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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Honey Lane Care Home)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (Honey Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Waltham Abbey)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Essex)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (EN9 3BA)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 331.89 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Bernadette Little)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Honey Lane Care Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Honey Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Waltham Abbey)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Essex)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (EN9 3BA)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01992718558)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01992653463)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (dawn.sharp@carebase.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 565.6 541.29 l S 0.001 w 20.58 w 31.2 495.63 m 353.25 495.63 l S 0.001 w 1 1 1 RG 20.58 w 355.5 495.63 m 565.9 495.63 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.8 m 353.25 472.8 l S 0.001 w 1 1 1 RG 20.58 w 355.5 472.8 m 565.9 472.8 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 567.8 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 551.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.22 m 568.1 484.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 567.8 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 484.22 m 568.1 484.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.39 m 568.1 461.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 460.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 508.12 m 354.37 460.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 460.31 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (Towertrend Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 59.76 513.69 Tm (Dawn )Tj ET /F2 12 Tf BT 1 0 0 1 97.86 513.69 Tm (Sharp)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 490.86 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 490.86 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 468.03 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 468.03 Tm (41)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 449.09 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 429.6 m 565.6 429.6 l S 0.001 w 41.16 w 31.2 396.48 m 297.2 396.48 l S 0.001 w 20.58 w 299.45 406.77 m 565.6 406.77 l S 0.001 w 20.58 w 299.45 386.19 m 432.52 386.19 l S 0.001 w 20.58 w 432.52 386.19 m 565.6 386.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 418.18 m 567.8 418.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.01 m 567.8 441.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 418.18 m 567.8 418.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 374.77 m 567.8 374.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 442.09 m 30.07 373.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 419.26 m 298.32 373.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 442.09 m 566.72 373.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 424.83 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 402 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 402 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 381.42 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 381.42 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 359.98 m 297.3 359.98 l S 0.001 w 20.58 w 299.55 359.98 m 431.45 359.98 l S 0.001 w 20.58 w 433.7 359.98 m 565.6 359.98 l S 0.001 w 35.16 w 31.2 329.86 m 297.3 329.86 l S 0.001 w 35.16 w 299.55 329.86 m 431.45 329.86 l S 0.001 w 35.16 w 433.7 329.86 m 565.6 329.86 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 299.74 m 565.6 299.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.57 m 567.8 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 567.8 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.33 m 567.8 288.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.5 m 568.1 265.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.09 m 568.1 228.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.68 m 568.1 190.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 567.8 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.57 m 567.8 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 567.8 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.33 m 568.1 288.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.5 m 568.1 265.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.09 m 568.1 228.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.68 m 568.1 190.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 167.85 m 568.1 167.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 372.47 m 30.07 166.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 372.47 m 298.42 310.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 372.47 m 432.57 310.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 372.47 m 566.72 166.77 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 355.21 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 355.21 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 355.21 Tm (41)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 332.38 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 332.38 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 332.38 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.97 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 272.14 Tm (One person, under the age of 65 years, who requires care by reason of dementia )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 249.31 Tm (Persons of either sex, aged 65 years and over, who require care by reason of dementia )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 234.73 Tm (\(not to exceed 41 persons\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 211.9 Tm (Persons of either sex, aged 65 years and over, who require care by reason of old age )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 197.32 Tm (only \(not to exceed 8 persons\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 174.49 Tm (The total number of service users accommodated must not exceed 41 persons )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 153.06 m 315.25 153.06 l S 0.001 w 1 1 1 RG 20.58 w 317.5 153.06 m 346.55 153.06 l S 0.001 w 20.58 w 348.8 153.06 m 377.9 153.06 l S 0.001 w 20.58 w 380.15 153.06 m 409.2 153.06 l S 0.001 w 20.58 w 411.45 153.06 m 440.55 153.06 l S 0.001 w 20.58 w 442.8 153.06 m 471.9 153.06 l S 0.001 w 20.58 w 474.15 153.06 m 503.2 153.06 l S 0.001 w 20.58 w 505.45 153.06 m 534.55 153.06 l S 0.001 w 20.58 w 536.8 153.06 m 565.9 153.06 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 164.47 m 568.1 164.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.64 m 568.1 141.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 165.55 m 30.07 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 165.55 m 316.37 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 165.55 m 347.67 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 165.55 m 379.02 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 165.55 m 410.32 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 165.55 m 441.67 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 165.55 m 473.02 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 165.55 m 504.32 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 165.55 m 535.67 140.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 165.55 m 567.02 140.57 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 148.29 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 129.77 m 565.9 129.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 120.14 m 568.1 120.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 121.22 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 121.22 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.39 m 568.1 139.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 120.14 m 568.1 120.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 140.47 m 30.07 119.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 140.47 m 567.02 119.07 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 126.21 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 126.21 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 106.96 Tm (Honey Lane Care Home is a 2-storey purpose built home providing care for people over )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 89.96 Tm (the age of 65. Residents' bedrooms and communal areas are situated on the ground )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 72.96 Tm (floor with administration office and staff room on the 1st floor. The home is divided in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 55.96 Tm (to three separate areas i.e. Forest \(2 units\), Abbey and Saxon. The home has a large )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 604.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 604.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 605.15 m 568.1 605.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (car park.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (The home is located about 2 miles from the centre and main shopping area of Waltham )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (Abbey. It is on a main bus route and there is good access by road as the home is in )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (close proximity to the M25.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (The current scale of charges at the home ranges between 438.00 - 902.00 per )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (week, as advised by the manager on the day of the site visit. The actual fee depends )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (on the source of funding, assessed care needs and/or type of accommodation available )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (i.e. double/single bedroom. There are additional charges for items of a personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (nature.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm (The home's Statement of Purpose and Service User Guide are available from the home.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 593.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 576.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 532/Matrix [1 0 0 1 0 0]>>stream xMo1+|K?R Y@T~>hRiRމ=~^gb.a$II=9|#}o.Fr.T,?ϒPfr6ØkJNz`ȣHtٺ$ ?[׃Kyթd+ՄVVԞ^J4?XڻpDo2LrYSWbo`@"TfLLHk0#CנHSQt5B#i{ccГ8({[skJPW(/?L]v,N*3ctΎ G2MuF\ًJC/nQ7+/r:݆.ǯA}7 owwW?|9_O$: 8).)& J~Gw4g k,૳vKκ-!4}34㼰G_# rYi |Kk=g6ڛs v*L՟yrLꄏ endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 411.34 715.45 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The last key inspection of this service was undertaken on 1st August 2007. An Annual )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (Review of the service was undertaken in July 2008 that identified that we did not have )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (enough current information to rely on and needed to review our inspection plan and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (undertake a key inspection by the end of January 2009. This site visit was undertaken )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (over an eight hour period on one day as part of that key inspection. Time was spent )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (with residents, visitors and staff and information gathered from these conversations as )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (well as from observations of daily life and practices at the home have been taken into )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (account in the writing of this report.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (The manager submitted an Annual Quality Assurance Assessment \(AQAA\) as required )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (prior to the site visit. This is to detail their assessment of what they do well, what has )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 236.28 w 32.32 694.39 m 566.72 694.39 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 575.12 m 568.92 575.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 574.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 574.05 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (improved and what they plan to do better. The AQAA contained an adequate level of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (information that was considered as part of the inspection process.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (Prior to the site visit, we sent the manager a variety of surveys to distribute to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (residents, relatives, staff care managers and health professionals. Subsequent to the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (site visit, surveys were received from four residents, four staff, seven relatives and one )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (health professional. The information provided and comments made are reflected in this )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (A tour of the premises was undertaken and records, policies and procedures were )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (sampled. The manager was present during the site visit along with the operations )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (manager and both assisted with the inspection process. The outcomes of the site visit )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (were fed back and discussed with the manager and operations manager and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (opportunity given for clarification were necessary.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (The assistance provided by all those involved in this inspection process is appreciated.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 297.6 w 32.32 642.02 m 566.72 642.02 l S 0.001 w 20.58 w 32.7 480.68 m 569.35 480.68 l S 0.001 w 377.17 w 33.82 279.56 m 568.22 279.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 492.1 m 568.92 492.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 491.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.1 m 569.35 492.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 469.27 m 569.35 469.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 469.27 m 570.42 469.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 470.35 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 491.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 470.35 m 569.35 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The management team undertake a pre-admission assessment before people come to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (live at the home so they can be sure that they know the person's needs. They now )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (plan to write to people before admission to confirm this.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (All the comments received about the staff at Honey Lane were positive and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (complimentary and included "the carers are always considerate to the residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (whatever their mental state, and we have only experienced kindness from those who )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (care for our loved one" and staff are very friendly and helpful, when I have had a 'bad' )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (time with my relative they have been there for me to, thank you".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (Outcomes for residents were generally observed as positive. Residents' health care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (needs are met and a survey from a health professional stated "the level of care and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (caring is outstanding at Honey Lane; the staff are well organised, kind and above all )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (good at managing patients with multiple pathologies and dementia".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (Staff feel well supported by their managers and note positive changes such as "there )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (have been tough times with staffing, my new manager has worked hard to rectify this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (since coming to Honey Lane and has concentrated on increasing staffing levels". Staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (comments, including from a member of the night staff, also indicated that there is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm (good communication within the staff team.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 640.47 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 478.57 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 475.91 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 479.13 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 278.01 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm (A new manager has been appointed since the last inspection and who has )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm (demonstrated a number of changes and improvements in the time they had been in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (post.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm (These include actively progressing the ongoing redecoration programme, introducing a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm (mobile shop for residents, introducing a weekly check by the keyworkers of each )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm (person's room to make sure that they have their own clothes as sometimes in a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm (dementia care setting items get 'borrowed' from one room to another and arranging for )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm (additional staff to be on duty at times where previous accident records indicated a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (concern.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm (A new menu system has been introduced that has been devised in consultation with )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (nutritionalists to ensure that the diet is balanced, enjoyable and offers plenty of )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm (choices to residents.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm (More permanent staff have been recruited resulting in a decrease in agency staff, thus )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (offering more continuity and consistency of care for residents. More recent recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (procedures have been made more robust to safeguard people using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (New procedures have been put in place, for example to ensure that staff make )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm (themselves aware of the care plans and care needs of the people they are caring for to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm (assist them to meet these more effectively.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 117.74 Tm (A minibus is now available to take residents on outings so providing more opportunities )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 103.16 Tm (for stimulation and enjoyment. Training on dementia care is being provided for the two )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 278.01 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 33.82 803.74 m 568.22 803.74 l S 0.001 w 20.58 w 33.45 782.41 m 570.1 782.41 l S 0.001 w 283.02 w 34.57 628.36 m 568.97 628.36 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.62 813.65 m 570.42 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 793.82 m 570.42 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 814.73 m 569.35 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 770.99 m 570.1 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 793.82 m 570.1 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 770.99 m 571.17 770.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 485.72 m 571.17 485.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 772.07 m 33.45 484.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 772.07 m 570.1 484.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm (activity coordinators to enable them to support people more effectively.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 780.86 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 777.64 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 626.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 754.81 Tm (Care plans need to include clearer instructions for staff on how they are to provide care )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 740.23 Tm (to each person that meets their individual needs. Care plans also need to be in place )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 725.65 Tm (for each person on admission, so that from day one, staff are able to provide )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 711.07 Tm (consistent care in the way the person prefers.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm (Staff recruitment files must contain all the required information and records to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm (that residents are safeguarded. This also applies to agency staff.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 652.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 638.17 Tm (Staff training files need to indicate a thorough induction programme is provided to all )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 623.59 Tm (staff. Staff need to be provided with training in dementia care and positive responses )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 609.01 Tm (training, particularly as the manager advised that the majority of the residents )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 594.43 Tm (currently at Honey Lane are living with dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 579.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 565.27 Tm (The timing of the opportunity to choose a meal could be more effectively managed for )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 550.69 Tm (people with cognitive impairment and memory loss as they may not remember what it )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 536.11 Tm (was that they chose the day before.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 521.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 506.95 Tm (Records should indicate the nutritional intake of all residents and rotas need to record )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 492.37 Tm (the full name of all staff who provide care and support to residents.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 471.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 451.17 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 451.17 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 451.17 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 433.67 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 413.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 393.68 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 393.68 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 393.68 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 376.18 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 376.18 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 376.18 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 358.69 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 360 m 563.65 360 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 290.14 m 566.98 290.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Prospective residents can expect to be provided with information on which to base a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (decision to live at Honey Lane and have an assessment of their needs so they can be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (sure they can be met there.)Tj ET 0.99608 0.9451 0.76078 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 0.001 w 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.89 m 566.98 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.89 m 565.9 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (All surveys received from residents at Honey Lane confirmed that they had received )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (enough information about the home before they moved in so they could decide if it )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (was the right place for them. They also confirmed that they had received a contract )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (and copies of contracts were seen on files sampled. One relative spoken with advised )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (that they had looked up the home's reports on the Internet, visited prior to their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (relative being admitted but not had been given any information about the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (manager said sometimes the service user guide and contract go out before admission )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (but must be provided at least on the day of admission. Good practice would indicate )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (this information would be made available prior to admission and the preadmission )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (assessment could record this. Residents spoken with confirmed that they or their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (relatives had been able to visit the home prior to admission.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (The AQAA states that a comprehensive pre-admission assessment is carried out on all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (prospective residents. Files of some people recently admitted were sampled to look at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (how well the manager had assessed their needs prior to admission to ensure that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (staff skills and the facilities at Honey Lane were appropriate to meet these. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (manager stated that following one recent assessment she had refused to offer the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (person a place as she felt their needs could not be met at Honey Lane.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (Files reviewed showed that a pre-admission assessment had been undertaken by a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (member of the management team for each person. The assessments were sufficiently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (detailed to give a clear view of the person's requirements. There was evidence that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (prospective residents or their relatives had been involved in the assessment, which is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (good practice. However, there was no evidence on the files reviewed that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (had written to the person as required, to confirm to them that based on the home's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (assessment, the home could meet their needs. The operations manager stated that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (this would now be implemented.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Intermediate care is not offered at Honey Lane.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 402.74 m 563.65 402.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 97.48 w 32.32 391.5 m 564.78 391.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 341.63 m 566.98 341.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (Although there are some shortfalls in care planning, there are generally positive care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (outcomes for residents and their medication is safely managed.)Tj ET 0.99608 0.9451 0.76078 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 0.001 w 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 294.39 m 566.98 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 295.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 295.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.39 m 565.9 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 303.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (Care plans were reviewed for three residents and were found to vary in the quality of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (the information provided to staff on how to provide care to individuals. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (and operations manager agreed that there needed to be more specific information in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (some areas of care planning to support good care outcomes. Care plans of more )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (recently admitted residents were recorded as written some days after admission rather )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (than being in place for the person on admission, based on their assessment. Baseline )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (assessments were in place but were undated and unsigned. Risk assessments such as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (for tissue viability, falls, moving and handling and nutrition were undertaken sooner )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (after admission and showed some cross-reference to care plans, which is good )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (practice. Care plans included reference to the person's likes and dislikes such as times )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (for going to bed and getting up, but were not signed by the residents or their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (representative.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (On one care file where the nutritional risk assessment indicated a cause for concern, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (the care plan on this care need was not completed, although a weight monitoring chart )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (was in place. Additionally for this person, their preadmission assessment indicated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (some verbal aggression and resistance to personal care. While the triggers for this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (were identified in a plan of care there was a lack of information for staff on how this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (was to be managed in practice. On another resident's file, care notes recorded "been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (very unsettled and confused" or "appeared to become very agitated" but with no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (information on what action was taken to support the resident. On the care plan of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (longer tern resident, it was noted positively that where a high risk of pressure sores )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (was indicated, there was a clear care plan in place relating for example to equipment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (to be used, frequency of turns and bed rests and this was supported by a turning )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (chart. This care plan had been regularly reviewed.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (All surveys from relatives and the majority from service users indicated that they feel )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (the care home always or usually meets the needs of the residents. One person who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (said they only sometimes receive the care and support they need added "carers are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (not always around when needed" and another said that they had to bring to staff's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (attention when their relative had swollen ankles. Surveys from other residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (indicated that staff are always or usually available when they need them and that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (listen and act on what they say. One person commented "the manager or a senior )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (carer will always listen to any queries we may have". In surveys and discussions staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (stated that they are given up-to-date information about the needs of the people they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (support, and one person added "both in the care plans and hand over and in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (discussions with colleagues".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Staff observed and respond to residents needs promptly and spoke to them with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (respect. Residents spoken with and able to comment confirmed that staff looked after )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (them well.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (Care files and care notes confirm that residents are supported to access health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (services such as GP, district nurse, dietitian, optician or chiropodist. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (advised of supportive professional relationships with both the GP and district nurses )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (who will come in on request, in addition to a GP visiting the home routinely once a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (week. Surveys from residents indicated they always receive the medical support they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (need with the exception of one survey which indicated this only occurred sometimes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (but did not provide any additional information. A survey received from a health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (professional indicated the view that the care service always seek advice and act upon )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (it to promote residents' health, that peoples health care needs are always met by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (service, their privacy and dignity is maintained and staff have the right skills and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (experience to support residents health care needs. They add a comment "all patients )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 443.77 w 33.45 589.52 m 563.65 589.52 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 422.4 w 32.32 577.71 m 564.78 577.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 364.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 364.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 365.38 m 566.98 365.38 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (are put at the centre of care".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Medication storage and a sample of records were reviewed. A medication care plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (was in place for any person prescribed 'as required' medication which is good practice. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Medication administration record \(MAR\) charts were reviewed and no omissions were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (noted. The medication records sampled tallied with those medicines remaining in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (blister pack. Dated photographs of residents were available on the MAR to support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (identification, as was specific relevant information relating to the person such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (difficulty with swallowing. Entries sampled in the controlled drugs register were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (appropriately maintained and tallied with the remaining medicines. An up-to-date )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (signatory list was available to show the signatures of staff deemed competent by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (manager to administer medication.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Care plans made reference to promoting privacy and dignity, for example when people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (were being hoisted, but did not specify how staff were to achieve this in everyday )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (practice. A senior staff spoken with was unable to clarify this in conversation. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Discussions with care staff indicated a knowledge of privacy and dignity and confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (that this is an area discussed as part of their induction. Staff were also observed to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (talk to residents respectfully. A survey from a relative stated "my relative does not like )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (a male carer to wash or bath them. When there is a lot of turnover of staff and male )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (carers are available to help my relative, the senior carers try to make sure that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (are bathed by a female member of staff". The health professional survey confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (that individual's privacy and dignity is respected "as far as it is possible in patients )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (with dementia".)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 436.74 m 563.65 436.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 97.48 w 32.32 425.5 m 564.78 425.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.63 m 566.98 375.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Residents at Honey Lane can expect to enjoy an increasing range of appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (activities but may not always be best supported in making choices.)Tj ET 0.99608 0.9451 0.76078 RG 281.54 w 33.45 208.99 m 563.65 208.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.76 m 565.9 340.76 l S 0.001 w 260.16 w 32.32 197.18 m 564.78 197.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 328.39 m 566.98 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 329.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 329.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.39 m 565.9 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 337.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.7 Tm (In their AQAA the manager advised that they are going to start compiling full life story )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (books on each of the residents to establish exactly what they used to do for a living or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (as a hobby so that they can adapt things in the home to emulate these. They also plan )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (to access additional training for their activities staff and to involve care staff in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (activities as part of daily care. This was observed in practice during the site visit when )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (care staff engaged with residents in looking at magazines, sitting and chatting or a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (seated exercise game with balloons.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (In discussion the manager also confirmed that they now have shared access to a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (minibus and plan to arrange an outing for residents once a week. They have also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (introduced a 'mobile shop' so that residents can choose their own toiletries or sweets )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (etc. There are now some 40 staff hours allocated to supporting activities and both )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (activity coordinators are to attend dementia training with the home's manager. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (activity coordinator advised of a four-week plan that is not set and is flexible to work )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 566.25 w 33.45 528.28 m 563.65 528.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 544.88 w 32.32 516.47 m 564.78 516.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 242.91 m 566.98 242.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (with the needs and preferences of the residents at any time. The manager proposes to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (develop a pictorial plan of activities that may assist more residents to demonstrate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (their preferences.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (Most service user surveys received indicated that were always or usually activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (arranged by the home that they could join in with although one person said there was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (never anything suitable. Another comment said "I have been made aware of a few )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (activities, would like more information on what they do regularly each week". A survey )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (from a relative who advised of a specific impairment of a resident said "their needs for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (entertainment like joining in games are restrictive, but they \(staff\) do try to engage )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (with them when possible". Another person said they had very recently been made )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (aware of plans for activities at the relatives meeting at Honey Lane.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (All relatives and residents spoken with and comments in surveys indicated that visitors )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (are welcomed at Honey Lane. A number of relatives were at the home on the evening )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (of the site visit to attend a relatives meeting.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Surveys received from residents and those spoken with confirmed that most people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (liked the meals provided at the home. The AQAA advised that the newly introduced )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (menu system was devised in consultation with nutritionalists to provide a balanced and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (suitable diet that offers plenty of choice. The menu was displayed in the hallway and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (outside each dining room and demonstrated choices available. The manager advised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (that menus had been provided on tables but were removed by residents. Tables in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (dining room were pleasantly set for small groups, with some residents eating breakfast )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (there while other people ate in their own bedroom.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (A record is maintained of what residents choose from the menu but a full record of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (what residents actually eat is maintained only for those residents who are identified as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (at risk. This is an outstanding issue from the last inspection. It is recommended that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (residents, particularly those with dementia, be offered an active choice at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (their meal, rather than choosing something from a menu the day before.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 426.63 m 566.98 426.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People living at Honey Lane can expect to feel listened to and to be safeguarded by )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (staff knowledge of the procedures around complaints and protection. )Tj ET 0.99608 0.9451 0.76078 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (The complaints procedure was displayed in the entrance hall and so was readily )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (available to visitors. It provides limited information on the timescales that people will )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (receive responses at the various stages, so that they know what to expect. The detail )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (may lead people to believe erroneously that the Commission is a complaints )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (investigation agency, and does not provide information on the available option of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (taking the complaint to Social Care \(Social Services\).)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (A relative spoken with said that the manager was approachable and they felt they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (would be able to raise any concerns. A complaints logging and tracking form was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (available to record both written and verbal complaints and timescales, outcomes and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (actions taken. Surveys from residents confirm they know who to speak to if they are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (not happy and that they know how to make a complaint. Surveys from relatives also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (confirmed that they knew how to make a complaint and that the care service had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (responded appropriately if they had raised any concerns with comments such as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm ("Always responded to any concerns", " The manager or a senior carer is always )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (available if there is a query or complaint" and "Management take on board when and if )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (a complaint".)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 496.26 w 33.45 563.27 m 563.65 563.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 474.89 w 32.32 551.46 m 564.78 551.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 311.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 311.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 312.89 m 566.98 312.89 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Carebase have a detailed policy and procedure on Safeguarding Vulnerable Adults. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (There have been three referrals to the safeguarding team since the last inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (These had been appropriately referred by the home's managers and appropriate action )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (taken for example, in suspending or dismissing staff. One related to a resident's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (medical care and was found not to be upheld. The second related to inappropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (moving and handling by two staff members and was upheld. The third related to an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (allegation made by a resident regarding the way they were handled by a staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (member. This was found not to be upheld, but the investigation identified concerns )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (that the staff member involved had had no induction training and had no knowledge of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the resident's care plan, that would identify the way they should be cared for and any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (specific risks for them. The current manager advised of their subsequently introduced )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (requirement for staff to sign to confirm their understanding of their responsibility to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (read and be aware of the care plans of people they are to support.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Surveys received from staff confirmed that they would know what to do if anybody )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (raised a concern with them regarding Honey Lane.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The staff training matrix demonstrated that all but one care staff had attended training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (on safeguarding vulnerable people in the last sixteen months. Staff files sampled )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (contained evidence of this training. The manager advised that outsourced training is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (booked for April 2009 and that staff are provided with training on safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (vulnerable people and whistleblowing during their initial three day induction period. It )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (is also covered as part of Skills for Care induction and there is also a plan to obtain a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (training video. Staff spoken with were able to identify types of abuse and confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (that they would report it without hesitation, to their manager or more senior person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (within the organisation, or to the Commission if that was appropriate.)Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Residents of Honey Lane live in an improving environment that is being developed to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (meet their needs.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (There are three main units at Honey Lane, Saxon, Forest 1 and 2 and Abbey, each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (with communal spaces and facilities, served by a central kitchen and laundry. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (AQAA stated that there has been much refurbishment and improvement of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (environment at Honey Lane and that there is an ongoing redecoration programme.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (At the time of the site visit new furniture was being fitted to 23 bedrooms and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (manager confirmed that all bedrooms will be refitted. In addition all lounges are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (imminently to have new furniture and all lounges, corridors and approximately one )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (third of bedrooms are to have new carpets in the near future. New large screen )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (televisions had been provided in the lounges. Arrangement of furniture in the lounges )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (was being implemented that allowed areas for watching television as well as quieter )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (areas.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (The manager also advised of setting out furniture in a 'flow' arrangement that will not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (present as barriers or 'stop' people moving around, to support people who need to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (walk round, an issue for many people living with dementia. A reminiscence room has )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 478.77 w 33.45 572.02 m 563.65 572.02 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 457.4 w 32.32 560.21 m 564.78 560.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 330.39 m 566.98 330.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (been created and an additional visitors room will be created upstairs. There is a plan to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (make the central courtyard and outside garden areas more user friendly, to enlarge )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (the hairdressing room to "make it a nicer facility and experience for residents" and to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (provide a wet room that would provide an accessible shower facility for all residents.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Areas of the home viewed, both communal and residents bedrooms, were clean and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (there were no odours noted. Bedroom doors had glass viewing panels that did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (present as homely but these did have a curtain to promote privacy. Bedroom doors did )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (not have suitable locks fitted to positively promote resident choice and privacy. Many )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (bedrooms presented as personalised and there was some basic support for orientation )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (with photographs on bedroom doors to help residents to recognise their own personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (space.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (The laundry doors contained a notice to keep them locked, but both were found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (unlocked with no staff in the area. A chlorine based liquid was available in an unlocked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (cupboard and latex gloves were readily available to residents around the home. Both )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (present a potential risk to residents and the operations manager was advised to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (ensure safe storage for hazardous items. The laundry and kitchen were noted to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (clean and tidy. No paper towels for hand drying were available in one bathroom. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (does not promote best practice in management of infection control.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (Relative surveys mainly indicated that the home is always fresh and clean. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (from relatives' surveys included "when you enter the care home it smells good", "has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (been times when soiling found in bedroom including soiled clothes that left a smell" )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (and "because this is a dementia home it is inevitable that at times there is a smell )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (when accidents occur but these are dealt with quickly".)Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 462 m 563.65 462 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 114.98 w 32.32 450.75 m 564.78 450.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 391.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 392.14 m 566.98 392.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Residents can expect to be cared for by a more stable staff group that will offer )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (continuity of care, and to be better safeguarded by the improving recruitment and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (developing induction procedures.)Tj ET 0.99608 0.9451 0.76078 RG 298.04 w 33.45 217.24 m 563.65 217.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 357.27 m 565.9 357.27 l S 0.001 w 276.67 w 32.32 205.43 m 564.78 205.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 344.89 m 566.98 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 345.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 345.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.89 m 565.9 344.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 353.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (Comments received from residents, relatives and a health professional either through )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (conversation or surveys were positive regarding the care staff at Honey Lane and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (included " they are nice members of staff who are approachable" and "carers are good )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (and hard working at all times" and "staff are excellent".)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (Other comments from surveys included "at times there has only been one member of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (staff on in my relatives section, had some concerns i.e. hot cups of tea left with those )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (unable to hold them and clients wandering in and on out of each other's rooms with no )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (intervention from staff". Another person said that sometimes agency care staff do not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (have the right skills and experience to look after people properly.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (The manager advised that for the current residents group, day staffing levels are two )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (carers on Abbey unit, three carers over the two Forest units, two carers on Saxon unit )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (including the senior and the additional carer available between 8am and 6pm. There is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (also a deputy manager and two activities coordinators as well as ancillary staff. Night )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (staffing levels are advised as one senior plus three carers. Staff spoken with were clear )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (that lounges were not to be left unsupervised and this was observed in practice. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (confirmed in surveys and discussion that the current staffing level is adequate to meet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the needs of current residents and one commented "there will always be the odd times )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (when it seems there are not enough staff but in reality there are".)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The manager advised that there has been some recent successful recruitment, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (although some agency staff are still being used while references and checks are being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (obtained and new staff are still shadowing, they should have a full complement of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (permanent staff in the very near future. This will improve continuity of care for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (residents.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (As stated in their AQAA, the manager confirmed that as a minimum, all staff, apart )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (from those recently recruited, have completed or are working towards completion of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (NVQ level 2. New staff will commence this training in the near future and the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (stated that all staff are informed at interview that they are expected to undertake )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (training to least NVQ level 2 standard. Additionally two staff have completed NVQ level )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (3 and another four staff wish to progress to this level.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Files were reviewed for two staff recruited since the manager came into post to assess )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (if appropriate information, references and checks had been undertaken to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (prospective staff are suitable people to care for the residents at Honey Lane. Both )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (contained applications, two references, a declaration of health and offences, evidence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (of identity and timely Pova First and Criminal Record Bureau checks. One file indicated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (that the person had commenced work on the date that their reference had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (received, but the manager confirmed that this had been hand delivered as agreed with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (the person, prior to the shift starting. This file contained an employment history only )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (for the last three years and there was no evidence available that the reason for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (gap had been explored and recorded as required.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (The more recent file indicated new safeguards put into place by the manager as an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (integral part of the recruitment process, including for example staff signing a separate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (declaration to confirm their work history is accurate, that they have received key )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (policies and procedures including that relating to safeguarding adults and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (understanding of the requirement on them to read the care plans. There also was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (evidence that written references had been confirmed by telephone by the management )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (at Honey Lane.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (Profiles for recently used agency staff, identified from the rota, were requested for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (review. The manager confirmed that no written confirmation had been obtained that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (agency staff had had appropriate training and recruitment checks to ensure residents )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 566.25 w 33.45 528.28 m 563.65 528.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 544.88 w 32.32 516.47 m 564.78 516.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 242.91 m 566.98 242.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (were safeguarded. Rotas did not contain the full name of agency staff used to confirm )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (the identity of the person providing care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (A staff induction checklist was noted on each of the two permanent staff files reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (which was signed by the new member of staff and confirmed receipt of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (employment handbook covering issues such as confidentiality. While there was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (evidence that Skills for Care induction progress log had commenced, the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (confirmed that the two entries, last dated over two months ago, were not satisfactory )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (and this is an area for development. This was a requirement from the last inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (that is expected to be addressed by the new manager. A recently employed and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (previously experienced staff member spoken to confirmed that they had had an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (induction that included them shadowing an experienced member of staff. They had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (also been provided with training for example, on safeguarding vulnerable adults and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (moving and handling. Surveys received from staff also indicated that they had had a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (satisfactory induction.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The training matrix provided of current training was reviewed to consider whether staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (were provided with appropriate training to meet the needs of people using the service. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (This identified that the majority of staff had up-to-date training in mandatory issues )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (relevant to their role such as medication, moving and handling, health and safety, food )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (hygiene, safeguarding, fire awareness and infection control. Some staff also had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (additional training such as first aid and on the mental capacity act. It was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (disappointing to note that, in a home registered to provide care to people living with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (dementia, only five carers and two senior carers are recorded as having attended )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (dementia training and none are recorded as having attended training on managing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (behaviour that challenges. The manager advised the training for staff on dementia is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (to be provided in the near future. Training files for two longer serving members of staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (were sampled and confirmed the information in the training matrix. Comments from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (staff surveys or those spoken with felt that they had good access to training and that it )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (was encouraged by the organisation and one person commented "My manager is very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (good in training her staff and I appreciate the way I am trained".)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Residents can expect to benefit from the improving management systems that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (promote their best interests and to have their views listened to.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (A new manager was appointed in August 2008 and advised they effectively took up )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (post in October. The manager confirmed that they have appropriate experience in care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (settings including working as a deputy manager, have achieved the Registered )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (Manager's Award and are currently undertaking a one-year course in Dementia Care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (from the University of Surrey. The manager advised they have introduced a system )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (whereby a short report is written by staff over the 24-hour period, so that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (manager always has up-to-date information on issues such as accidents, admissions or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (staff sickness.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (As advised in their AQAA and confirmed during this inspection, the manager has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (implemented a number of changes and improvements in the limited time they have )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (been in post, including improving the environment for residents, putting plans for staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (training in place, ensuring care staff understand their responsibility in knowing the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (care needs of the people they provide care to and in improving the more recent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (recruitment practices for permanent staff. The manager also demonstrated an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (awareness of the need to improve care planning, to provide additional training for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (staff, review staff recruitment files to ensure they contain all the required information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (and implement effectively induction training to Skills for Care standard, with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (confirmation that these will be implemented.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The registered provider has a quality assurance system in place that includes obtaining )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the views of residents and relatives. Recently received completed surveys from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (relatives and residents were available. These demonstrated satisfaction with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (services provided including for example availability of social activities, food and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (support received. A copy of the report of this survey will be sent to the Commission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (once available. There was also evidence that the registered provider undertakes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (detailed monthly audits, reviews and reports of the home as required to reassure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (themselves that the home is running as it should.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The management of the home did not look after any personal money of behalf of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (people living there. Relatives are invoiced routinely for such items as hairdressing or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (chiropody services.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Findings of the review of records are included throughout this report and indicates that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (some records needed to be improved including care plans, daily care notes, record of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (nutrition and also the rota which did not clearly identify the name of all staff working )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (at the home. Records of accidents and events required to be notified to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (Commission were well maintained and readily available. The manager advised that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (having reviewed the accident records on coming into post, they requested an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (additional member of staff between 8am and 6pm. The manager stated this was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (agreed by the registered provider and has resulted in a 70 per cent decrease in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (number of accidents occurring in the home, leading to a more positive outcome for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (residents.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Clear and well maintained records were available to show us that regular checks were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (made, for example of the hot water temperatures, the fire alarm and call bell system. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (The manager agreed that checks need to be routinely undertaken on the cold water )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (system to in relation to management of Legionella. Risk assessments were available )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (relating to safe working practices and minutes of regular health and safety meetings )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (were available. There was a letter from Essex Fire and Rescue Service advising of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (satisfactory standard of fire safety at their recent site visit. There was no evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (the timing of fire drills and the staff who attended as routine practice to support )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 58.86 w 33.45 781.97 m 563.65 781.97 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 37.49 w 32.32 770.16 m 564.78 770.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 749.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 749.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 750.29 m 566.98 750.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (effective monitoring. The manager confirmed that all staff undertake a fire drill as part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (of their fire training.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 478.6 m 566.2 478.6 l S 0.001 w 18.15 w 31.2 433.61 m 91 433.61 l S 0.001 w 18.15 w 93.25 433.61 m 197.4 433.61 l S 0.001 w 18.15 w 199.65 433.61 m 566.2 433.61 l S 0.001 w 1 1 1 RG 64.32 w 31.2 390.13 m 91.05 390.13 l S 0.001 w 64.32 w 93.3 390.13 m 197.4 390.13 l S 0.001 w 64.32 w 199.65 390.13 m 566.1 390.13 l S 0.001 w 64.32 w 31.2 323.56 m 91.05 323.56 l S 0.001 w 64.32 w 93.3 323.56 m 197.4 323.56 l S 0.001 w 64.32 w 199.65 323.56 m 566.1 323.56 l S 0.001 w 35.16 w 31.2 271.57 m 91.05 271.57 l S 0.001 w 35.16 w 93.3 271.57 m 197.4 271.57 l S 0.001 w 35.16 w 199.65 271.57 m 566.1 271.57 l S 0.001 w 49.74 w 31.2 226.87 m 91.05 226.87 l S 0.001 w 49.74 w 93.3 226.87 m 197.4 226.87 l S 0.001 w 49.74 w 199.65 226.87 m 566.1 226.87 l S 0.001 w 64.32 w 31.2 167.59 m 91.05 167.59 l S 0.001 w 64.32 w 93.3 167.59 m 197.4 167.59 l S 0.001 w 64.32 w 199.65 167.59 m 566.1 167.59 l S 0.001 w 49.74 w 31.2 108.31 m 91.05 108.31 l S 0.001 w 49.74 w 93.3 108.31 m 197.4 108.31 l S 0.001 w 49.74 w 199.65 108.31 m 566.1 108.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 443.81 m 568.4 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.41 m 568.4 423.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 444.89 m 92.12 355.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.84 m 568.3 356.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.27 m 568.3 290.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.86 m 568.3 252.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 200.87 m 568.3 200.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 134.3 m 568.3 134.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.38 m 568.4 513.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.81 m 568.4 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.41 m 568.3 423.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.84 m 568.3 356.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.27 m 568.3 290.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.86 m 568.3 252.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 200.87 m 568.3 200.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 134.3 m 568.3 134.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 82.31 m 568.3 82.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.46 m 30.07 81.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 424.49 m 92.17 81.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 444.89 m 198.52 81.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 514.46 m 567.32 81.24 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 497.2 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 479.62 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 465.04 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 450.46 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 432.64 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 429.64 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 429.64 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 407.23 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 407.23 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 407.23 Tm (Ensure that each person's care plan includes all aspects of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 392.65 Tm (their assessed needs and provides staff with clear detail on )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 378.07 Tm (how these are to be met in practice from the day of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 363.49 Tm (admission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.66 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 340.66 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 340.66 Tm (The activities programme and life history work should )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 326.08 Tm (continue to be developed to ensure there are suitable and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 311.5 Tm (meaningful occupations for residents to meet their )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 296.92 Tm (individual needs and capabilities.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 274.09 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 274.09 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 274.09 Tm (Residents should have an active choice of meals offered in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 259.51 Tm (a way and at times that enable them to use it effectively.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 236.68 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 236.68 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 236.68 Tm (A record should be kept for all residents of the food )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 222.1 Tm (provided in sufficient detail to enable the record to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 207.52 Tm (demonstrate that the diet is nutritionally satisfactory.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 184.69 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 184.69 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 184.69 Tm (The complaints procedure should provide better information )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.11 Tm (for people on the timescales they can expect for responses )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 155.53 Tm (and also on their option to contact Social Services to make )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 140.95 Tm (a complaint.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 118.12 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 118.12 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 118.12 Tm (Paper towels should be available in all bathrooms to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 103.54 Tm (support effective handwashing and management of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 88.96 Tm (infection control.)Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (31)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 35.16 w 31.2 794.95 m 91.05 794.95 l S 0.001 w 35.16 w 93.3 794.95 m 197.4 794.95 l S 0.001 w 35.16 w 199.65 794.95 m 566.1 794.95 l S 0.001 w 49.74 w 31.2 750.25 m 91.05 750.25 l S 0.001 w 49.74 w 93.3 750.25 m 197.4 750.25 l S 0.001 w 49.74 w 199.65 750.25 m 566.1 750.25 l S 0.001 w 64.32 w 31.2 690.97 m 91.05 690.97 l S 0.001 w 64.32 w 93.3 690.97 m 197.4 690.97 l S 0.001 w 64.32 w 199.65 690.97 m 566.1 690.97 l S 0.001 w 49.74 w 31.2 631.69 m 91.05 631.69 l S 0.001 w 49.74 w 93.3 631.69 m 197.4 631.69 l S 0.001 w 49.74 w 199.65 631.69 m 566.1 631.69 l S 0.001 w 93.48 w 31.2 557.83 m 91.05 557.83 l S 0.001 w 93.48 w 93.3 557.83 m 197.4 557.83 l S 0.001 w 93.48 w 199.65 557.83 m 566.1 557.83 l S 0.001 w 35.16 w 31.2 491.26 m 91.05 491.26 l S 0.001 w 35.16 w 93.3 491.26 m 197.4 491.26 l S 0.001 w 35.16 w 199.65 491.26 m 566.1 491.26 l S 0.001 w 35.16 w 31.2 453.85 m 91.05 453.85 l S 0.001 w 35.16 w 93.3 453.85 m 197.4 453.85 l S 0.001 w 35.16 w 199.65 453.85 m 566.1 453.85 l S 0.001 w 35.16 w 31.2 416.44 m 91.05 416.44 l S 0.001 w 35.16 w 93.3 416.44 m 197.4 416.44 l S 0.001 w 35.16 w 199.65 416.44 m 566.1 416.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 776.24 m 568.3 776.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.25 m 568.3 724.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 657.68 m 568.3 657.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 605.69 m 568.3 605.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 509.96 m 568.3 509.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.55 m 568.3 472.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.14 m 568.3 435.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.24 m 568.3 776.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.25 m 568.3 724.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 657.68 m 568.3 657.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 605.69 m 568.3 605.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 509.96 m 568.3 509.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.55 m 568.3 472.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.14 m 568.3 435.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.73 m 568.3 397.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 396.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 396.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 396.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 396.66 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 797.47 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 797.47 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 797.47 Tm (Materials that present potential hazards to residents should )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 782.89 Tm (be risk assessed and stored safely and securely.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 760.06 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 760.06 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 760.06 Tm (The ongoing maintenance and refurbishment programme )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 745.48 Tm (should continue to ensure that residents live in a well )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 730.9 Tm (maintained environment.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 708.07 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 708.07 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 708.07 Tm (Doors to resident's bedrooms should be fitted with locks )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 693.49 Tm (suited to resident's capability and that are accessible to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 678.91 Tm (staff in emergencies, with keys provided to residents unless )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 664.33 Tm (their risk assessment suggests otherwise.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 641.5 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 641.5 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 641.5 Tm (To safeguard residents, ensure that all required information )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 626.92 Tm (has been obtained in respect of all members of staff who )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 612.34 Tm (work at the care home. This includes agency staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 589.51 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 589.51 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 589.51 Tm (To safeguard residents and ensure that staff are competent )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 574.93 Tm (to meet their needs, ensure that all staff receive training )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 560.35 Tm (appropriate to the work they are to do and to meet the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 545.77 Tm (needs of the residents living at the home, such as in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 531.19 Tm (dementia care. 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 81 0 obj<> endobj 82 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 83 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 84 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 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/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$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 89 0 obj<> endobj 90 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 91 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 92 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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5F#]2mNǑ|q鍛x,lW+ؓy"0tEΪz".D犿v5T`c!L];Tzeд}앑JZ qUk٣|CCW뇵Ȱ$:@D?^h>:,bt `Jea&iM:M+I~;!XEr;PF@ݴ#HkgQ@ B &abXPxNIԎ9YW {" L_Ee8+7@z M^k0^Ɏ^|opkP.Tv߳c:M.unA~F#kdž}>7VvZ!: ɨݘՕc>q:C.Hn)|7U)> ւXfJ86HW/jה mG]k8e .( Q1u??zOb_fV֊ٷ| LX2MT3h>!6s0`$S$e(grRCPy7&^xOvumڽiY3sЈݴu8n旵.Uhǖ*6muѕR@E)jIB!<Gcv׾VǑAUD~E kYxƿc8@zaSϚ21uw6>/yp@J "6:Wi,wԏj*l])qoIz9R1|%cb72JH냷~t>v}۟l}-Sa\FA1>R#fe6,qW瞖lT5[' e. ^?*+KO>]+3u/Ģy]a{=5cb3T#8I}oEI_t7iI? #.4M alGa ҷ4ހ[#[1w# >v[B1j/*fcJwq}J`UC4$hI ҲaYFGEO ٝoo#xM ?t.3|I`EAAEUv|W7x?;U(MܗEJfNd ]rJP R 12; ׆n1Gu^o"i"@f/ 7-NQ6Z->YSi."Ctt3\Sׄ:iC()_Ĥ܈r]k\יJjU L$]3>Z8Hs[2X"ҦW-uoY1/Hauw Ӊ#IF &|Nv}fɢ@hnɍ)]3}5t3(}]5ʔ nbV_DniF@G)${3{ԭ{ÛNRK(".ñ9.IZ%l|@}HMnL7pU<(ʘ8zaХ z9Vvbn0VXIGR>НSN5^8f=GO:lϡt+nN㷁,xW#XGX} W$.,n,F$+j6^ q[5\k1r;fRQv&k̃nYtRȪEkgQ`ֹ n{Ev @hFlM(8yS CōV fK -+p刍@;vp7_dDTD6:Ndˁ7>z1q Np潥p舮zDZr1}U?=:*+ ϧfŪ6O- ݡWќ0` bld}e 0tw[rZ-D s_=7zl v6[f)DRI܂ȍK9L QD`rO"pBtKs` HKS){V̊Ew."@_@l<K]r^d<}AiFKL/{D%PRfEFKBe?|yQFCc{_4yNZ͉RYܼǡc 6uleG$m衲"ҎG`~ԹS r ,|> ٤+uנcX(37Cms/ 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iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny 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!k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 93 0 obj<> endobj 32 0 obj<> endobj 94 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 95 0 obj<> endobj 96 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 97 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 69 0 obj<> endobj 98 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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