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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 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put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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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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l S 567.01996 284.82001 m 567.01996 237.00998 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 267.56 Tm (Lead inspector:)Tj 1 0 0 1 320.35001 267.56 Tm (Date:)Tj /TT0 12 Tf -292 -21.06003 Td ( )Tj /TT1 10 Tf 0 Tr 4.474 0 Td (Jo Griffiths \ 2 1 0 7 2 0 \ 0 9)Tj /C2_1 10 Tf -4.474 -17.664 Td <0003>Tj /C2_0 10 Tf 269.28998 -17 Td <0003>Tj 0 -12.07001 TD <0003>Tj 0 -12.06 TD <0003>Tj ET endstream endobj 834 0 obj 5633 endobj 835 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (32)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.63998 803.64996 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35001 787.02997 Tm (This is a review of quality of outcomes that people experience in this )Tj 1 0 0 1 448.38995 787.02997 Tm (care home. We )Tj 1 0 0 1 28.35001 769.52997 Tm (believe high quality care should)Tj /T1_1 12 Tf 1 0 0 1 85.05 749.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 749.52997 Tm (Be safe)Tj /T1_1 12 Tf 1 0 0 1 85.05 733.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 733.52997 Tm (Have the right outcomes, including clinical outcomes)Tj /T1_1 12 Tf 1 0 0 1 85.05 717.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 717.52997 Tm (Be a good experience for the people that use it)Tj /T1_1 12 Tf 1 0 0 1 85.05 701.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 701.52997 Tm (Help prevent illness, and promote healthy, independent living)Tj /T1_1 12 Tf 1 0 0 1 85.05 685.52997 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 685.52997 Tm (Be available to those who need it when they need it.)Tj 1 0 0 1 28.35001 651.02997 Tm (The first part of the review gives the overall quality rating for the )Tj 1 0 0 1 427.60001 651.02997 Tm (care home:)Tj /T1_1 12 Tf 1 0 0 1 85.05 631.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 631.03998 Tm (3 stars - excellent)Tj /T1_1 12 Tf 1 0 0 1 85.05 615.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 615.03998 Tm (2 stars - good)Tj /T1_1 12 Tf 1 0 0 1 85.05 599.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 599.03998 Tm (1 star - adequate)Tj /T1_1 12 Tf 1 0 0 1 85.05 583.03998 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 583.03998 Tm (0 star - poor)Tj 1 0 0 1 28.35001 551.03998 Tm (There is also a bar chart that gives a quick way of seeing the quality o\ f care that the )Tj 1 0 0 1 28.35001 534.03998 Tm (home provides under key areas that matter to people.)Tj 1 0 0 1 28.35001 500.03998 Tm (There is a summary of what we think this service does well, what they ha\ ve improved )Tj 1 0 0 1 28.35001 483.03998 Tm (on and, where it applies, what they need to do better.)Tj 1 0 0 1 364.73999 483.03998 Tm (We use the national minimum )Tj 1 0 0 1 28.35001 466.03998 Tm (standards to describe the outcomes that people should experience.)Tj 1 0 0 1 443.20001 466.03998 Tm (National minimum )Tj 1 0 0 1 28.35001 449.03998 Tm (standards are written by the Department of Health for each type of care \ service.)Tj 1 0 0 1 28.35001 409.53998 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35001 392.04999 Tm (what you will see under each outcome area.)Tj ET 22.69 383.85999 m 572.14996 383.85999 l S 22.69 50.22 m 572.14996 50.22 l S 22.7 383.85999 m 22.7 50.22 l S 572.14996 383.85999 m 572.14996 50.22 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj 1 0 0 1 31.2 340.25998 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 340.25998 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.78998 340.25998 Tm (They reflect the things )Tj 1 0 0 1 31.2 328.10999 Tm (that people have said are important to them:)Tj ET 1 0.9451 0.76077 RG 82.23 w 30.60001 263.37 m 562.45001 263.37 l S 0.95294 0.95294 0.95294 RG 39.99001 w 29.47 285.60999 m 563.57001 285.60999 l S 1 1 1 RG 29.47 243.37 m 563.57001 243.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 264.48999 m 565.76996 264.48999 l S 27.27 306.72998 m 565.76996 306.72998 l S 27.27 264.48999 m 565.76996 264.48999 l S 27.27 222.25 m 565.76996 222.25 l S 28.35001 307.81 m 28.35001 221.17 l S 564.70001 307.81 m 564.70001 221.17 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 34.87 291.04999 Tm (This box tells you the outcomes that we will always inspect against when\ we do a key )Tj 1 0 0 1 34.87 273.54999 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 273.54999 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj 1 0 0 1 131.31999 191.8 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76077 RG 39.99001 w 30.60001 123.34 m 562.45001 123.34 l S 1 1 1 RG 29.47 124.46001 m 563.57001 124.46001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 145.58 m 565.76996 145.58 l S 27.27 103.34 m 565.76996 103.34 l S 28.35001 146.66 m 28.35001 102.25999 l S 564.70001 146.66 m 564.70001 102.25999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 129.90001 Tm (This box tells you our opinion of what we have looked at in this outcome\ area.)Tj 1 0 0 1 517.78998 129.90001 Tm (We )Tj 1 0 0 1 34.87 112.40001 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35001 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76077 RG 22.5 w 30.60001 63.97 m 562.45001 63.97 l S 1 1 1 RG 29.47 65.10001 m 563.57001 65.10001 l S 0.75294 0.75294 0.75294 RG 2.25 w 27.27 77.47 m 565.76996 77.47 l S 27.27 52.72 m 565.76996 52.72 l S 28.35001 78.55 m 28.35001 51.64999 l S 564.70001 78.55 m 564.70001 51.64999 l S BT /T1_0 12 Tf 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 836 0 obj 5489 endobj 837 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (32)Tj 0 Tr 1 0 0 1 28.35001 779.10004 Tm (We review the quality of the service against outcomes from the National \ Minimum )Tj 1 0 0 1 28.35001 762.10004 Tm (Standards \(NMS\).)Tj 1 0 0 1 144.87 762.10004 Tm (Those standards are written by the Department of Health for each )Tj 1 0 0 1 28.35001 745.10004 Tm (type of care service.)Tj 1 0 0 1 28.35001 705.60004 Tm (Copies of the)Tj 1 0 0 1 111.71001 705.60004 Tm (National Minimum Standards )Tj 1 0 0 1 290.48999 705.60004 Tm (\226 )Tj 1 0 0 1 302.34 705.60004 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.60004 705.60004 Tm ( can )Tj 1 0 0 1 28.35001 688.10999 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35001 670.60999 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35001 653.10999 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 653.10999 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35001 613.12 Tm (The mission of the Care Quality Commission is to make care better for pe\ ople by:)Tj /T1_1 12 Tf 1 0 0 1 85.05 596.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 596.12 Tm (Regulating health and adult social care services to ensure quality and s\ afety )Tj 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 85.05 564.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 564.12 Tm (Protecting the rights of people who use services, particularly the most \ )Tj 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj /T1_1 12 Tf 1 0 0 1 85.05 532.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 532.12 Tm (Providing accessible, trustworthy information on the quality of care and\ )Tj 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so tha\ t )Tj 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj /T1_1 12 Tf 1 0 0 1 85.05 484.12 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 100.35001 484.12 Tm (Providing independent public accountability on how commissioners and )Tj 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing va\ lue )Tj 1 0 0 1 99.25 452.12 Tm (for money.)Tj /C2_0 14 Tf 1 0 0 1 28.35001 390.28 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35001 368.85001 m 224.04999 368.85001 l S 1 1 1 RG 226.3 368.85001 m 567 368.85001 l S 0.95294 0.95294 0.95294 RG 28.35001 346.01999 m 224.04999 346.01999 l S 1 1 1 RG 226.3 346.01999 m 567 346.01999 l S 0.95294 0.95294 0.95294 RG 28.35001 323.19 m 224.04999 323.19 l S 1 1 1 RG 226.3 323.19 m 567 323.19 l S 0.95294 0.95294 0.95294 RG 28.35001 300.35999 m 224.04999 300.35999 l S 1 1 1 RG 226.3 300.35999 m 567 300.35999 l S 0.95294 0.95294 0.95294 RG 137.22 w 28.35001 219.20999 m 224.04999 219.20999 l S 1 1 1 RG 226.3 219.20999 m 567 219.20999 l S 0.95294 0.95294 0.95294 RG 38.16 w 28.35001 129.27 m 224.04999 129.27 l S 1 1 1 RG 226.3 129.27 m 567 129.27 l S 0.75294 0.75294 0.75294 RG 2.25 w 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 380.25998 m 569.20001 380.25998 l S 26.14 357.42999 m 569.20001 357.42999 l S 26.14 334.60001 m 569.20001 334.60001 l S 26.14 311.76999 m 569.20001 311.76999 l S 26.14 288.94 m 569.20001 288.94 l S 26.14 149.47 m 569.20001 149.47 l S 26.14 109.06 m 569.20001 109.06 l S 27.22 381.34 m 27.22 107.99001 l S 225.17 381.34 m 225.17 107.99001 l S 568.12 381.34 m 568.12 107.99001 l S BT /T1_0 12 Tf 1 0 0 1 31.2 364.07999 Tm (Document Purpose)Tj 1 0 0 1 229.14998 364.07999 Tm (Inspection report)Tj 1 0 0 1 31.2 341.25 Tm (Author)Tj 1 0 0 1 229.14998 341.25 Tm (Care Quality Commission)Tj 1 0 0 1 31.2 318.41998 Tm (Audience)Tj 1 0 0 1 229.14998 318.41998 Tm (General public)Tj 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj 1 0 0 1 229.14998 295.59 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 272.75998 Tm (Copyright)Tj 1 0 0 1 229.14998 272.75998 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). )Tj 1 0 0 1 229.14998 258.17999 Tm (This publication may be reproduced in whole or in part, )Tj 1 0 0 1 229.14998 243.60001 Tm (free of charge, in any format or medium provided that )Tj 1 0 0 1 229.14998 229.01999 Tm (it is not used for commercial gain. This consent is )Tj 1 0 0 1 229.14998 214.44 Tm (subject to the material being reproduced accurately )Tj 1 0 0 1 229.14998 199.86 Tm (and on proviso that it is not used in a derogatory )Tj 1 0 0 1 229.14998 185.28 Tm (manner or misleading context. The material should be )Tj 1 0 0 1 229.14998 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj 1 0 0 1 229.14998 156.12 Tm (of publication of the document specified.)Tj 1 0 0 1 31.2 133.28999 Tm (Internet address)Tj 1 0 0 rg 1 0 0 1 229.14998 133.28999 Tm (www.cqc.org.uk)Tj ET endstream endobj 838 0 obj 9213 endobj 839 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (32)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 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785.63 m 567.84998 785.63 l S 28.99001 762.79999 m 567.84998 762.79999 l S 28.99001 687.22998 m 567.84998 687.22998 l S 28.99001 664.40002 m 567.84998 664.40002 l S 28.99001 641.57001 m 567.84998 641.57001 l S 28.99001 618.73999 m 567.84998 618.73999 l S 28.99001 595.90997 m 567.84998 595.90997 l S 30.07001 786.70996 m 30.07001 594.83997 l S 269.07001 786.70996 m 269.07001 594.83997 l S 566.76996 786.70996 m 566.76996 594.83997 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45001 Tm (Name of care home:)Tj 1 0 0 1 273.04999 769.45001 Tm (The Chilterns)Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.04999 746.62 Tm (5-7 Sea Road )Tj 1 0 0 1 273.04999 729.03998 Tm (Westgate on Sea)Tj 1 0 0 1 273.04999 711.45996 Tm (Kent)Tj 1 0 0 1 273.04999 693.88 Tm (CT8 8SA)Tj 1 0 0 1 34.05 671.04999 Tm (Telephone number:)Tj 1 0 0 1 273.04999 671.04999 Tm (01843832628)Tj 1 0 0 1 34.05 648.21997 Tm (Fax number:)Tj 1 0 0 1 273.04999 648.21997 Tm (01843833649)Tj 1 0 0 1 34.05 625.39001 Tm (Email address:)Tj 1 0 0 1 273.04999 625.39001 Tm (baycourt@btinternet.com)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj /T1_0 10 Tf 1 0 0 1 28.35001 583.60999 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 111.90001 w 32.32001 517.33997 m 564.76996 517.33997 l S 1 1 1 RG 20.58 w 355.5 564.12 m 565.90002 564.12 l S 31.2 518.45996 m 565.90002 518.45996 l S 0.95294 0.95294 0.95294 RG 31.2 495.62985 m 353.25 495.62985 l S 1 1 1 RG 355.5 495.62985 m 565.90002 495.62985 l S 0.95294 0.95294 0.95294 RG 31.2 472.80002 m 353.25 472.80002 l S 1 1 1 RG 355.5 472.80002 m 565.90002 472.80002 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 552.70996 m 568.10004 552.70996 l S 28.99001 529.88 m 567.79999 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 354.37 576.60999 m 354.37 551.63 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 575.53998 m 568.10004 575.53998 l S 28.99001 552.70996 m 567.79999 552.70996 l S 28.99001 529.88 m 568.10004 529.88 l S 28.99001 507.04999 m 568.10004 507.04999 l S 28.99001 484.22 m 568.10004 484.22 l S 28.99001 461.38992 m 568.10004 461.38992 l S 30.07001 576.60999 m 30.07001 460.31 l S 354.37 508.12 m 354.37 460.31 l S 567.01996 576.60999 m 567.01996 460.31 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.34998 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 355.5 559.34998 Tm (Optima Care Ltd)Tj 1 0 0 1 34.05 536.51996 Tm (Name of registered manager \(if applicable\))Tj 1 0 0 1 34.05 513.69 Tm (Mrs )Tj 1 0 0 1 59.75999 513.69 Tm (Susan )Tj 1 0 0 1 100.85001 513.69 Tm (Scarlett)Tj 1 0 0 1 34.05 490.85999 Tm (Type of registration:)Tj 1 0 0 1 358.35001 490.85999 Tm (care home)Tj 1 0 0 1 34.05 468.03 Tm (Number of places registered:)Tj 1 0 0 1 358.35001 468.03 Tm (26)Tj /T1_0 10 Tf 1 0 0 1 28.35001 449.09 Tm (\240)Tj 1 0 0 1 28.35001 432.09 Tm (\240)Tj ET 0.95294 0.95294 0.95294 RG 63.99001 w 32.32001 389.76999 m 564.46997 389.76999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 424.00998 m 567.79999 424.00998 l S 28.99001 401.17999 m 567.79999 401.17999 l S 28.99001 357.76999 m 567.79999 357.76999 l S 30.07001 425.09 m 30.07001 356.70001 l S 298.32001 402.25998 m 298.32001 356.70001 l S 566.71997 425.09 m 566.71997 356.70001 l S BT /T1_0 12 Tf 1 0 0 1 34.05 407.82999 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 385 Tm (Category\(ies\) :)Tj 1 0 0 1 302.30002 385 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.30002 364.41998 Tm (Under 65)Tj 1 0 0 1 435.37 364.41998 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 342.97998 m 297.30002 342.97998 l S 299.54999 342.97998 m 431.44998 342.97998 l S 433.70001 342.97998 m 565.60004 342.97998 l S 35.16 w 31.2 312.85999 m 297.30002 312.85999 l S 299.54999 312.85999 m 431.44998 312.85999 l S 433.70001 312.85999 m 565.60004 312.85999 l S 0.95294 0.95294 0.95294 RG 20.58 w 31.2 282.73999 m 565.60004 282.73999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 294.16 m 567.79999 294.16 l S 28.99001 271.32999 m 567.79999 271.32999 l S 28.99001 248.5 m 568.10004 248.5 l S 28.99001 354.39999 m 567.79999 354.39999 l S 28.99001 331.57001 m 567.79999 331.57001 l S 28.99001 294.16 m 567.79999 294.16 l S 28.99001 271.32999 m 568.10004 271.32999 l S 28.99001 248.5 m 568.10004 248.5 l S 28.99001 181.92999 m 568.10004 181.92999 l S 30.07001 355.47 m 30.07001 180.84999 l S 298.41998 355.47 m 298.41998 293.07999 l S 432.56998 355.47 m 432.56998 293.07999 l S 566.71997 355.47 m 566.71997 180.84999 l S BT /T1_0 12 Tf 1 0 0 1 34.05 338.20999 Tm (learning disability)Tj 1 0 0 1 302.39999 338.20999 Tm (26)Tj 1 0 0 1 436.54999 338.20999 Tm (0)Tj 1 0 0 1 34.05 315.38 Tm (mental disorder, excluding learning )Tj 1 0 0 1 34.05 300.80002 Tm (disability or dementia)Tj 1 0 0 1 302.39999 315.38 Tm (26)Tj 1 0 0 1 436.54999 315.38 Tm (0)Tj 1 0 0 1 34.05 277.97 Tm (Additional conditions: )Tj 1 0 0 1 34.05 255.14 Tm (The maximum number of service users to be accommodated is 26.)Tj 1 0 0 1 34.05 232.31 Tm (The registered person may provide the following category/ies of service \ only: Care )Tj 1 0 0 1 34.05 217.73 Tm (home only - \(PC\) to service users of the following gender: Either Whos\ e primary care )Tj 1 0 0 1 34.05 203.14998 Tm (needs on admission to the home are within the following categories: Lear\ ning disability )Tj 1 0 0 1 34.05 188.56999 Tm (\(LD\) Mental disorder, excluding learning disability or dementia \(MD\)\ .)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 167.14 m 315.25 167.14 l S 1 1 1 RG 317.5 167.14 m 346.54999 167.14 l S 348.80002 167.14 m 377.89999 167.14 l S 380.14999 167.14 m 409.20001 167.14 l S 411.44998 167.14 m 440.54999 167.14 l S 442.80002 167.14 m 471.89993 167.14 l S 474.14993 167.14 m 503.20001 167.14 l S 505.44998 167.14 m 534.54999 167.14 l S 536.79999 167.14 m 565.90002 167.14 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 178.55 m 568.10004 178.55 l S 28.99001 155.72 m 568.10004 155.72 l S 30.07001 179.62999 m 30.07001 154.64998 l S 316.37 179.62999 m 316.37 154.64998 l S 347.66998 179.62999 m 347.66998 154.64998 l S 379.01999 179.62999 m 379.01999 154.64998 l S 410.31998 179.62999 m 410.31998 154.64998 l S 441.66998 179.62999 m 441.66998 154.64998 l S 473.01999 179.62999 m 473.01999 154.64998 l S 504.31998 179.62999 m 504.31998 154.64998 l S 535.66998 179.62999 m 535.66998 154.64998 l S 567.01996 179.62999 m 567.01996 154.64998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 162.37 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 143.84999 m 565.90002 143.84999 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 134.22 m 568.10004 134.22 l S 30.07001 135.3 m 30.07001 39.14999 l S 567.01996 135.3 m 567.01996 39.14999 l S 28.99001 153.47 m 568.10004 153.47 l S 28.99001 134.22 m 568.10004 134.22 l S 28.99001 40.22 m 568.10004 40.22 l S 30.07001 154.55 m 30.07001 133.14999 l S 567.01996 154.55 m 567.01996 133.14999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 140.28999 Tm (Brief description of the )Tj 1 0 0 1 177.31 140.28999 Tm (care home)Tj 1 0 0 1 35.5 121.04001 Tm (The Chilterns provides residential care and support for up to 26 people \ with learning )Tj 1 0 0 1 35.5 104.04001 Tm (disabilities and mental health problems. The service provides step down \ support to )Tj 1 0 0 1 35.5 87.04001 Tm (individuals who may have previously been in more secure settings. The ho\ me )Tj 1 0 0 1 35.5 70.04001 Tm (comprises of two adjoining properties adjacent to the sea front in a res\ idential area of )Tj 1 0 0 1 35.5 53.03999 Tm (Westgate and is within short walking distance of local amenities such as\ rail and bus )Tj ET endstream endobj 840 0 obj 1457 endobj 841 0 obj<>stream 0.8 0.8 0.8 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.41998 30.78999 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95001 30.78999 Tm (5)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58002 30.78999 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.78999 Tm (32)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 804.02997 m 565.90002 804.02997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 794.40002 m 568.10004 794.40002 l S 30.07001 795.47998 m 30.07001 723.07996 l S 567.01996 795.47998 m 567.01996 723.07996 l S 28.99001 813.64996 m 568.10004 813.64996 l S 28.99001 794.40002 m 568.10004 794.40002 l S 28.99001 724.14996 m 568.10004 724.14996 l S 30.07001 814.72998 m 30.07001 793.32996 l S 567.01996 814.72998 m 567.01996 793.32996 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 35.5 800.46997 Tm (Brief description of the )Tj 1 0 0 1 177.31 800.46997 Tm (care home)Tj 1 0 0 1 33.25 783.46997 Tm (services, health centres, shops, churches and library. The Responsible I\ ndividual has a )Tj 1 0 0 1 33.25 766.46997 Tm (high level of input into home on a daily basis. Fees for the service beg\ in at GBP455. )Tj 1 0 0 1 33.25 749.46997 Tm (Further information and a copy of the Statement of Purpose for the servi\ ce can be )Tj 1 0 0 1 33.25 732.46997 Tm (obtained from the manager of the home.)Tj ET endstream endobj 842 0 obj 3709 endobj 843 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (6)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (32)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35001 795.64996 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35001 774.70001 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.21997 m 381.04999 754.21997 l S 1 1 1 RG 383.30002 754.21997 m 566.20001 754.21997 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 765.63995 m 568.40002 765.63995 l S 28.99001 742.81 m 568.40002 742.81 l S 30.07001 766.70996 m 30.07001 741.72998 l S 382.16998 766.70996 m 382.16998 741.72998 l S 567.32001 766.70996 m 567.32001 741.72998 l S BT /T1_0 12 Tf 1 0 0 1 34.05 749.45001 Tm (The quality rating for this )Tj 1 0 0 1 191.92 749.45001 Tm (care home)Tj 1 0 0 1 255.59 749.45001 Tm ( is:)Tj 1 0 0 1 411.34 749.45001 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35001 717.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.28998 641.26996 Tm (Choice of home)Tj 1 0 0 1 145.27 606.82001 Tm (Individual needs and choices)Tj 1 0 0 1 248.73999 572.35999 Tm (Lifestyle)Tj 1 0 0 1 127.50999 537.90997 Tm (Personal and healthcare support)Tj 1 0 0 1 106.20001 503.45999 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 469.01999 Tm (Environment)Tj 1 0 0 1 251.17 434.56998 Tm (Staffing)Tj 1 0 0 1 92.90001 400.10999 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75162 305.04999 334.32001 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 283.07999 m 567.84998 283.07999 l S 206.50998 w 32.32001 167.28 m 566.71997 167.28 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 271.66 m 567.84998 271.66 l S 30.12 271.66 m 568.91998 271.66 l S 30.12 62.90001 m 568.91998 62.90001 l S 31.2 272.73999 m 31.2 61.82001 l S 567.84998 272.73999 m 567.84998 61.82001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 278.30002 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 255.48 Tm (This was a key unannounced inspection of The Chilterns. The previous key\ inspection )Tj 1 0 0 1 35.17 240.90001 Tm (took place on 26th July 2007 and an Annual Service Review was completed \ on 9th July )Tj 1 0 0 1 35.17 226.31998 Tm (2008. The inspection involved a visit to the service, which took place o\ n 21st July 2009 )Tj 1 0 0 1 35.17 211.73999 Tm (between 11.00am and 4.30pm, and a review of information we have received\ about )Tj 1 0 0 1 35.17 197.14998 Tm (the service since the last key inspection.)Tj 1 0 0 1 35.17 182.56999 Tm (\240)Tj 1 0 0 1 35.17 167.98999 Tm (At the inspection visit we spoke with the manager of the home, looked at\ some care )Tj 1 0 0 1 35.17 153.41 Tm (plans and records and observed some of the practices in the home. We als\ o spoke with )Tj 1 0 0 1 35.17 138.84 Tm (four people that use the service during our visit to get their views of \ the care they )Tj 1 0 0 1 35.17 124.25 Tm (receive. We also received completed surveys from seven people that live \ in the home )Tj 1 0 0 1 35.17 109.68001 Tm (telling us about their experiences of using the service.)Tj 1 0 0 1 35.17 95.10001 Tm (\240)Tj 1 0 0 1 35.17 80.50999 Tm (Prior to the visit to the home the registered provider was required to c\ omplete and )Tj 1 0 0 1 35.17 65.93001 Tm (return an Annual Quality Assurance Assessment \(AQAA\). This assessment \ is aimed at )Tj ET endstream endobj 844 0 obj 1762 endobj 845 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (7)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (32)Tj ET 1 1 1 RG 163.37999 w 32.32001 730.83997 m 566.71997 730.83997 l S 0.75294 0.75294 0.75294 RG 2.25 w 30.12 813.64996 m 568.91998 813.64996 l S 30.12 648.01996 m 568.91998 648.01996 l S 31.2 814.72998 m 31.2 646.95001 l S 567.84998 814.72998 m 567.84998 646.95001 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 32.92 802.71997 Tm (looking at how services are performing and achieving outcomes for people\ . The AQAA )Tj 1 0 0 1 32.92 788.13995 Tm (was returned within the required timescales and provided us with useful \ information )Tj 1 0 0 1 32.92 773.56 Tm (about improvements that have been made since the last inspection.)Tj 1 0 0 1 32.92 758.97998 Tm (\240)Tj 1 0 0 1 32.92 744.40002 Tm (Judgements have been made with regards to each outcome area in this repo\ rt, based )Tj 1 0 0 1 32.92 729.82001 Tm (on records viewed, observations and verbal responses given by those peop\ le who were )Tj 1 0 0 1 32.92 715.23999 Tm (spoken with. These judgements have been made using the Key Lines of Regu\ latory )Tj 1 0 0 1 32.92 700.65997 Tm (Assessment \(KLORA\), which are guidelines that enable the Care Quality \ Commission )Tj 1 0 0 1 32.92 686.07996 Tm (\(CQC\) to be able to make an informed decision about each outcome area.\ )Tj 1 0 0 1 32.92 671.5 Tm (\240)Tj 1 0 0 1 32.92 656.91998 Tm (Further information can be found on the CQC website at www.cqc.org.uk )Tj ET endstream endobj 846 0 obj 6199 endobj 847 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (8)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (32)Tj ET 1 1 1 RG 20.58 w 31.2 786.35999 m 567.84998 786.35999 l S 283.01999 w 32.32001 632.31 m 566.71997 632.31 l S 20.58 w 32.7 478.25998 m 569.34998 478.25998 l S 122.64 w 33.82001 404.39999 m 568.21997 404.39999 l S 20.58 w 33.45 330.53998 m 570.10004 330.53998 l S 224.7 w 34.57001 205.64998 m 568.96997 205.64998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.2 774.95001 m 567.84998 774.95001 l S 30.12 774.95001 m 568.91998 774.95001 l S 30.12 489.67999 m 568.91998 489.67999 l S 31.2 776.02997 m 31.2 488.60001 l S 31.2 489.67999 m 569.34998 489.67999 l S 32.7 466.84998 m 569.34998 466.84998 l S 31.62 466.84998 m 570.41998 466.84998 l S 31.62 341.95999 m 570.41998 341.95999 l S 33.45 319.13 m 570.10004 319.13 l S 33.45 341.95999 m 570.10004 341.95999 l S 32.37 319.13 m 571.16998 319.13 l S 32.37 92.18001 m 571.16998 92.18001 l S 32.7 467.92999 m 32.7 340.88 l S 33.45 320.20999 m 33.45 91.10001 l S 567.84998 776.02997 m 567.84998 488.60001 l S 569.34998 467.92999 m 569.34998 340.88 l S 570.10004 320.20999 m 570.10004 91.10001 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 781.58997 Tm (What the )Tj 1 0 0 1 90.52 781.58997 Tm (care home)Tj 1 0 0 1 154.2 781.58997 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.84998 784.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 758.76001 Tm (The service provides individualised care in a way that respects the righ\ ts of the service )Tj 1 0 0 1 35.17 744.17999 Tm (user and promotes their independence. There are lots of opportunities in\ the home to )Tj 1 0 0 1 35.17 729.60004 Tm (develop new skills and to get involved in the running of the home. Every\ one agrees )Tj 1 0 0 1 35.17 715.01996 Tm (their own care plan and how their support will be provided.)Tj 1 0 0 1 35.17 700.44 Tm (\240)Tj 1 0 0 1 35.17 685.85999 Tm (The manager of the home always talks with the people using the service t\ o get their )Tj 1 0 0 1 35.17 671.27997 Tm (views and to check they are happy with their care. Each week an independ\ ent advocate )Tj 1 0 0 1 35.17 656.70001 Tm (visits the service and is available for people to talk to about any conc\ erns. There are )Tj 1 0 0 1 35.17 642.12 Tm (also twice weekly 'community meetings' in the home, which are run by the\ service )Tj 1 0 0 1 35.17 627.53998 Tm (users and are an opportunity for people to discuss matters affecting eve\ ryone in the )Tj 1 0 0 1 35.17 612.95996 Tm (home and to share ideas.)Tj 1 0 0 1 35.17 598.38 Tm (\240)Tj 1 0 0 1 35.17 583.79999 Tm (The staff that work in the care home have an excellent relationship with\ the people )Tj 1 0 0 1 35.17 569.21997 Tm (that live there and understand what their needs are. People using the se\ rvice say the )Tj 1 0 0 1 35.17 554.64001 Tm (staff are supportive and that they feel they can talk to the staff or ma\ nager about any )Tj 1 0 0 1 35.17 540.06 Tm (concerns they may have. One person commented that "things do get sorted \ quickly if )Tj 1 0 0 1 35.17 525.47998 Tm (you have a problem". They tell us that they are happy with their care an\ d that they )Tj 1 0 0 1 35.17 510.8999 Tm (feel their needs are met. One person said that "they are helping me to d\ o more things )Tj 1 0 0 1 35.17 496.31998 Tm (for myself". )Tj /T1_0 10 Tf 1 0 0 1 568.96997 630.76001 Tm (\240)Tj 1 0 0 1 31.2 476.14993 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 473.48999 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.34998 476.70999 Tm (\240)Tj 1 0 0 1 31.2 402.85001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 450.66 Tm (Since the last key inspection the service has amended the Statement of P\ urpose to )Tj 1 0 0 1 36.67 436.07999 Tm (reflect the new range of service user need it is able to meet. The servi\ ce now provides )Tj 1 0 0 1 36.67 421.5 Tm (support to adults with learning disabilities and mental health issues. O\ ne unit of the )Tj 1 0 0 1 36.67 406.91998 Tm (home has had some refurbishment and further work is planned to both this\ unit and )Tj 1 0 0 1 36.67 392.34 Tm (the other unit in the home.)Tj 1 0 0 1 36.67 377.75998 Tm (\240)Tj 1 0 0 1 36.67 363.17999 Tm (A new manager has been appointed and registered and has begun work devel\ oping the )Tj 1 0 0 1 36.67 348.60001 Tm (staff training and recruitment arrangements. )Tj /T1_0 10 Tf 1 0 0 1 570.46997 402.85001 Tm (\240)Tj 1 0 0 1 31.2 328.98999 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 325.76999 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 204.10001 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 302.94 Tm (Some areas of the home still require redecorating and furnishing to prov\ ide a more )Tj 1 0 0 1 37.42 288.35999 Tm (homely environment. Service users said they felt improvements could be m\ ade to the )Tj 1 0 0 1 37.42 273.78 Tm (environment and one person commented that "it has the feel of a hospital\ and its quite )Tj 1 0 0 1 37.42 259.20001 Tm (old fashioned". the manager said that plans are in place to improve the \ environment in )Tj 1 0 0 1 37.42 244.62 Tm (the next few months.)Tj 1 0 0 1 37.42 230.03998 Tm (\240)Tj 1 0 0 1 37.42 215.45999 Tm (Staff require training in safeguarding adults and some staff require upd\ ates in some )Tj 1 0 0 1 37.42 200.87999 Tm (areas, for example food hygiene and first aid.)Tj 1 0 0 1 37.42 186.3 Tm (\240)Tj 1 0 0 1 37.42 171.72 Tm (The manager of the service needs to review the documentation in the home\ to ensure )Tj 1 0 0 1 37.42 157.14 Tm (it reflects the service as a care home rather than a nursing home.)Tj 1 0 0 1 37.42 142.56 Tm (\240)Tj 1 0 0 1 37.42 127.98 Tm (The manager of the home has told us that plans are in place to address t\ he )Tj 1 0 0 1 37.42 113.40001 Tm (requirements made in this report and they should write to the Commission\ to tell us )Tj 1 0 0 1 37.42 98.82001 Tm (when these have been completed. )Tj 1 0 0 1 28.35001 76.49001 Tm (\240)Tj ET endstream endobj 848 0 obj 1103 endobj 849 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (9)Tj 0 Tr 1 0 0 1 515.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 533.48999 31.8 Tm (32)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35001 799.08997 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 799.08997 Tm (care home)Tj 1 0 0 1 480.03998 799.08997 Tm ( is taking )Tj 1 0 0 1 28.35001 781.60004 Tm (following this report, you can contact them using the details on page 4.\ )Tj 1 0 0 1 28.35001 761.60004 Tm (\240)Tj 1 0 0 1 28.35001 741.60999 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85001 741.60999 Tm (www.cqc.org.uk.)Tj 1 0 0 1 28.35001 721.60999 Tm (You can get printed copies from )Tj 1 0 0 1 225.22 721.60999 Tm (enquiries@cqc.org.uk or by telephoning our)Tj 1 0 0 1 28.35001 701.60999 Tm (order line 0870 240 7535.)Tj ET endstream endobj 850 0 obj 1960 endobj 851 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (10)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (32)Tj /T1_0 14 Tf 1 0 0 1 28.35001 777.08997 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 26 w 31.2 744.14996 m 565.90002 744.14996 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 741.13995 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35001 700.14996 m 566.92999 700.14996 l S BT /T1_0 12 Tf 1 0 0 1 28.35001 696.08997 Tm (Choice of home\240 \(standards 1 - 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43\))Tj 1 0 0 1 28.35001 522.08997 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35001 500.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 852 0 obj 5977 endobj 853 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (11)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Choice of home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 102 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 685.57001 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 1 0 0 1 35.5 668.57001 Tm (involved in. This tells the home all about them, what they hope for and \ want to )Tj 1 0 0 1 35.5 651.57001 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 632.32001 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 615.32001 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 598.32001 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 581.32001 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 564.32001 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 1 0 0 1 35.5 547.32001 Tm (that includes how much they will pay and what the home provides for the \ money.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 194.33 w 34.60001 377.00998 m 562.53998 377.00998 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 171.84 w 33.47 365.75998 m 563.65997 365.75998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 277.63998 l S 564.78998 453.88 m 564.78998 277.63998 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 278.70999 m 565.87 278.70999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (Prospective service users are provided with the information they need ab\ out the )Tj 1 0 0 1 36.62 375.25 Tm (services the home provides. They have their needs assessed before they m\ ove in and )Tj 1 0 0 1 36.62 357.75998 Tm (only admit people to the home if they are confident their needs can be m\ et. The )Tj 1 0 0 1 36.62 340.25998 Tm (service has a clear Statement of Purpose outlining the range of needs it\ can meet.)Tj 1 0 0 1 36.62 322.76999 Tm (\240)Tj 1 0 0 1 36.62 305.26999 Tm (People looking to use the service have the opportunity to visit and stay\ overnight to )Tj 1 0 0 1 36.62 287.76999 Tm (test drive the service before they decide to move in. )Tj 1 0 0 1 28.35001 263.03 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 170.81999 w 34.60001 167.42999 m 562.53998 167.42999 l S 1 1 1 RG 22.5 w 32.35001 243.84 m 564.78998 243.84 l S 149.45 w 33.47 155.62 m 563.65997 155.62 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 231.47 m 565.87 231.47 l S 32.35001 232.54999 m 32.35001 78.70001 l S 564.78998 232.54999 m 564.78998 78.70001 l S 32.35001 231.47 m 564.78998 231.47 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 240.53 Tm (Evidence:)Tj 1 0 0 1 36.57001 215.78998 Tm (Since the last inspection of the Chilterns the Statement of Purpose has \ been amended )Tj 1 0 0 1 36.57001 198.28998 Tm (to reflect a change in the range of individual needs it aims to meet. Th\ e home now )Tj 1 0 0 1 36.57001 180.78998 Tm (offers a step down service to people with learning disabilities and ment\ al health )Tj 1 0 0 1 36.57001 163.3 Tm (problems, who have previously been detained in a secure unit or hospital\ setting, )Tj 1 0 0 1 36.57001 145.8 Tm (before they are ready to move into a more supported living environment. \ The )Tj 1 0 0 1 36.57001 128.31 Tm (Statement of Purpose and Service User Guide are made available to prospe\ ctive )Tj 1 0 0 1 36.57001 110.81 Tm (service users when they express an interest in using the service. The wo\ rding in some )Tj 1 0 0 1 36.57001 93.31 Tm (areas of the Statement of Purpose and some other documents in the home c\ ould )Tj ET endstream endobj 854 0 obj 3828 endobj 855 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (12)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 493.75998 w 34.60001 564.51996 m 562.53998 564.51996 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 472.38992 w 33.47 552.70996 m 563.65997 552.70996 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 314.31 l S 564.78998 791.10999 m 564.78998 314.31 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 315.38998 m 565.87 315.38998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (provide misleading information for service users about the category unde\ r which the )Tj 1 0 0 1 34.32001 761.60004 Tm (home is registered, in that the home is registered as a care home, not a\ nursing )Tj 1 0 0 1 34.32001 744.10999 Tm (home. The manager said she will review all the documents in the home to \ ensure the )Tj 1 0 0 1 34.32001 726.60999 Tm (language used accurately reflects the registration of the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (We received feedback from seven people using the service and spoke with \ four people )Tj 1 0 0 1 34.32001 674.12 Tm (during the visit. The feedback confirmed that they felt they were provid\ ed with clear )Tj 1 0 0 1 34.32001 656.63 Tm (information about the services the home offers and that they had been ab\ le to visit )Tj 1 0 0 1 34.32001 639.13 Tm (the home before moving in. Service users told us that they had been able\ to visit for )Tj 1 0 0 1 34.32001 621.63 Tm (meals and to stay overnight before they officially moved in to the home \ and this gave )Tj 1 0 0 1 34.32001 604.14001 Tm (them the opportunity to meet other service users and staff. They also co\ nfirmed that )Tj 1 0 0 1 34.32001 586.64001 Tm (they were given information about the complaints procedure and advocacy \ )Tj 1 0 0 1 34.32001 569.14996 Tm (arrangements for the service.)Tj 1 0 0 1 34.32001 551.64996 Tm (\240)Tj 1 0 0 1 34.32001 534.14996 Tm (The manager and clinical director carry out the assessments of service u\ sers needs )Tj 1 0 0 1 34.32001 516.65997 Tm (before they move in to ensure their needs can be fully met in the home. \ This involves )Tj 1 0 0 1 34.32001 499.16 Tm (reviewing the assessments provided by the PCT and relevant clinical spec\ ialists. The )Tj 1 0 0 1 34.32001 481.66998 Tm (home has an assessment form that is also completed with the person to pr\ ovide a )Tj 1 0 0 1 34.32001 464.16998 Tm (holistic view of their needs, preferences and interests. The assessments\ were seen for )Tj 1 0 0 1 34.32001 446.66998 Tm (two individuals and these showed that their views had been taken into ac\ count as part )Tj 1 0 0 1 34.32001 429.17999 Tm (of this process.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (The manager has a clear view of the range of needs that can be met by th\ e home and )Tj 1 0 0 1 34.32001 376.69 Tm (is currently supporting some people to move on where it has been identif\ ied their )Tj 1 0 0 1 34.32001 359.19 Tm (needs can be better met elsewhere. The service is currently undergoing s\ ome change )Tj 1 0 0 1 34.32001 341.70001 Tm (to provide the service in two units, one for men and one for women and n\ eeds )Tj 1 0 0 1 34.32001 324.20001 Tm (assessments for prospective service users are being completed. )Tj ET endstream endobj 856 0 obj 5749 endobj 857 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (13)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Individual needs and choices )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 189.25 w 32.32001 618.88 m 562.52997 618.88 l S 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.64996 663.63 l S 1 1 1 RG 85 w 31.2 567.88 m 563.64996 567.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 611.5 m 565.84998 611.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 611.5 m 565.84998 611.5 l S 28.99001 524.25 m 565.84998 524.25 l S 30.07001 716.82996 m 30.07001 523.16998 l S 564.77997 716.82996 m 564.77997 523.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 685.57001 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 668.57001 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 651.57001 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 634.57001 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 617.57001 Tm (information on which to base decisions.)Tj 1 0 0 1 35.5 598.32001 Tm (People are asked about, and are involved in, all aspects of life in the \ home. This is )Tj 1 0 0 1 35.5 581.32001 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 564.32001 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 547.32001 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 530.32001 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 506 Tm <0003>Tj 1 0 0 1 28.35001 484 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 484 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 461.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 211.83 w 34.60001 351.25998 m 562.53998 351.25998 l S 1 1 1 RG 22.5 w 32.35001 448.16998 m 564.78998 448.16998 l S 189.33 w 33.47 340.00998 m 563.65997 340.00998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 435.80002 m 565.87 435.80002 l S 32.35001 436.88 m 32.35001 243.14 l S 564.78998 436.88 m 564.78998 243.14 l S 32.35001 435.80002 m 564.78998 435.80002 l S 31.27 244.22 m 565.87 244.22 l S BT /T1_0 12 Tf 1 0 0 1 35.5 444.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 420.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 420.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 375.75 Tm (People using the service have a care plan that is person centred and has\ been )Tj 1 0 0 1 36.62 358.25 Tm (completed with their involvement. They are supported to make their own d\ ecisions )Tj 1 0 0 1 36.62 340.75998 Tm (about their support. Risks to service users are assessed, minimised and \ kept under )Tj 1 0 0 1 36.62 323.25998 Tm (review to ensure people are supported to lead independent lifestyles whi\ lst remaining )Tj 1 0 0 1 36.62 305.76999 Tm (safe in the service.)Tj 1 0 0 1 36.62 288.26999 Tm (\240)Tj 1 0 0 1 36.62 270.76999 Tm (People using the service are involved in the running of the home and are\ consulted on )Tj 1 0 0 1 36.62 253.28 Tm (their views of how the support is provided. )Tj 1 0 0 1 28.35001 228.53 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 136.31999 w 34.60001 150.19 m 562.53998 150.19 l S 1 1 1 RG 22.5 w 32.35001 209.34999 m 564.78998 209.34999 l S 114.95 w 33.47 138.37999 m 563.65997 138.37999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 196.98 m 565.87 196.98 l S 32.35001 198.05 m 32.35001 78.70001 l S 564.78998 198.05 m 564.78998 78.70001 l S 32.35001 196.98 m 564.78998 196.98 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 206.03998 Tm (Evidence:)Tj 1 0 0 1 36.57001 181.28998 Tm (Everyone has their own care plan. During the inspection four people were\ spoken with )Tj 1 0 0 1 36.57001 163.78999 Tm (who all confirmed they had a plan and that they had been involved in dra\ wing this up. )Tj 1 0 0 1 36.57001 146.3 Tm (The plans were seen for two people using the service and these had been \ agreed and )Tj 1 0 0 1 36.57001 128.8 Tm (signed by them. The care plans are reviewed regularly by the senior staf\ f and )Tj 1 0 0 1 36.57001 111.31 Tm (manager.)Tj 1 0 0 1 36.57001 93.81 Tm (\240)Tj ET endstream endobj 858 0 obj 5303 endobj 859 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (14)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (The care plans cover all areas of support need that have been identified\ in the )Tj 1 0 0 1 34.32001 761.60004 Tm (assessment. Some of the language used in the plans and other associated \ documents )Tj 1 0 0 1 34.32001 744.10999 Tm (may give the impression of the service being a nursing home or primary h\ ealth )Tj 1 0 0 1 34.32001 726.60999 Tm (service. For example, documentation refers to people being orientated to\ the 'ward' )Tj 1 0 0 1 34.32001 709.10999 Tm (when they are admitted and the care plans refer to individuals as 'patie\ nts'. As this is )Tj 1 0 0 1 34.32001 691.62 Tm (a service designed to support people to move away from secure settings a\ nd hospitals )Tj 1 0 0 1 34.32001 674.12 Tm (and toward living successfully in the community the use of such terminol\ ogy may )Tj 1 0 0 1 34.32001 656.63 Tm (undermine their progress. It may also give people misleading information\ about the )Tj 1 0 0 1 34.32001 639.13 Tm (nature of the services provided in the home. The manager agreed to revie\ w all )Tj 1 0 0 1 34.32001 621.63 Tm (documentation in the home to ensure it accurately reflects the services \ provided and )Tj 1 0 0 1 34.32001 604.14001 Tm (promotes the dignity and independence of service users.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The manager said that training is planned for staff in 'Person Centred A\ ctive Support' )Tj 1 0 0 1 34.32001 551.64996 Tm (with the Tizard Centre, a centre for training and research in learning d\ isabilities. This )Tj 1 0 0 1 34.32001 534.14996 Tm (is positive for the service users as they will benefit from being suppor\ ted by staff that )Tj 1 0 0 1 34.32001 516.65997 Tm (understand the importance of person centred support and of promoting ind\ ividuals )Tj 1 0 0 1 34.32001 499.16 Tm (independence as far as possible.)Tj 1 0 0 1 34.32001 481.66998 Tm (\240)Tj 1 0 0 1 34.32001 464.16998 Tm (The service holds 'community meetings' twice a week. These are meetings \ organised )Tj 1 0 0 1 34.32001 446.66998 Tm (and chaired by the people using the service in order for them to discuss\ matters )Tj 1 0 0 1 34.32001 429.17999 Tm (relating to how the service is run and issues that affect everyone in th\ e home. Minutes )Tj 1 0 0 1 34.32001 411.67999 Tm (are kept of the meetings, copies of which were seen during the inspectio\ n, and the )Tj 1 0 0 1 34.32001 394.19 Tm (actions from the previous meetings are discussed at the start of each me\ eting. People )Tj 1 0 0 1 34.32001 376.69 Tm (using the service told us that they are involved in running the service,\ for example, )Tj 1 0 0 1 34.32001 359.19 Tm (tending to the garden, choosing the decor for the home and planning the \ menus. They )Tj 1 0 0 1 34.32001 341.70001 Tm (said that they felt the staff usually listen to what they think about th\ ings and that they )Tj 1 0 0 1 34.32001 324.20001 Tm (are given support to make their own decisions. The manager said that ser\ vice users )Tj 1 0 0 1 34.32001 306.70999 Tm (have been involved in the recruitment of new staff by showing them aroun\ d the home )Tj 1 0 0 1 34.32001 289.20999 Tm (and it is planned that they will become more involved in this process in\ the future.)Tj 1 0 0 1 34.32001 271.70999 Tm (\240)Tj 1 0 0 1 34.32001 254.22 Tm (The home employs a social worker who is available to provide support, ad\ vice and )Tj 1 0 0 1 34.32001 236.72 Tm (guidance to service users in a number of matters including welfare benef\ its, housing )Tj 1 0 0 1 34.32001 219.23 Tm (options, employment and family liaison. An independent advocate also vis\ its the home )Tj 1 0 0 1 34.32001 201.73 Tm (once a week and service users said they can make an appointment to see t\ hem if they )Tj 1 0 0 1 34.32001 184.23 Tm (wish.)Tj 1 0 0 1 34.32001 166.73999 Tm (\240)Tj 1 0 0 1 34.32001 149.23999 Tm (Risk assessments have been completed as part of the care plan and these \ are )Tj 1 0 0 1 34.32001 131.75 Tm (personalised for each individual. Where the risk assessments result in a\ restriction on )Tj 1 0 0 1 34.32001 114.25 Tm (an individuals freedom, for example, only going out with staff support, \ this has been )Tj 1 0 0 1 34.32001 96.75 Tm (agreed with the individual service user and is kept under review with th\ e individual )Tj ET endstream endobj 860 0 obj 1729 endobj 861 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (15)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 126.35001 w 34.60001 748.22998 m 562.53998 748.22998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 104.98 w 33.47 736.41998 m 563.65997 736.41998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 681.72998 l S 564.78998 791.10999 m 564.78998 681.72998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 682.81 m 565.87 682.81 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (and their consultant. People using the service, that were spoken with du\ ring the )Tj 1 0 0 1 34.32001 761.60004 Tm (inspection, said they understood the reasons for any rules and restricti\ ons in the )Tj 1 0 0 1 34.32001 744.10999 Tm (service and had agreed to them before they moved in. The manager is awar\ e of the )Tj 1 0 0 1 34.32001 726.60999 Tm (Mental Capacity Act and Deprivation of Liberty safeguards and ensures th\ at support is )Tj 1 0 0 1 34.32001 709.10999 Tm (provided to service users, as identified on their risk assessments, to e\ nable them to )Tj 1 0 0 1 34.32001 691.62 Tm (go out in the community and to maintain contact with family and friends.\ )Tj ET endstream endobj 862 0 obj 5827 endobj 863 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (16)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Lifestyle )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 223.25 w 32.32001 601.88 m 562.52997 601.88 l S 0.95294 0.95294 0.95294 RG 170 w 31.2 629.63 m 563.64996 629.63 l S 1 1 1 RG 51 w 31.2 516.88 m 563.64996 516.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 543.5 m 565.84998 543.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 543.5 m 565.84998 543.5 l S 28.99001 490.25 m 565.84998 490.25 l S 30.07001 716.82996 m 30.07001 489.16995 l S 564.77997 716.82996 m 564.77997 489.16995 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (Each person is treated as an individual and the care home is responsive \ to his or her )Tj 1 0 0 1 35.5 685.57001 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 1 0 0 1 35.5 668.57001 Tm (part in activities that are appropriate to their age and culture and are\ part of their )Tj 1 0 0 1 35.5 651.57001 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 634.57001 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 617.57001 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 600.57001 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 583.57001 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 566.57001 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 549.57001 Tm (place to suit them.)Tj 1 0 0 1 35.5 530.32001 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 513.32001 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 496.31998 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 472 Tm <0003>Tj 1 0 0 1 28.35001 450 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 450 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 427.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 229.33 w 34.60001 308.50998 m 562.53998 308.50998 l S 1 1 1 RG 22.5 w 32.35001 414.16998 m 564.78998 414.16998 l S 206.83 w 33.47 297.25998 m 563.65997 297.25998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 401.80002 m 565.87 401.80002 l S 32.35001 402.88 m 32.35001 191.64 l S 564.78998 402.88 m 564.78998 191.64 l S 32.35001 401.80002 m 564.78998 401.80002 l S 31.27 192.72 m 565.87 192.72 l S BT /T1_0 12 Tf 1 0 0 1 35.5 410.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 386.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 386.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 386.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 368.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 341.75 Tm (People that use the service are supported to identify activities of inte\ rest to them and )Tj 1 0 0 1 36.62 324.25 Tm (to participate in activities within their local community. They are supp\ orted to meet )Tj 1 0 0 1 36.62 306.75998 Tm (their responsibilities within the home and have their rights within the \ home respected.)Tj 1 0 0 1 36.62 289.25998 Tm (\240)Tj 1 0 0 1 36.62 271.76999 Tm (Service users are provided with the support they need to maintain contac\ t with their )Tj 1 0 0 1 36.62 254.26999 Tm (family and friends.)Tj 1 0 0 1 36.62 236.76999 Tm (\240)Tj 1 0 0 1 36.62 219.28 Tm (People using the service are provided with a balanced diet and are suppo\ rted to )Tj 1 0 0 1 36.62 201.78 Tm (choose and prepare their own meals if they wish to. )Tj 1 0 0 1 28.35001 177.03998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 84.82001 w 34.60001 124.44 m 562.53998 124.44 l S 1 1 1 RG 22.5 w 32.35001 157.84999 m 564.78998 157.84999 l S 63.45 w 33.47 112.63 m 563.65997 112.63 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 145.48 m 565.87 145.48 l S 32.35001 146.56 m 32.35001 78.70001 l S 564.78998 146.56 m 564.78998 78.70001 l S 32.35001 145.48 m 564.78998 145.48 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 154.53999 Tm (Evidence:)Tj 1 0 0 1 36.57001 129.78999 Tm (People that use the service said that they are supported to go out into \ the community )Tj 1 0 0 1 36.57001 112.3 Tm (for activities most days, but would like to be able to go out more often\ . Most people )Tj 1 0 0 1 36.57001 94.8 Tm (using the service require 1-1 staff support out when going out and those\ spoken with )Tj ET endstream endobj 864 0 obj 4860 endobj 865 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (17)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 728.25 w 34.60001 447.28 m 562.53998 447.28 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 706.88 w 33.47 435.47 m 563.65997 435.47 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 79.82001 l S 564.78998 791.10999 m 564.78998 79.82001 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 80.90001 m 565.87 80.90001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (said they receive 1-1 support for approximately four hours a day. The re\ cords )Tj 1 0 0 1 34.32001 761.60004 Tm (confirmed that people have regular opportunities to go out into town, to\ the shops, for )Tj 1 0 0 1 34.32001 744.10999 Tm (walks along the seafront and to the cinema and library, which are all lo\ cated near to )Tj 1 0 0 1 34.32001 726.60999 Tm (the home.)Tj 1 0 0 1 34.32001 709.10999 Tm (\240)Tj 1 0 0 1 34.32001 691.62 Tm (The home has a number of lounge and dining areas across both sides of th\ e home and )Tj 1 0 0 1 34.32001 674.12 Tm (there is a games room in one side of the building. All the lounge areas \ have a TV and )Tj 1 0 0 1 34.32001 656.63 Tm (music centre for service users use.)Tj 1 0 0 1 34.32001 639.13 Tm (\240)Tj 1 0 0 1 34.32001 621.63 Tm (Feedback from service users confirmed they are given support to visit th\ eir family )Tj 1 0 0 1 34.32001 604.14001 Tm (members and friends if they wish and can receive visitors at the home. T\ he manager )Tj 1 0 0 1 34.32001 586.64001 Tm (said that most people have their own mobile phones, but that their is a \ payphone in )Tj 1 0 0 1 34.32001 569.14996 Tm (one side of the home and also a payphone directly opposite the house, if\ they wish to )Tj 1 0 0 1 34.32001 551.64996 Tm (contact family, friends or advocates.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (An adult education tutor visits the home weekly to carry out an educatio\ n session. The )Tj 1 0 0 1 34.32001 499.16 Tm (manager said this is usually based on numeracy, literacy and independent\ life skills. )Tj 1 0 0 1 34.32001 481.66998 Tm (The people that use the service said that they attend the adult educatio\ n sessions, but )Tj 1 0 0 1 34.32001 464.16998 Tm (sometimes find them boring. The minutes of the twice weekly community me\ etings )Tj 1 0 0 1 34.32001 446.66998 Tm (show that people have the opportunity to make suggestions for activities\ they may )Tj 1 0 0 1 34.32001 429.17999 Tm (wish to do.)Tj 1 0 0 1 34.32001 411.67999 Tm (\240)Tj 1 0 0 1 34.32001 394.19 Tm (A number of service users were seen to be participating in some gardenin\ g during the )Tj 1 0 0 1 34.32001 376.69 Tm (inspection visit. They said they are growing vegetables for use in the h\ ome and have )Tj 1 0 0 1 34.32001 359.19 Tm (arranged a charity plant and veg sale for any excess produce they grow. \ Those that )Tj 1 0 0 1 34.32001 341.70001 Tm (are involved in the gardening said they enjoyed this.)Tj 1 0 0 1 34.32001 324.20001 Tm (\240)Tj 1 0 0 1 34.32001 306.70999 Tm (None of the service users are currently in employment or seeking employm\ ent at this )Tj 1 0 0 1 34.32001 289.20999 Tm (stage. The manager gave examples of where people have previously been su\ pported )Tj 1 0 0 1 34.32001 271.70999 Tm (in voluntary work and said that the social worker is available to advise\ people in this )Tj 1 0 0 1 34.32001 254.22 Tm (area as needed.)Tj 1 0 0 1 34.32001 236.72 Tm (\240)Tj 1 0 0 1 34.32001 219.23 Tm (All the service users spoken with said that their privacy in their own r\ ooms is )Tj 1 0 0 1 34.32001 201.73 Tm (respected and that they have their own belongings, such as TV, music and\ games )Tj 1 0 0 1 34.32001 184.23 Tm (consoles. The use of these items is agreed in their care plan to ensure \ they can use )Tj 1 0 0 1 34.32001 166.73999 Tm (them as they wish, but that they respect other people living in the home\ . Service )Tj 1 0 0 1 34.32001 149.23999 Tm (users are responsible for cleaning their own rooms and doing their laund\ ry. The )Tj 1 0 0 1 34.32001 131.75 Tm (support they require to do this was seen to be outlined in their care pl\ an. Those )Tj 1 0 0 1 34.32001 114.25 Tm (spoken with said they were told about their responsibilities in the home\ before they )Tj 1 0 0 1 34.32001 96.75 Tm (moved in.)Tj ET endstream endobj 866 0 obj 2125 endobj 867 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (18)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 196.33 w 34.60001 713.23999 m 562.53998 713.23999 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 174.95999 w 33.47 701.42999 m 563.65997 701.42999 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 611.75 l S 564.78998 791.10999 m 564.78998 611.75 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 612.82001 m 565.87 612.82001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (When a service user moves into the home they are asked to complete a die\ t form, )Tj 1 0 0 1 34.32001 744.10999 Tm (which outlines any dietary requirements and preferences. The service use\ rs said the )Tj 1 0 0 1 34.32001 726.60999 Tm (food provided is satisfactory and that they can ask for something differ\ ent if they do )Tj 1 0 0 1 34.32001 709.10999 Tm (not like what is on the menu. The home has a skills kitchen in one side \ of the building, )Tj 1 0 0 1 34.32001 691.62 Tm (which is used by service users to prepare their breakfasts and for them \ to cook their )Tj 1 0 0 1 34.32001 674.12 Tm (own meals. The manager said it is planned that a second skills kitchen w\ ill developed )Tj 1 0 0 1 34.32001 656.63 Tm (in this side of the building and that a skills kitchen will be added to \ the other side of )Tj 1 0 0 1 34.32001 639.13 Tm (the building when it is refurbished next month. It may benefit service u\ sers to be )Tj 1 0 0 1 34.32001 621.63 Tm (more involved in the preparation of the main meals in the home. )Tj ET endstream endobj 868 0 obj 5758 endobj 869 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (19)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Personal and healthcare support )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 155.25 w 32.32001 635.88 m 562.52997 635.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 68 w 31.2 593.38 m 563.64996 593.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 558.25 m 565.84998 558.25 l S 30.07001 716.82996 m 30.07001 557.16998 l S 564.77997 716.82996 m 564.77997 557.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 685.57001 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 668.57001 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 651.57001 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 634.57001 Tm (way.)Tj 1 0 0 1 35.5 615.32001 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 1 0 0 1 35.5 598.32001 Tm (and help them to feel comfortable and secure. They, and people close to \ them, are )Tj 1 0 0 1 35.5 581.32001 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 564.32001 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 540 Tm <0003>Tj 1 0 0 1 28.35001 518 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 518 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 495.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 402.75 m 562.53998 402.75 l S 1 1 1 RG 22.5 w 32.35001 482.16998 m 564.78998 482.16998 l S 154.34 w 33.47 391.50998 m 563.65997 391.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 469.80002 m 565.87 469.80002 l S 32.35001 470.87991 m 32.35001 312.13 l S 564.78998 470.87991 m 564.78998 312.13 l S 32.35001 469.80002 m 564.78998 469.80002 l S 31.27 313.20999 m 565.87 313.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 478.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 454.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 454.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 454.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 436.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 409.75 Tm (People that use the service are supported to manage their own health car\ e needs and )Tj 1 0 0 1 36.62 392.25 Tm (access health care services as required. They are given the support requ\ ired to safely )Tj 1 0 0 1 36.62 374.75998 Tm (manage their medication.)Tj 1 0 0 1 36.62 357.25998 Tm (\240)Tj 1 0 0 1 36.62 339.76999 Tm (People are given the support they need to manage their personal care and\ their )Tj 1 0 0 1 36.62 322.26999 Tm (privacy and dignity is respected. )Tj 1 0 0 1 28.35001 297.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 205.31 w 34.60001 184.67999 m 562.53998 184.67999 l S 1 1 1 RG 22.5 w 32.35001 278.34 m 564.78998 278.34 l S 183.94 w 33.47 172.87 m 563.65997 172.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 265.97 m 565.87 265.97 l S 32.35001 267.04001 m 32.35001 78.70001 l S 564.78998 267.04001 m 564.78998 78.70001 l S 32.35001 265.97 m 564.78998 265.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 275.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 250.28 Tm (People that use the service are supported to choose the GP, optician and\ dentist with )Tj 1 0 0 1 36.57001 232.78998 Tm (whom they register. Most service users are registered at the nearby GP s\ urgery and )Tj 1 0 0 1 36.57001 215.28998 Tm (staff support individuals to make health appointments when they need to.\ The )Tj 1 0 0 1 36.57001 197.78998 Tm (manager said that everyone living in the home has a health action plan a\ nd that they )Tj 1 0 0 1 36.57001 180.3 Tm (hold this in their own rooms to encourage them to take responsibility fo\ r updating it )Tj 1 0 0 1 36.57001 162.8 Tm (and planning their health support. Staff remind and support individuals \ with this as )Tj 1 0 0 1 36.57001 145.31 Tm (needed. Feedback from the service users confirmed this and also confirme\ d that they )Tj 1 0 0 1 36.57001 127.81 Tm (felt their health needs were being met.)Tj 1 0 0 1 36.57001 110.31 Tm (\240)Tj 1 0 0 1 36.57001 92.82001 Tm (As previously identified in this report the registered person must ensur\ e that the )Tj ET endstream endobj 870 0 obj 2491 endobj 871 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (20)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 301.31 w 34.60001 660.75 m 562.53998 660.75 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 279.94 w 33.47 648.94 m 563.65997 648.94 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 506.76999 l S 564.78998 791.10999 m 564.78998 506.76999 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 507.84998 m 565.87 507.84998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (service does not give misleading information about the provision of heal\ th and nursing )Tj 1 0 0 1 34.32001 761.60004 Tm (services in the home.)Tj 1 0 0 1 34.32001 744.10999 Tm (\240)Tj 1 0 0 1 34.32001 726.60999 Tm (The home employs the services of a consultant psychiatrist, social worke\ r and )Tj 1 0 0 1 34.32001 709.10999 Tm (advocate to provide emotional and psychological support.)Tj 1 0 0 1 34.32001 691.62 Tm (\240)Tj 1 0 0 1 34.32001 674.12 Tm (Service users said that their privacy in their bedrooms and bathroom are\ as is )Tj 1 0 0 1 34.32001 656.63 Tm (respected and that staff only enter with permission. They are supported \ by staff to )Tj 1 0 0 1 34.32001 639.13 Tm (make hairdressing appointments in the local town and to go out to purcha\ se clothing )Tj 1 0 0 1 34.32001 621.63 Tm (and personal items.)Tj 1 0 0 1 34.32001 604.14001 Tm (\240)Tj 1 0 0 1 34.32001 586.64001 Tm (Medication is administered by trained and qualified staff. The organisat\ ions training )Tj 1 0 0 1 34.32001 569.14996 Tm (includes a theoretical session, a written assessment and five observatio\ ns of )Tj 1 0 0 1 34.32001 551.64996 Tm (administering medicines. Currently none of the service users manage thei\ r own )Tj 1 0 0 1 34.32001 534.14996 Tm (medication, but the manager described how this is being gradually introd\ uced starting )Tj 1 0 0 1 34.32001 516.65997 Tm (with people being responsible for collecting their own prescriptions.)Tj ET endstream endobj 872 0 obj 5834 endobj 873 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (21)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Concerns, complaints and protection )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 87.25 w 32.32001 669.88 m 562.52997 669.88 l S 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.64996 680.63 l S 1 1 1 RG 17 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 645.5 m 565.84998 645.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 645.5 m 565.84998 645.5 l S 28.99001 626.25 m 565.84998 626.25 l S 30.07001 716.82996 m 30.07001 625.16998 l S 564.77997 716.82996 m 564.77997 625.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 685.57001 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 668.57001 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 651.57001 Tm (up any allegations.)Tj 1 0 0 1 35.5 632.32001 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 608 Tm <0003>Tj 1 0 0 1 28.35001 586 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 586 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 563.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 124.35001 w 34.60001 497 m 562.53998 497 l S 1 1 1 RG 22.5 w 32.35001 550.16998 m 564.78998 550.16998 l S 101.85001 w 33.47 485.75 m 563.65997 485.75 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 537.79999 m 565.87 537.79999 l S 32.35001 538.88 m 32.35001 432.62 l S 564.78998 538.88 m 564.78998 432.62 l S 32.35001 537.79999 m 564.78998 537.79999 l S 31.27 433.70001 m 565.87 433.70001 l S BT /T1_0 12 Tf 1 0 0 1 35.5 546.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 522.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 522.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 477.75 Tm (People using the service know how to make a complaint if they need to an\ d can be )Tj 1 0 0 1 36.62 460.25 Tm (confident their concerns will be taken seriously and responded to effici\ ently. They are )Tj 1 0 0 1 36.62 442.75998 Tm (safeguarded from harm and abuse whilst using the service. )Tj 1 0 0 1 28.35001 418.00998 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 325.80002 w 34.60001 244.92998 m 562.53998 244.92998 l S 1 1 1 RG 22.5 w 32.35001 398.82999 m 564.78998 398.82999 l S 304.42999 w 33.47 233.12 m 563.65997 233.12 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 386.44998 m 565.87 386.44998 l S 32.35001 387.53 m 32.35001 78.70001 l S 564.78998 387.53 m 564.78998 78.70001 l S 32.35001 386.44998 m 564.78998 386.44998 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 395.51999 Tm (Evidence:)Tj 1 0 0 1 36.57001 370.76999 Tm (Feedback from discussions with service users and the surveys they comple\ ted show )Tj 1 0 0 1 36.57001 353.26999 Tm (that people know how to make a complaint about the service, if they need\ to, and feel )Tj 1 0 0 1 36.57001 335.78 Tm (confident to do so. One person spoken with said that "things do get sort\ ed quickly if )Tj 1 0 0 1 36.57001 318.28 Tm (you have a problem". The complaints record for the home shows that servi\ ce users )Tj 1 0 0 1 36.57001 300.78998 Tm (have raised issues, as they have needed to, and that these have been res\ ponded to )Tj 1 0 0 1 36.57001 283.29001 Tm (quickly and effectively. The records also show that the person making th\ e complaint )Tj 1 0 0 1 36.57001 265.79001 Tm (receives a written response from the manager.)Tj 1 0 0 1 36.57001 248.3 Tm (\240)Tj 1 0 0 1 36.57001 230.8 Tm (In addition to the formal complaints procedure service users said they u\ se the )Tj 1 0 0 1 36.57001 213.31 Tm (community meetings to discuss any concerns and raise any issues. Staff a\ re made )Tj 1 0 0 1 36.57001 195.81 Tm (aware of the complaints procedure as part of their induction when they j\ oin the home.)Tj 1 0 0 1 36.57001 178.31 Tm (\240)Tj 1 0 0 1 36.57001 160.81999 Tm (The manager told us that all staff have read the safeguarding vulnerable\ adults policy )Tj 1 0 0 1 36.57001 143.31999 Tm (as part of their induction, but not all the staff have completed trainin\ g in this area. A )Tj 1 0 0 1 36.57001 125.83 Tm (recent training needs analysis has been carried out by the manager and t\ his training )Tj 1 0 0 1 36.57001 108.33 Tm (area was identified as the priority need. The manager said she has spoke\ n with the )Tj 1 0 0 1 36.57001 90.83 Tm (trainers to arrange a date for this for all staff.)Tj ET endstream endobj 874 0 obj 1520 endobj 875 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (22)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 143.84 w 34.60001 739.47998 m 562.53998 739.47998 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 122.47 w 33.47 727.66998 m 563.65997 727.66998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 664.22998 l S 564.78998 791.10999 m 564.78998 664.22998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 665.31 m 565.87 665.31 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Service users told us they feel safe in the home and that they have the \ opportunity to )Tj 1 0 0 1 34.32001 744.10999 Tm (access a social worker and independent advocate each week.)Tj 1 0 0 1 34.32001 726.60999 Tm (\240)Tj 1 0 0 1 34.32001 709.10999 Tm (The Care Quality Commission has not received any safeguarding informatio\ n in )Tj 1 0 0 1 34.32001 691.62 Tm (relation to this service.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj ET endstream endobj 876 0 obj 5846 endobj 877 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (23)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Environment )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.64996 697.63 l S 1 1 1 RG 85 w 31.2 635.88 m 563.64996 635.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 679.5 m 565.84998 679.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 679.5 m 565.84998 679.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 685.57001 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 666.32001 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 649.32001 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 632.32001 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 1 0 0 1 35.5 615.32001 Tm (feels like their own, it is comfortable and they feel safe when they use\ it. People have )Tj 1 0 0 1 35.5 598.32001 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (adequate)Tj 0 Tr 1 0 0 1 319.39999 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (The environment of the home provides service users with a clean and safe\ home, but )Tj 1 0 0 1 36.62 426.25 Tm (they would benefit from further redecoration of the communal areas and b\ athrooms to )Tj 1 0 0 1 36.62 408.75998 Tm (provide a comfortable and homely living space.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (People using the service have bedrooms that meet their need and access t\ o sufficient )Tj 1 0 0 1 36.62 356.26999 Tm (bathroom facilities. )Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The home is divided into two units. One unit has had some recent refurbi\ shment and it )Tj 1 0 0 1 36.57001 266.79001 Tm (is planned the other unit will be fully refurbished in August 2009. Gene\ rally the home )Tj 1 0 0 1 36.57001 249.28998 Tm (requires some maintenance and attention to furnishings to ensure it prov\ ides a )Tj 1 0 0 1 36.57001 231.78998 Tm (homely and comfortable feel. Feedback from people using the service incl\ uded )Tj 1 0 0 1 36.57001 214.3 Tm (comments about the environment not being very homely, for example one pe\ rson said )Tj 1 0 0 1 36.57001 196.8 Tm ("it has the feel of a hospital and its quite old fashioned". Three peopl\ e told us they )Tj 1 0 0 1 36.57001 179.31 Tm (would like to see more pictures around the home to make it feel more com\ fortable. On )Tj 1 0 0 1 36.57001 161.81 Tm (the day of the inspection the communal areas were quite bare and some ar\ eas )Tj 1 0 0 1 36.57001 144.31 Tm (required repainting. The manager acknowledged this and said that she was\ working )Tj 1 0 0 1 36.57001 126.82001 Tm (with service users to choose some new paint colours and to choose pictur\ es. The )Tj 1 0 0 1 36.57001 109.32001 Tm (home employs a maintenance worker who said he plans to develop a rolling\ )Tj 1 0 0 1 36.57001 91.83 Tm (programme of decorating to prevent the fabric of home becoming worn.)Tj ET endstream endobj 878 0 obj 2997 endobj 879 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (24)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 371.28998 w 34.60001 625.76001 m 562.53998 625.76001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 349.91998 w 33.47 613.95001 m 563.65997 613.95001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 436.78998 l S 564.78998 791.10999 m 564.78998 436.78998 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 437.85999 m 565.87 437.85999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (Service users have access to a number of different lounge areas and ther\ e are two )Tj 1 0 0 1 34.32001 744.10999 Tm (dining rooms in the home. One unit has a games room. There is a large ma\ in kitchen )Tj 1 0 0 1 34.32001 726.60999 Tm (where all the main meals are prepared and a smaller 'skills kitchen' on \ the first floor of )Tj 1 0 0 1 34.32001 709.10999 Tm (one unit. The manager described plans to introduce more 'skills kitchen'\ areas for )Tj 1 0 0 1 34.32001 691.62 Tm (service users to use as part of the refurbishment plans due to take plac\ e in August.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (Some bedrooms have en suite facilities and all have a minimum of a hand \ wash basin. )Tj 1 0 0 1 34.32001 639.13 Tm (There is a mixture of bathroom and shower rooms around the home. The sho\ wer room )Tj 1 0 0 1 34.32001 621.63 Tm (on the top floor is bare and shabby in areas. The manager said the servi\ ce users are )Tj 1 0 0 1 34.32001 604.14001 Tm (being consulted regarding the decor in this room.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The front door to the home has a code lock for security, which means ser\ vice users )Tj 1 0 0 1 34.32001 551.64996 Tm (have to ask staff if they wish to go out. The manager said that most ser\ vice users )Tj 1 0 0 1 34.32001 534.14996 Tm (require staff support to go out and can ask for this at any time.)Tj 1 0 0 1 34.32001 516.65997 Tm (\240)Tj 1 0 0 1 34.32001 499.16 Tm (Everyone has their own bedroom and are supported to decorate this as the\ y wish to. )Tj 1 0 0 1 34.32001 481.66998 Tm (The home supplies furniture for the room, but people can bring their own\ items if they )Tj 1 0 0 1 34.32001 464.16998 Tm (wish. Service users spoken with said they are happy with their rooms and\ that they )Tj 1 0 0 1 34.32001 446.66998 Tm (have all the furniture they require. )Tj ET endstream endobj 880 0 obj 5757 endobj 881 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (25)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Staffing )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 121.25 w 32.32001 652.88 m 562.52997 652.88 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 34 w 31.2 610.38 m 563.64996 610.38 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 592.25 m 565.84998 592.25 l S 30.07001 716.82996 m 30.07001 591.16998 l S 564.77997 716.82996 m 564.77997 591.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 685.57001 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 668.57001 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 651.57001 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 634.57001 Tm (they need from their managers.)Tj 1 0 0 1 35.5 615.32001 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 598.32001 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35001 574 Tm <0003>Tj 1 0 0 1 28.35001 552 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 552 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 529.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 436.75 m 562.53998 436.75 l S 1 1 1 RG 22.5 w 32.35001 516.16998 m 564.78998 516.16998 l S 154.34 w 33.47 425.50998 m 563.65997 425.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 503.80002 m 565.87 503.80002 l S 32.35001 504.87985 m 32.35001 346.13 l S 564.78998 504.87985 m 564.78998 346.13 l S 32.35001 503.80002 m 564.78998 503.80002 l S 31.27 347.20999 m 565.87 347.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 512.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 488.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 488.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 488.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 470.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 443.75 Tm (Service users are safeguarded by robust staff recruitment procedures and\ are )Tj 1 0 0 1 36.62 426.25 Tm (supported by qualified and competent staff. The staff that support them \ have received )Tj 1 0 0 1 36.62 408.75998 Tm (some of the training they require and would benefit from further trainin\ g and updates.)Tj 1 0 0 1 36.62 391.25998 Tm (\240)Tj 1 0 0 1 36.62 373.76999 Tm (Staff are supervised in their roles to ensure they can effectively suppo\ rt people in the )Tj 1 0 0 1 36.62 356.26999 Tm (home. )Tj 1 0 0 1 28.35001 331.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 239.31 w 34.60001 201.67998 m 562.53998 201.67998 l S 1 1 1 RG 22.5 w 32.35001 312.34 m 564.78998 312.34 l S 217.94 w 33.47 189.87 m 563.65997 189.87 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 299.97 m 565.87 299.97 l S 32.35001 301.03998 m 32.35001 78.70001 l S 564.78998 301.03998 m 564.78998 78.70001 l S 32.35001 299.97 m 564.78998 299.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 309.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 284.28 Tm (The staff recruitment records were inspected for two members of staff, o\ ne of which )Tj 1 0 0 1 36.57001 266.79001 Tm (has recently joined the home. These showed that the appropriate checks h\ ad been )Tj 1 0 0 1 36.57001 249.28998 Tm (made before employing staff into the home, including a criminal records \ check, written )Tj 1 0 0 1 36.57001 231.78998 Tm (references and a health check. All staff undergo an interview with the m\ anager. Staff )Tj 1 0 0 1 36.57001 214.3 Tm (are employed at the home once their POVA \(protection of vulnerable adul\ ts\)check has )Tj 1 0 0 1 36.57001 196.8 Tm (been received and they work under supervision until all other checks hav\ e been )Tj 1 0 0 1 36.57001 179.31 Tm (satisfactorily completed. All new staff work supernumerary to the rota f\ or at least a )Tj 1 0 0 1 36.57001 161.81 Tm (week and are required to undergo the 'skills for care' induction program\ me and )Tj 1 0 0 1 36.57001 144.31 Tm (workbook. The manager said that she is also completing the induction wit\ h existing )Tj 1 0 0 1 36.57001 126.82001 Tm (staff to revisit their knowledge and skills.)Tj 1 0 0 1 36.57001 109.32001 Tm (\240)Tj 1 0 0 1 36.57001 91.83 Tm (The manager has completed a recent training needs analysis and identifie\ d areas of )Tj ET endstream endobj 882 0 obj 2585 endobj 883 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (26)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 283.81 w 34.60001 669.5 m 562.53998 669.5 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 262.44 w 33.47 657.69 m 563.65997 657.69 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 524.26996 l S 564.78998 791.10999 m 564.78998 524.26996 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 525.33997 m 565.87 525.33997 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (training required in the home. The training records were seen as part of\ the inspection )Tj 1 0 0 1 34.32001 761.60004 Tm (and these showed that staff have completed some of the core courses they\ require to )Tj 1 0 0 1 34.32001 744.10999 Tm (safely support people. However, as previously reported staff have not co\ mpleted )Tj 1 0 0 1 34.32001 726.60999 Tm (training in safeguarding adults and the manager said this is being arran\ ged. There )Tj 1 0 0 1 34.32001 709.10999 Tm (were also some gaps in staff training, for example food hygiene and firs\ t aid, and )Tj 1 0 0 1 34.32001 691.62 Tm (some courses had been completed some time ago.)Tj 1 0 0 1 34.32001 674.12 Tm (\240)Tj 1 0 0 1 34.32001 656.63 Tm (None of the staff have completed any training in person centred planning\ yet, but the )Tj 1 0 0 1 34.32001 639.13 Tm (manager said that Person Centred Active Support training is currently be\ ing booked )Tj 1 0 0 1 34.32001 621.63 Tm (for staff with the Tizard centre. The majority of the staff team have co\ mpleted an NVQ )Tj 1 0 0 1 34.32001 604.14001 Tm (or are currently working toward the award. The manager said the home pla\ ns to work )Tj 1 0 0 1 34.32001 586.64001 Tm (toward achieving the Investors In People award over the next year.)Tj 1 0 0 1 34.32001 569.14996 Tm (\240)Tj 1 0 0 1 34.32001 551.64996 Tm (All staff have a supervision session with their manager at least every s\ ix weeks. A )Tj 1 0 0 1 34.32001 534.14996 Tm (record is kept of this to allow the manager to monitor that this is taki\ ng place. )Tj ET endstream endobj 884 0 obj 5687 endobj 885 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (27)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 1 1 1 RG 13.60001 w 29.55 794.84998 m 566.92999 794.84998 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 29.55 785.57001 Tm (Conduct and management of the home )Tj /T1_0 10 Tf 1 0 0 1 29.55 766 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35001 747.88995 Tm (These are the outcomes that people )Tj 1 0 0 1 250.50998 747.88995 Tm (staying in care homes)Tj 1 0 0 1 383.42999 747.88995 Tm ( should experience. They )Tj 1 0 0 1 28.35001 730.40002 Tm (reflect the things that people have said are important to them:)Tj /T1_2 5 Tf 0 Tr 1 0 0 1 28.35001 717.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 172.25 w 32.32001 627.38 m 562.52997 627.38 l S 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.64996 672.13 l S 1 1 1 RG 31.2 584.88 m 563.64996 584.88 l S 0.75294 0.75294 0.75294 RG 2.25 w 28.99001 628.5 m 565.84998 628.5 l S 28.99001 715.75 m 565.84998 715.75 l S 28.99001 628.5 m 565.84998 628.5 l S 28.99001 541.25 m 565.84998 541.25 l S 30.07001 716.82996 m 30.07001 540.16998 l S 564.77997 716.82996 m 564.77997 540.16998 l S BT /T1_0 12 Tf 1 0 0 1 35.5 702.57001 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 685.57001 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 1 0 0 1 35.5 668.57001 Tm (the home has appropriate ways of making sure they continue to get things\ right. The )Tj 1 0 0 1 35.5 651.57001 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 634.57001 Tm (carried out.)Tj 1 0 0 1 35.5 615.32001 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 598.32001 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 581.32001 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 564.32001 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 547.32001 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35001 523 Tm <0003>Tj 1 0 0 1 28.35001 501 Tm <0037004B004C00560003004C00560003005A004B0044005700030053004800520053004F00480003005600570044005C004C0051004A0003004C005100030057004B004C0056000300460044005500480003004B00520050004800030048005B005300480055004C0048005100460048>Tj 1 0 0 1 369.03998 501 Tm <001D>Tj /T1_0 12 Tf 1 0 0 1 28.35001 478.94 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 176.84 w 34.60001 385.75 m 562.53998 385.75 l S 1 1 1 RG 22.5 w 32.35001 465.16998 m 564.78998 465.16998 l S 154.34 w 33.47 374.50998 m 563.65997 374.50998 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 452.80002 m 565.87 452.80002 l S 32.35001 453.88 m 32.35001 295.13 l S 564.78998 453.88 m 564.78998 295.13 l S 32.35001 452.80002 m 564.78998 452.80002 l S 31.27 296.20999 m 565.87 296.20999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 461.85999 Tm (Judgement:)Tj 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.16998 437.12 Tm (good)Tj 0 Tr 1 0 0 1 292.91998 437.12 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 36.62 392.75 Tm (Service users benefit from a well run home and a competent and experienc\ ed )Tj 1 0 0 1 36.62 375.25 Tm (manager who knows what improvements need to be made to the service. The \ service )Tj 1 0 0 1 36.62 357.75998 Tm (is run in their best interests and they are consulted on their views at \ regular intervals.)Tj 1 0 0 1 36.62 340.25998 Tm (\240)Tj 1 0 0 1 36.62 322.76999 Tm (The health, safety and welfare of service users and staff is promoted an\ d safeguarded )Tj 1 0 0 1 36.62 305.26999 Tm (in the home. )Tj 1 0 0 1 28.35001 280.51999 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 188.31 w 34.60001 176.17999 m 562.53998 176.17999 l S 1 1 1 RG 22.5 w 32.35001 261.34 m 564.78998 261.34 l S 166.94 w 33.47 164.37 m 563.65997 164.37 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 248.97 m 565.87 248.97 l S 32.35001 250.03998 m 32.35001 78.70001 l S 564.78998 250.03998 m 564.78998 78.70001 l S 32.35001 248.97 m 564.78998 248.97 l S 31.27 79.78 m 565.87 79.78 l S BT /T1_0 12 Tf 1 0 0 1 35.5 258.03 Tm (Evidence:)Tj 1 0 0 1 36.57001 233.28 Tm (The manager is a registered nurse in Learning Disability and is commenci\ ng the )Tj 1 0 0 1 36.57001 215.78998 Tm (Diploma in Management Studies. She has a number of years experience in w\ orking )Tj 1 0 0 1 36.57001 198.28998 Tm (with people with learning disabilities and mental health needs and has b\ een registered )Tj 1 0 0 1 36.57001 180.78998 Tm (as the manager of the home since our last inspection of the service.)Tj 1 0 0 1 36.57001 163.3 Tm (\240)Tj 1 0 0 1 36.57001 145.8 Tm (The manager has completed recent training in the Mental Capacity Act and\ )Tj 1 0 0 1 36.57001 128.31 Tm (Deprivation of Liberty Safeguards and keeps up to date with relevant cha\ nges in )Tj 1 0 0 1 36.57001 110.81 Tm (legislation and practice through training and workshops. The manager is \ also a trainer )Tj 1 0 0 1 36.57001 93.31 Tm (is safeguarding adults.)Tj ET endstream endobj 886 0 obj 2881 endobj 887 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 56.81 m 566.92999 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.03999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 12 Tf 0 Tr 1 0 0 1 456.45999 52.03999 Tm (\240)Tj /T1_0 11 Tf 1 0 0 1 477.67999 53.03999 Tm (Page )Tj 2 Tr 1 0 0 1 508.20999 53.03999 Tm (28)Tj 0 Tr 1 0 0 1 522.20001 53.03999 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 53.03999 Tm (32)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35001 37.61 Tm (\240)Tj ET 0.99608 0.9451 0.76077 RG 353.80002 w 34.60001 634.51001 m 562.53998 634.51001 l S 1 1 1 RG 22.5 w 32.35001 802.40997 m 564.78998 802.40997 l S 332.41998 w 33.47 622.70001 m 563.65997 622.70001 l S 0.75294 0.75294 0.75294 RG 2.25 w 31.27 790.02997 m 565.87 790.02997 l S 32.35001 791.10999 m 32.35001 454.28 l S 564.78998 791.10999 m 564.78998 454.28 l S 32.35001 790.02997 m 564.78998 790.02997 l S 31.27 455.35999 m 565.87 455.35999 l S BT /T1_0 12 Tf 1 0 0 1 35.5 799.08997 Tm (Evidence:)Tj 1 0 0 1 34.32001 779.10004 Tm (\240)Tj 1 0 0 1 34.32001 761.60004 Tm (There are a number of systems in place within the service for monitoring\ the quality of )Tj 1 0 0 1 34.32001 744.10999 Tm (the home. The manager described a full programme of audits and showed th\ e )Tj 1 0 0 1 34.32001 726.60999 Tm (inspector examples of audits and checks that are carried out in relation\ to staffing, )Tj 1 0 0 1 34.32001 709.10999 Tm (safety and care practices. The AQAA for the service was completed to a h\ igh standard )Tj 1 0 0 1 34.32001 691.62 Tm (and demonstrates a good understanding of the areas of the service that w\ ould benefit )Tj 1 0 0 1 34.32001 674.12 Tm (from improvement. The service users are asked their views of the service\ through a )Tj 1 0 0 1 34.32001 656.63 Tm (number of means including the twice weekly community meetings and their \ care )Tj 1 0 0 1 34.32001 639.13 Tm (reviews. The manager also spends time each day talking with people in th\ e home to )Tj 1 0 0 1 34.32001 621.63 Tm (ensure their views are heard and is available for service users to see h\ er when they )Tj 1 0 0 1 34.32001 604.14001 Tm (wish.)Tj 1 0 0 1 34.32001 586.64001 Tm (\240)Tj 1 0 0 1 34.32001 569.14996 Tm (The manager said it is planned to widen the annual quality review of the\ home to )Tj 1 0 0 1 34.32001 551.64996 Tm (include service user surveys this year.)Tj 1 0 0 1 34.32001 534.14996 Tm (\240)Tj 1 0 0 1 34.32001 516.65997 Tm (There are no health and safety concerns in the home and the manager has \ completed )Tj 1 0 0 1 34.32001 499.16 Tm (risk assessments for the general environment as well as for individual s\ ervice users. It )Tj 1 0 0 1 34.32001 481.66998 Tm (may benefit service users to attend training in food hygiene as they wil\ l be making )Tj 1 0 0 1 34.32001 464.16998 Tm (more use of the skills kitchens in the future. )Tj ET endstream endobj 888 0 obj 3700 endobj 889 0 obj<>stream 0.75294 0.75294 0.75294 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35001 35.56 m 566.92999 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.78999 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.67999 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.20999 31.8 Tm (29)Tj 0 Tr 1 0 0 1 522.20001 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.48999 31.8 Tm (32)Tj ET 0.99216 0.9451 0.76077 RG 36.25 w 29.47 793.27997 m 564.96997 793.27997 l S 0.95294 0.95294 0.95294 RG 17 w 28.35001 804.02997 m 566.10004 804.02997 l S 28.35001 784.77997 m 422.10001 784.77997 l S 424.34998 784.77997 m 467.10001 784.77997 l S 1 1 1 RG 469.34998 784.77997 m 494.10001 784.77997 l S 0.95294 0.95294 0.95294 RG 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If you would like \ a summary in a )Tj 1 0 0 1 28.35001 662.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35001 622.62 Tm (Copyright \251 \(2009\) Care Quality Commission \(CQC\). This publicatio\ n may be )Tj 1 0 0 1 28.35001 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium \ provided that it )Tj 1 0 0 1 28.35001 587.63 Tm (is not used for commercial gain. This consent is subject to the material\ being )Tj 1 0 0 1 28.35001 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory\ manner or )Tj 1 0 0 1 28.35001 552.64001 Tm (misleading context. 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