relapse indicators dated July 2007 located in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the back of the care plan file. Staff stated that these were still relevant however as the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (service user has an ongoing risk of relapse these should be reviewed and updated. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (The relapse indicators did not contain details of who to contact when the person was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (unwell and were not in a prominent place in the file. Although risk assessments were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (in place there was no risk assessment or management plans in respect all potential )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (risks. There was also no evidence of up to date reviews of care plans or risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (assessments. The other care plan viewed within the younger adults section of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (home was also not up to date containing no information about a change in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (person's nutritional and diet needs or that they are now attending college courses. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (last review had occurred in September 2008 however staff stated that there had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (a recent review for this person but there was no evidence in the person's file of this. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (One service user had had a number of medication changes and the person had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (unwell however the care plan did not contain relapse indicators and limited )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (information about medication changes. The service user is young and the care plan did )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (not contain plans concerning aims or aspirations and gaining independence skills.)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 (Care plans in the older persons section of the home appeared to reflect people's needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (although both viewed stated that the person could not be weighed as the home did )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (not have sit on scales however the home has recently purchased sit on scales )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (therefore it should now be possible to weigh all service users. Care plans did contain )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (some person centred information detailing how people unable to express their wishes )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (may demonstrate preferences or needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (It was noted in care plans that a record is kept daily of care provided which recorded )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (that people are woken early, washed, dressed and sat into the lounge. There was no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (information that this was the request of the person. One person who is unable to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (express an opinion was got up daily at 6am. This person, and others were noted to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (sleeping in their lounge chairs at 11.00am. This was discussed with staff on duty who )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (stated that they arrive at 8am for the day shift and that of the ten people living in that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (section of the home nine are usually up, washed, sometimes bathed, dressed and in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (the lounge. They stated that the person not up is able to express an opinion and does )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (not like getting up early. Care staff also stated that people are usually sleepy in the )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 (38)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 (morning and as they did not do night shifts were not sure what time people started )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (getting up. This issue was discussed with the responsible individual who is now acting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (manager of the home. She stated that she had just become aware of this and was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (going to investigate the morning routines in the older persons part of the home and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (would ensure that people are only got up when they want to get up.)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 (Care plans contained risk assessments for people developing pressure injuries )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (\(waterlow assessments\). These identified that some were at medium and high risk of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (pressure injuries and the home had sought assistance from the district nurse with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (special mattresses and chair pads available and seen to be in use. Airwave pressure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (relieving mattresses appeared to be on the correct settings however there was no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (information in care plans as to how these should be set. This was discussed with care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (staff who stated that mattresses had been set by the district nurses but that they had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (not received training in their use. One stated that several days previously one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (mattress had been 'bleeping' and staff had requested a staff member from the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (younger persons section to look at it as they had not known what to do. This was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (discussed with the responsible individual who stated that she would request the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (district nurses to provide staff with training and information in the correct use of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (airwave mattresses.)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 (Risk assessments had been completed for people at risk of falling out of bed and bed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (rails with bumpers were seen in use. Care plans contained some negative terming )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (such as 'cot sides'.)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 have now all attended manual handling training and the use of manual handling )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (equipment was observed in communal areas of the home. Care plans contained risk )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (assessments and manual handling plans. Manual handling equipment was seen to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (used appropriately with two staff and full explanations and reassurance given to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (person however one person's dignity was not ensured when hoist was used as the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (person was wearing a skirt and no blanket or cover was placed over the person's legs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (such that underwear was clearly visible during the hoisting procedure.)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 (It was not possible to have a discussion with most of the older people but those that it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (was possible to talk with stated that all their health and care needs were met, doctors )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (were called when required and that their privacy and dignity was maintained. People )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (living in the younger adults section of the home can have keys to their bedroom doors )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (and raised no concerns about privacy or dignity.)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 (Records were kept in care plan files of any visits to health care services and these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (indicated that medical attention was sought when necessary and that regular )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 (38)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 (appointments and visits from chiropodists were undertaken. As identified previously )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (some concerns about relapse indicators were identified in the care plans for younger )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (adults and some poor recording concerning medication changes for one person.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (The previous report identified that the home did not have the necessary equipment to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (weigh everyone who lives in the home. The responsible individual informed us that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (new sit on scales had been purchased and these were seen. However it did appear )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (that these were not being used as both care plans viewed in older persons part of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (home showed that the people were not being weighed. This puts people at risk as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (weight changes are an indicator of other health needs which may therefore not be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (picked up in a timely manor.)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 (Medication was looked at in both parts of the home. As identified one of the two care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (plans viewed in the younger persons part of the home contained out of date )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (information about their current medication. The medication records for this person )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (were confusing as there had been a number of medication changes. The service user )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (was aware of their medication and what they should be taking and stated that they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (get the correct medication. One medication had been prescribed as being 'up to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (600mg daily'. This had not been dated and it was not clear what 'up to' means. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (informed the inspector that the dose keeps being changed by the persons Doctor. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (unclear prescription and confusing medication administration record sheets places the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (person at risk that they will not receive the correct medication. The service user also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (purchases their own over the counter pain medication and staff had not checked with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (the doctor the suitability of this medication with other that is taken. Some as required )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (medication protocols were in place but not for all the as required medication the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (person was taking.)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 (Medication in the younger persons part of the home was stored securely with staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (stating that they have done medications training via a distance learning programme. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (Staff stated that they did not have a written policy in the home about as required )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (medication and it was noted that staff record this differently, some leaving the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (medication administration sheet blank and some putting refused in when not required.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Medication was also looked at in the older person part of the home. Again this was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (stored correctly and there is appropriate controlled medication storage in this part of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (the home. There are also facilities to keep medication at cooler temperatures if this is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (required. Generally the medication administration records for the older people were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (well maintained with only a few gaps so it was not possible to tell if people had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (received their medication as prescribed. The home uses a blister pack system and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (viewing of blister packs would indicate that the medication had been administered but )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 (38)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 143.84 w 34.6 739.48 m 562.54 739.48 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 122.47 w 33.47 727.67 m 563.66 727.67 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 32.35 664.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 664.23 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 31.27 665.31 m 565.87 665.31 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 (not signed for. Some of the older people are unable to swallow tablet medication. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Their GP's had signed a letter to state that all their medication could be crushed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (however this did not list the medication and potentially new medication could be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (prescribed that should not be crushed however the permission is in place for all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (medication which could place people at risk. Staff caring for the older people also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (confirmed that they have done medications training and the procedure observed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (during the lunchtime medication administration round was appropriate.)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 (38)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 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /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 (The home has complied with requirements made following the previous inspection and )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (now provides a range of activities for all service users and people receive varied meals )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (of a good quality to meet nutritional needs. Visitors are welcome at all times. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.77 Tm (The inspectors spent time talking with people and observed part of the lunch time )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 302.27 Tm (meal. The inspectors discussed activities with people who live at the home and viewed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (information about activities undertaken in daily records and related information in care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (plans.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (The previous inspection identified that whilst the younger adults had appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm (activities the people living in the older person's section of the home did not have )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (adequate activities. A requirement was made that all people living in the home must )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (have the opportunity of joining in a programme of activities arranged by or on behalf )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (of the home to provide mental and physical stimulation and enjoyment. The )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (requirement also stated that people must be consulted as to what activities they wish )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (to have available. This was required to ensure that people's mental and physical )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (health does not deteriorate due to boredom.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm ()Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.75294 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 (38)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 (Younger adults spoken with stated that there are more activities over the last few )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (months. They stated that staff have helped them to get bus passes and also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (companion pases. Some trips out have occurred with one planned for the day )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (following the inspection to view Christmas lights. Some younger adults are now )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (attending college courses with others going to local day services and one with a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (supported work placement. However care plans lack a specific plan for residents )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (activities, work, likes and preferences. A staff member is now responsible for activities )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (and keeps a log with photos.)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 (Residents pay five pounds a year for additional TV license to enable them to have a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (television in their room. This is optional and one person spoken with does not have a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (television. The home has recently been donated a computer which was seen in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (small lounge and has Internet access. A range of seasonal activities including new )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (years buffet and a pre-Christmas party with magic show to which people could invite )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (family or friends were planned.)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 (It was not clear within one younger adults care plan how the person was being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (assisted to learn and develop independence and life skills. Service users stated that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (staff will help them with cleaning their rooms and help with laundry as the machines )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (are difficult to use on their own. Many of the younger adults are able to go out on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (their own and are encouraged to let staff know where they are going or to sign out. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (They appeared to understand that this was for safety reasons.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (The younger adults section of the home has a separate lounge and dining room. These )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (rooms are small considering the number of younger adults the home now )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (accommodates. There is a separate small lounge that now houses the computer. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (responsible individual stated that she is looking at the issue of communal space for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (the younger adults. In the summer they are able to use the patio outside the younger )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (adults lounge and have access to the homes garden and a summer house equipped )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (with kettle and tea making facilities where they can smoke.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (Care plans for the older people did contain life history information and a page with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (information about social and leisure interests and any preferences they may have in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (terms of food were recorded. One service user living in the older person's part of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (home able to express an opinion stated that there are now more activities with a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (singer entertainer visiting on the afternoon of the inspection. Staff were positive about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (the increased activities and stated that one service user who had been reluctant to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (leave her bedroom and socialise in the lounge will now do so for activities. A range of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (activities equipment is now available for staff. Older people have also participated in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (outings with one stating that she was going on the minibus trip the next evening to )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 (38)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 (see the Christmas lights and had been to a garden centre to see Christmas displays.)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 (However as previously identified during the day of the inspection visit the older people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (spent alot of time asleep in the lounge. Staff confirmed that service users often )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (seemed sleepy and this may be due to being woken early. If people are too tired they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (will not be able to participate or enjoy activities.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The home is providing more activities for older people and therefore the requirement )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (has been met.)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 (Younger adults stated that they are able to have visitors as did the older people able )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (to express an opinion. The younger adults part of the home has a small separate )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (lounge which, whilst not completely private, could be used for more privacy for visitors )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (if required.)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 (Most of the older people living at the home have age related memory loss and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (difficulty in communicating clearly, but staff supporting them demonstrated that they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (were skilled in communicating with them. Staff spent time ensuring that people were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (given the time and support to make choices and showed that they placed importance )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (on supporting people to make decisions for themselves wherever possible. There was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (information in care plans about how some people may show choices.)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 younger adults were also seen to be encouraged to communicate and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (observations showed that they felt able to talk to and discuss things with the care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (staff on duty.)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 (Nutritional assessments were seen in the care plans for the older people and in one of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (the two younger adult care plans viewed. The information in the other younger adults )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (care plan in respect of diet and nutritional needs was out of date. The previous report )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (identified that meals at the home may not always be of an acceptable quality and that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (people may not receive a meal if they had not ordered one. The procedures for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (ordering a meal for the younger adults has now been altered. A menu is available and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (people can state their preference however if they do not order a meal one can still be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (provided. It was observed during the inspection that a person who had not booked a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (meal and requested this at 12.00 noon was provided with a hot meal at lunch time. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (The younger adults can request to have a meal 'saved' and which they can heat up )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (later if they are out at the time of the main lunch time meal.)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 (Some of the older people have their meals in a soft/mashed format due to eating and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (swallowing problems. The various parts of the meal \(meat, potatoes, veg etc\) are all )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 (38)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 283.81 w 34.6 669.5 m 562.54 669.5 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 262.44 w 33.47 657.69 m 563.66 657.69 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 524.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 525.34 m 565.87 525.34 l S 0.001 w [] 0 d /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 (separate on the plate enabling people to sample all tastes. The older people seemed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (to enjoy their meals and those able confirmed that choice is provided and that meals )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (are now of a better quality. One person was seen to have been provided with jacket )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (potatoes \(her choice\) as she had not like either of the main meal options.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The younger adults can make themselves hot drinks in the summer house and staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (provide regular hot drinks. The older people were observed being given drinks )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (throughout the inspection visit with one stating that if they wanted a hot drink staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (always make her one. The older people also confirmed that they have a supper with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (one saying that staff make her favorite of hot milk cereal in the evening.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (The requirement in respect of meals and ensuring that people's nutritional needs are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (being met has been complied with.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()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 (38)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 176.84 w 34.6 470.75 m 562.54 470.75 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 154.34 w 33.47 459.51 m 563.66 459.51 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 32.35 380.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 380.13 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 31.27 381.21 m 565.87 381.21 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 522.12 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 and their relatives and friends are confident that their complaints will be )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (listened to, taken seriously and acted upon.)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 (People living at the home are generally safe and not at risk of abuse however there )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 407.77 Tm (are some task orientated and institutional care practices that the responsible )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 390.27 Tm (individual has recently become aware of and stated will be addressing with staff. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 365.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 273.31 w 34.6 218.68 m 562.54 218.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 346.34 m 564.79 346.34 l S 0.001 w 251.94 w 33.47 206.87 m 563.66 206.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 333.97 m 565.87 333.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 335.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 333.97 m 564.79 333.97 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 35.5 343.03 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm (Discussions with people who live at the home and staff as well as records viewed are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (considered. Information from the local social services safeguarding team is also )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (considered.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (Information about the homes complaints procedure is provided in the statement of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm (purpose and service users guide. People stated that they would raise any concerns to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (the homes owner or to staff on duty.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (The home has a complaints book and this was viewed. The majority of complaints )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm (were from the younger adults and generally related to incidents when one service )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (users behaviour had upset another service user. There was a record of action taken in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (respect of most of the concerns raised by service users. The home also has another )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (file for more formal complaints. This was also viewed and indicated that complaints )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (would be managed appropriately.)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 (38)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 ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The number of complaints and the nature of the complaints indicates that people feel )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (able to raise issues with the staff and responsible individual and expect that these will )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (be resolved. Discussions with people during the inspection visit confirmed this and no )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (one living at the home raised any specific complaints and stated that they were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (confident that if they raised issues they would be taken seriously and sorted out.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Care staff confirmed that they had undertaken safeguarding training and discussions )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (with them showed that they were aware of safeguarding and the action they should )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (take should they be concerned that a service user was at risk of abuse. However it )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (was noted during the inspection that within the older persons part of the home there )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (are some task orientated and institutional care practices occurring. This is specifically )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (around the getting up of people from 6am on-wards with nine of the ten older people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (up, washed and dressed before day staff some on duty at 8am. The first person being )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (got up at 6am. There was no evidence in care plans that this was the wish of these )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (people and it is unlikely that all have requested this on a daily basis. It was not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (possible to discuss this with the service users however staff stated that people would )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (be unable to express an opinion and the one person who would express an opinion )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (was the one person not up when they come on duty.)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 (Care staff had not identified that the practice of getting people up early against their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (wishes is abusive. This was discussed with the responsible individual who stated that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (she had recently become aware of this practice and was planning on changing the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (morning routines, however on the day of the visit it continued to be the normal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (routine nd needed to cease immediately in accordance with people's preferences pr )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (previous desired routine. This also highlights a training need as staff had not identified )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (this as abusive and inappropriate practice. to ensure that people were not got up until )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (they were ready to do so. A telephone call was made to the Isle of Wight Social )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (Services safeguarding team following the inspection visit and they were informed of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (the above concerns. The safeguarding team were happy that the provider would be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (resolving the issue.)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 home was investigated by the Isle of Wight social services safeguarding team in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (2009. This investigation is now completed and the safeguarding team are satisfied )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (with the action taken by the home to ensure the safety of people living there.)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 (There were some concerns identified in respect of the homes recruitment procedures )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (in that current or previous employers were not always asked to provide a reference )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (but otherwise recruitment procedures should protected people. There were also some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (concerns in respect of service users personal finances which the responsible individual )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 (38)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 73.86 w 34.6 774.47 m 562.54 774.47 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 52.49 w 33.47 762.66 m 563.66 762.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 735.29 m 565.87 735.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (is resolving and stated had been unaware of until the previous registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (resigned.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()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 (38)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 124.35 w 34.6 480 m 562.54 480 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 101.85 w 33.47 468.75 m 563.66 468.75 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 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 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 31.27 416.7 m 565.87 416.7 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The homes physical environment is generally clean and safe however it does not )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (always meet the specific needs of all the people who live there specifically the bathing )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (facilities and communal areas of the younger adults part of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (The inspectors viewed the communal areas and some bedrooms with staff and service )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (users, viewed certificates related to equipment and discussed the home with the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (people who live there, the provider and with staff. Certificates and records relating to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (the equipment and services \(gas, electric\) were viewed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (The home is an extended older property with the younger adults living in the original )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (part of the home and older people in a purpose built extension to the rear of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (home. Separate communal and bathing facilities are provided in each section of the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (home with laundry and kitchen facilities shared \(although the older persons section )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (has a beverage and snack preparation area\).)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (The AQAA completed prior to the inspection that occurred in July 2009 identified that )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (there was room for improvement in the home's environment in terms of decoration )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (and that service users would benefit from the installation of more showers. Since the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (inspection in July 2009 the home has addressed a safety concern with regards to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (access to the home and there is now a separate entrance and footpath from the road )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 (38)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 721.21 w 34.6 450.8 m 562.54 450.8 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 699.84 w 33.47 438.99 m 563.66 438.99 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 86.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 86.87 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 87.94 m 565.87 87.94 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 (outside the home to the front of the home without the need to walk through the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (homes car park. A bin storage area has also been created. The responsible individual )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (stated during this inspection that she now intends to modernize the bathrooms in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (younger adults part of the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The younger adults live in the original part of the home and have a lounge, separate )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (dining room and small quiet lounge. There are now seventeen younger adults with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (three vacancies in this section of the home. Service users identified that there is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (insufficient communal space. The dining room is not large enough for everyone to eat )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (at the same time and the lounge does not have sufficient seating or space for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (additional seating should everyone wish to sit in the lounge to relax. People stated, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (and the inspectors observed that some people choose to spend their time in their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (rooms. In warmer weather people can sit on the patio for meals and people also have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (a summer house in the garden which is equipped with tea making facilities and is the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (designated smoking area for the home.)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 (Two bedrooms in the younger adults part of the home are registered for twin )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (occupancy with two people currently sharing a bedroom. These people have previously )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (stated to the inspector that they are happy sharing a room. Some rooms have en suite )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (facilities and others are equipped with a wash basin. Some service users showed the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (inspector their bedroom and these were personalised and individual.)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 communal facilities available to service users in the older person's part of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (home and in their own bedrooms were appropriate to their needs and they were able )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (to bring in some of their own furniture if they wished to do so. As identified staff were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (not fully aware of how some equipment to support people at risk of pressure injuries )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (should be used.)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 bedrooms in the older persons part of the home are for single use most en suite )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (and others equipped with a wash basin. Again these were seen to have personal items )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (in them.)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 home has cleaners five days per week in the older persons part of the home and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (three days per week in the younger persons part of the home. Care staff undertake )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (other domestic and laundry duties involving where possible in the younger adults part )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (of the home the service users. On the day of the unannounced inspection visit the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (home was clean and presented no concerns. Staff confirmed and training records )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (evidenced that staff have completed infection control training and and that they had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (access to infection control equipment such as disposable aprons and gloves.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()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 (38)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 124.35 w 34.6 480 m 562.54 480 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 101.85 w 33.47 468.75 m 563.66 468.75 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 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 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 31.27 416.7 m 565.87 416.7 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The home now provides staff with the necessary skills to meet people's needs. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (are provided in sufficient numbers although there is a need to improve the recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (procedures to ensure that all pre-employment checks are fully completed. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (Records relating to recruitment and training were viewed. Discussions with staff and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (people who live at the home are considered along with information provided by the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (responsible individual. Information from the previous key inspection report and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (random inspection report completed in October 2009 are also considered.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (The inspectors viewed duty rotas and discussed staffing arrangements with the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (provider and staff. The staff are divided into two teams, one for the younger adults )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (and the other for the older people. On rare occasions staff may cover the other part of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (the home but they usually work in one of the areas. Care staff confirmed this. Staffing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (levels on the day of the inspection were as those stated on the duty rota with three )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (staff working with the ten older people and two staff working with the seventeen )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (younger adults. The younger adults section of the home has three vacancies and there )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (will be a need to review the staffing levels in this part of the home should these )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (vacancies be filled and the younger adults section has twenty people living in it. At )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (night two staff are provided in the older person's part of the home and one sleeping in )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (the younger adults part of the home. It was noted that an additional staff member )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 (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 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 (38)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 (was being provided in the younger adults section the day following the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (when an outing was planned. Maintenance, kitchen and cleaning staff are also )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (employed.)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 (Care staff in the older person's part of the home felt that there were sufficient staff to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (meet people's needs on a daily basis however they stated that they were covering )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (extra shifts as the home did not have enough staff to fully cover the rotas. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Christmas duty rotas had not yet been completed with Christmas day only ten days )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (away. The responsible individual stated that new staff had been recruited but that )Tj ET /F2 12 Tf BT 1 0 0 1 535.67 639.13 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (employment)Tj ET /F2 12 Tf BT 1 0 0 1 109.45 621.63 Tm ( checks had not yet been received and therefore they had not commenced )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (working in the home resulting in the current shortage of permanent staff.)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 (Service users in both sections of the home were positive about the staff and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (observations on the day of the inspection visit indicated that staff and service users )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (appeared to get on well. We observed that people living in the home appeared relaxed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (in the company of staff and that they appeared to ask staff for anything they needed. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (Staff were knowledgeable about service users individual needs.)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 (We viewed recruitment records for staff that had been employed since the previous )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (key inspection in July 2009. Two new staff had commenced working at the home and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the provider was waiting for pre-employment checks to return before other people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (commenced working at the home. We looked at the records of the staff who had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (commenced working at the home. We found that the home had not sought a reference )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (from one person's previous employer and had accepted a reference supplied by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (applicant the authenticity of which cannot therefore be guaranteed. The home did not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (keep evidence of identity of staff employed and could therefore not guarantee that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (people had the legal right to work in the UK. The home had completed the necessary )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (checks with the police to ensure that people were not listed as having a criminal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (record or being on lists of people unsuitable to work with vulnerable people.)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 (No concerns were identified around recruitment records at the previous inspection in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (July 2009 however the report did record that there had been a requirement made )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (concerning references at the inspection prior to that one completed in July 2008. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (home's recruitment procedures were discussed with the provider and she stated that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (she would ensure that the necessary documentation and references would be sought )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (however a requirement is made that the home must ensure that all pre-employment )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (checks including references from the person's most recent or current employer are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (taken prior to people commencing work at the home. This is to ensure that people are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (suitable to work with vulnerable people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 (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 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 (38)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 651.23 w 34.6 485.79 m 562.54 485.79 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 629.86 w 33.47 473.98 m 563.66 473.98 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 157.93 m 565.87 157.93 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (The previous report recorded that over fifty percent of staff have an NVQ and the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (responsible individual confirmed that this was still the case with the home employing a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (total of twenty staff fifteen of whom have an NVQ at level 2 or above.)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 (A requirement in respect of staff training was made following the key inspection in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (July 2008. This was found to have not been complied with at the key inspection in July )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (2009 and staff training was also a feature of the safeguarding investigation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (undertaken during 2009 by the local social services safeguarding team. As a result of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (the failure to comply with a requirement the home was issued with a statutory )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (requirement notice in August 2009 that required that the home ensure that all staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (undertake all mandatory and service specific training to ensure that they have the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (necessary skills to meet people's needs and ensure their safety.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (A random inspection to assess compliance with the statutory requirement notice was )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (completed in October 2009 and this found that the home had provided most of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (necessary training with other training booked for soon after the random inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The statutory requirement notice was therefore considered to have been complied )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (with and no further enforcement action taken.)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 (We looked at staff training again during this inspection. Care staff stated that 'we have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (done much more training in the last few months' and another saying 'we have done )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (lots of training, there was a gap when we had no training but now its much better'. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (Staff stated that they had done challenging behaviour, infection control, medication, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (COSHH \(outstanding from the statutory notice\) safeguarding, Mental Capacity Act and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Deprivation of Liberates, food hygiene, diabetes, moving and handling, fire safety and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (first aid. Some staff working with the older people have also done continence )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (promotion, care of the dying and dementia training. Staff working with the younger )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (adults stated that they would like to do mental health training as they had not done )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (any specific mental health awareness training. Otherwise staff felt they had the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (necessary training to meet people's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (The future plans for staff training were discussed with the responsible individual and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (there is now a need to produce a training progrmame for 2010 to ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (improvements in staff training are sustained and that the training needs of all staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (continue to be met with updates provided as required.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 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 (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 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 (38)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 159.34 w 34.6 377.5 m 562.54 377.5 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 136.85 w 33.47 366.25 m 563.66 366.25 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 32.35 295.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 295.63 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 31.27 296.7 m 565.87 296.7 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 (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 420.12 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 home does not currently have a registered manager and the responsible individual )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (has taken over day to day responsibility for the home. Concerns have been identified )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 340.76 Tm (in respect of some aspects of care planning and medication management, institutional )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.26 Tm (care practices, management of people's personal money and recruitment procedures. )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 305.77 Tm (Staff are not receiving formal supervision placing them and service users at risk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 281.02 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 188.81 w 34.6 176.43 m 562.54 176.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 261.84 m 564.79 261.84 l S 0.001 w 167.44 w 33.47 164.62 m 563.66 164.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 249.46 m 565.87 249.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.54 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 250.54 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 249.46 m 564.79 249.46 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 35.5 258.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (Discussions with the responsible individual, staff and service users as well as records )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (viewed and observation throughout the inspection are considered. Also considered is )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (information that the home has sent to the commission by way of notifications and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (improvement plans and Regulation 26 reports.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (Following the key inspection in July 2009 four requirements were made and a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (requirement was repeated from the previous key inspection in July 2008. A statutory )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (requirement notice was issued in respect of the unmet requirement which related to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (training and a random inspection to assess compliance with the statutory requirement )Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 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 (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 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 (38)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 (notice was undertaken in October 2009. The random inspection confirmed that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (statutory requirement notice had been essentially complied with and the new )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (requirements made following the key inspection in July 2009 are either no longer )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (relevant due to management changes in the home or have been met. New )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (requirements are made following this inspection in relation to staff recruitment and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (supervision, ensure care is provided as per people's preferred routines and service )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (users personal finances. The report also identifies areas that the home could improve )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (on within the various outcome groups.)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 (The home no longer has a registered manager. The home notified the commission that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (the registered manager had resigned with immediate effect in November 2009. Since )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (that time the responsible individual has taken over day to day running of the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (with a senior staff member becoming the home's operational manager and a new staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (member, who has not yet commenced work at the home, has been appointed as )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (deputy and administrator.)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 (At the previous inspection it was noted that there had been a breakdown in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (relationship between the registered manager and responsible individual and a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (requirement was made that the responsible individual and registered manager must )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (have a working relationship as the situation was adversely affecting service users. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (requirement, although not complied with, is no longer relevant as the registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (manager no longer works at the home.)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 (A requirement was also made following the inspection in July 2009 that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (responsible person must ensure that a visit to the home to assess the quality of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (service is undertaken every month. A report of the visit must be provided to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (registered manager. These are called regulation 26 visits and reports. Following the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (inspection in July 2009 the home commenced undertaking regulation 26 visits and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (reports were received by the commission of these visits. During the random inspection )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (in October 2009 the person undertaking the visits was in the home and met the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (inspector. The commission requires homes to undertake these visits and reports to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (ensure the quality of the service provided, that people are safe and that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (responsible person is aware of what is going on in the home as they are legally )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (responsible for it. The responsible individual is now in day to day charge of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (The requirement has therefore been complied with however during the inspection visit )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (it was evident that the responsible individual was only just becoming aware of some )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (issues of concern within the home in respect of institutional care practices in the older )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (person's part of the home and some aspects of the way that people's personal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (finances had been managed by the registered manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm ()Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 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 (32)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 (38)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 (We looked at the way that the home supports people with their personal finances. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (previous report from July 2009 stated that the registered manager had stated that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (peoples families, a solicitor or the social services receiving officer is responsible for )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (people's money and that the registered manager will hold small amounts of people's )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (personal money sent to her on a monthly basis by the person who manages the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (person's money and that this is then passed onto service users who sign for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (money.)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 (During this inspection it was identified that people's money from the social services )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (receiving officer was being paid into a business account in the name of the home with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (the registered manager having the pin number/card. People had not been supported )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (to open their own bank accounts. The home was aware of how much each person had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (in the account but due to the nature of the account people were not receiving any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (interest on their savings. The home also holds small amount of cash for some people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and the records for this were viewed. The provider had identified that in July and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (August some service users were being charged of some activities from visiting )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (entertainers that they had not agreed to and that should have been funded by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (home. The responsible individual had stopped this practice once she had become )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (aware of it and stated that she intended to repay the money. It was also noted that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (one person had been charged for some special foods to meet dietary needs and again )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (the responsible individual had discontinued this and stated that the money would be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (repaid. The concerns in respect of the management of people's personal money were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (discussed with the Isle of Wight safeguarding team following the inspection and will be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (reviewed at the next inspection. A requirement is made that the home must ensure )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (that when it supports people with any aspect of their personal finances money is paid )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (into peoples individual named accounts and they are only charged for things they have )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (agreed to pay for and are listed in the service users guide.)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 (The home undertakes monthly service user meetings with the younger adults and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (minutes of a staff meeting held following the resignation of the registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (were viewed. The report following the inspection in July 2009 recorded that the home )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (had undertaken some quality assurance surveys. The provider stated during this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm (inspection visit that further quality assurance work would be undertaken but that at )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (the present time she was focusing on addressing the issues resulting from the sudden )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (resignation of the registered manager.)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 (Staff stated and the provider confirmed that the home does not have a procedure in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm (place for regular formal supervision of staff. Some senior staff have now completed )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (supervisor training and the plan is to initiate a formal supervision programme for all )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (staff. A requirement is made that the responsible person must ensure that all staff )Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 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 (33)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 (38)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 301.31 w 34.6 660.75 m 562.54 660.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 279.94 w 33.47 648.94 m 563.66 648.94 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 506.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 506.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 507.85 m 565.87 507.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (receive regular formal supervision at least six times per year and that records are )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (maintained of supervisions. This is required to ensure that people are safe and provide )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (staff with the opportunity to raise issues and concerns to ensure the quality of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (service provided to people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (No concerns in respect of health and safety were identified during the inspection visit. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (The home has addressed the safeguarding concerns regarding the environment and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (now has the necessary evacuation equipment and new fire assessment and evacuation )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (plans in place. The homes fire detection equipment is regularly checked and drills, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (including the night staff have occurred. Certificates for the testing of portable )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (electrical equipment were seen. The provider was unable to find the homes gas safety )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (certificate during the inspection. The provider arranged for a new gas safety check )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (shortly after the inspection and a copy of the gas safety certificate dated 21st )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (December 2009 was received at the commission.)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 ()Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 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 (34)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 (38)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 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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 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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 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 289 w 31.2 382.3 m 91.05 382.3 l S 0.001 w 289 w 93.3 382.3 m 197.4 382.3 l S 0.001 w 289 w 199.65 382.3 m 289.45 382.3 l S 0.001 w 289 w 291.7 382.3 m 473.8 382.3 l S 0.001 w 289 w 476.05 382.3 m 566.1 382.3 l S 0.001 w 172.65 w 31.2 149.23 m 91.05 149.23 l S 0.001 w 172.65 w 93.3 149.23 m 197.4 149.23 l S 0.001 w 172.65 w 199.65 149.23 m 289.45 149.23 l S 0.001 w 172.65 w 291.7 149.23 m 473.8 149.23 l S 0.001 w 172.65 w 476.05 149.23 m 566.1 149.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 236.68 m 568.3 236.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.68 m 568.3 236.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 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 34.05 596.28 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 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 567.12 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 31.2 549.3 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 514.74 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 514.74 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 514.74 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 497.74 Tm (ensure that arrangements )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 480.74 Tm (for the recording, handling, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 463.74 Tm (safekeeping, safe )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 446.74 Tm (administration and disposal )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 429.74 Tm (of medicines received into )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 412.74 Tm (the care home are safe.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 395.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 378.74 Tm (Medication administration )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 361.74 Tm (records must be clear and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 344.74 Tm (accurately record medication )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 327.74 Tm (people are to have )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 310.74 Tm (administered by care staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 293.74 Tm (so that people get the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 276.74 Tm (medication they have been )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 259.74 Tm (prescribed and do not )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 242.74 Tm (become ill. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 514.74 Tm (15/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 223.49 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 223.49 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 223.49 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 223.49 Tm (The responsible individual )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 206.49 Tm (must ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 189.49 Tm (provision of health and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 172.49 Tm (personal care takes into )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 155.49 Tm (account people's wishes and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 138.49 Tm (feelings. )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 223.49 Tm (15/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 223.49 Tm ()Tj ET endstream endobj 86 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 87 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 (36)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 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[] 0 d 2.25 w 28.99 624.86 m 568.3 624.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.61 m 568.3 486.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 263.36 m 568.3 263.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 125.11 m 568.3 125.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 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 34.05 780.47 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 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 751.31 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 31.2 733.49 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 701.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 684.18 Tm (So that people receive care )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 667.18 Tm (at times they choose and )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 650.18 Tm (not to fit into the home's )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 633.18 Tm (routines. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 611.68 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 611.68 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 611.68 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 611.68 Tm (The responsible person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 594.68 Tm (ensure that all )Tj ET /F2 12 Tf BT 1 0 0 1 389.64 594.68 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 577.68 Tm (employment)Tj ET /F2 12 Tf BT 1 0 0 1 373.18 577.68 Tm ( checks are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 560.68 Tm (completed prior to people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.68 Tm (commencing work at the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.68 Tm (home. )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 492.68 Tm (So that people are safe.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 611.68 Tm (20/01/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 611.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 473.43 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 473.43 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 473.43 Tm (20)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 473.43 Tm (The responsible individual )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 456.43 Tm (must ensure that where they )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 439.43 Tm (support people with any )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 422.43 Tm (aspect of their personal )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 405.43 Tm (money this is paid into an )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 388.43 Tm (account in the name of the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 371.43 Tm (service user and people are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 354.43 Tm (only charged for things they )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 337.43 Tm (have agreed to pay for and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 320.43 Tm (are listed in the service )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 303.43 Tm (users guide.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 286.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 269.43 Tm (To ensure people are safe.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 473.43 Tm (01/02/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 473.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 250.18 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 250.18 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 250.18 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 250.18 Tm (The responsible person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 233.18 Tm (ensure that all staff receive )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 216.18 Tm (regular formal supervision at )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 199.18 Tm (least six times per year and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 182.18 Tm (that records are maintained )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 165.18 Tm (of supervisions.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 148.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 131.18 Tm (So that people are safe.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 250.18 Tm (01/03/2010)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 250.18 Tm ()Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 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 (37)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 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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 (38)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 (38)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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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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 ,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 99 0 obj<> endobj 100 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 101 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 82 0 obj<> endobj 102 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 105 0 obj<> endobj 106 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 107 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 108 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 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