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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 462.71 m 164.46 462.71 l S 0.001 w 1 1 1 RG 73.32 w 166.71 462.71 m 580.25 462.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 424.92 m 582.46 424.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 423.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 423.85 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Heron House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Coronation Close )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (March)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Cambridgeshire)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (PE15 9PP)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 414.63 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 393.13 m 391.05 393.13 l S 0.001 w 1 1 1 RG 20.58 w 393.3 393.13 m 580.25 393.13 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 370.3 m 391.05 370.3 l S 0.001 w 1 1 1 RG 20.58 w 393.3 370.3 m 580.25 370.3 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 404.55 m 582.46 404.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 381.72 m 582.46 381.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 358.89 m 582.46 358.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 405.63 m 30.07 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 405.63 m 392.17 357.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 405.63 m 581.38 357.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 388.36 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 388.36 Tm (one star adequate service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.53 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 365.53 Tm (20/11/2008)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 327.58 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310.58 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293.58 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259.58 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 259.58 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 259.58 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 259.58 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 259.58 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242.58 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225.58 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 191.1 m 315.25 191.1 l S 0.001 w 20.58 w 317.5 191.1 m 565.9 191.1 l S 0.001 w 1 1 1 RG 20.58 w 317.5 168.27 m 346.55 168.27 l S 0.001 w 20.58 w 348.8 168.27 m 377.9 168.27 l S 0.001 w 20.58 w 380.15 168.27 m 409.2 168.27 l S 0.001 w 20.58 w 411.45 168.27 m 440.55 168.27 l S 0.001 w 20.58 w 442.8 168.27 m 471.9 168.27 l S 0.001 w 20.58 w 474.15 168.27 m 503.2 168.27 l S 0.001 w 20.58 w 505.45 168.27 m 534.55 168.27 l S 0.001 w 20.58 w 536.8 168.27 m 565.9 168.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.51 m 568.1 202.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 179.68 m 568.1 179.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 156.85 m 568.1 156.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.59 m 30.07 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 203.59 m 316.37 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 180.76 m 347.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 180.76 m 379.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 180.76 m 410.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 180.76 m 441.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 180.76 m 473.02 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 180.76 m 504.32 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 180.76 m 535.67 155.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.59 m 567.02 155.78 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 186.33 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 186.33 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 163.5 Tm (Elaine Boismier)Tj ET /F1 12 Tf BT 1 0 0 1 329.63 163.5 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 360.95 163.5 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 163.5 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 163.5 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 163.5 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 163.5 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 724.9 m 267.21 724.9 l S 0.001 w 1 1 1 RG 73.32 w 269.46 724.9 m 563.65 724.9 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.7 m 267.21 675.7 l S 0.001 w 1 1 1 RG 20.58 w 269.46 675.7 m 563.65 675.7 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.87 m 267.21 652.87 l S 0.001 w 1 1 1 RG 20.58 w 269.46 652.87 m 563.65 652.87 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.04 m 267.21 630.04 l S 0.001 w 1 1 1 RG 20.58 w 269.46 630.04 m 563.65 630.04 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.21 m 267.21 607.21 l S 0.001 w 1 1 1 RG 20.58 w 269.46 607.21 m 563.65 607.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.12 m 565.85 687.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.29 m 565.85 664.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.46 m 565.85 641.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.63 m 565.85 618.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.8 m 565.85 595.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 594.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 594.72 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Heron House)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Coronation Close )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (March)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Cambridgeshire)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (PE15 9PP)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 670.93 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 670.93 Tm (01354661551)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.1 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 648.1 Tm (01354657291)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 625.27 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 625.27 Tm (heron.house@fshc.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.44 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 566.5 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 64.32 w 31.2 525.14 m 353.25 525.14 l S 0.001 w 1 1 1 RG 64.32 w 355.5 525.14 m 565.9 525.14 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 480.44 m 353.25 480.44 l S 0.001 w 1 1 1 RG 20.58 w 355.5 480.44 m 565.9 480.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 457.61 m 353.25 457.61 l S 0.001 w 1 1 1 RG 20.58 w 355.5 457.61 m 565.9 457.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 491.85 m 568.1 491.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.02 m 568.1 469.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.42 m 568.1 558.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 491.85 m 568.1 491.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.02 m 568.1 469.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.19 m 568.1 446.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.5 m 30.07 445.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.5 m 354.37 445.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.5 m 567.02 445.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 542.24 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 542.24 Tm (Four Seasons Homes \(No 4\) )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 527.66 Tm (Limited \(wholly owned subsidiary )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 513.08 Tm (of Four Seasons Health Care )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 498.5 Tm (Limited\))Tj ET /F1 12 Tf BT 1 0 0 1 34.05 475.67 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 475.67 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 452.84 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 452.84 Tm (95)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 433.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 414.4 m 565.6 414.4 l S 0.001 w 41.16 w 31.2 381.28 m 297.2 381.28 l S 0.001 w 20.58 w 299.45 391.57 m 565.6 391.57 l S 0.001 w 20.58 w 299.45 370.99 m 432.52 370.99 l S 0.001 w 20.58 w 432.52 370.99 m 565.6 370.99 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 402.99 m 567.8 402.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 425.82 m 567.8 425.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.99 m 567.8 402.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.58 m 567.8 359.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 426.9 m 30.07 358.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 404.07 m 298.32 358.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 426.9 m 566.72 358.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 409.63 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 386.8 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 386.8 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 366.22 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 366.22 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 344.79 m 297.25 344.79 l S 0.001 w 20.58 w 299.5 344.79 m 429.25 344.79 l S 0.001 w 20.58 w 431.5 344.79 m 565.9 344.79 l S 0.001 w 35.16 w 31.2 314.67 m 297.25 314.67 l S 0.001 w 35.16 w 299.5 314.67 m 429.25 314.67 l S 0.001 w 35.16 w 431.5 314.67 m 565.9 314.67 l S 0.001 w 20.58 w 31.2 284.55 m 297.25 284.55 l S 0.001 w 20.58 w 299.5 284.55 m 429.25 284.55 l S 0.001 w 20.58 w 431.5 284.55 m 565.9 284.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 333.37 m 568.1 333.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 295.96 m 568.1 295.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.2 m 568.1 356.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.37 m 568.1 333.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 295.96 m 568.1 295.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.13 m 568.1 273.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 357.28 m 30.07 272.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 357.28 m 298.37 272.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 357.28 m 430.37 272.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 357.28 m 567.02 272.06 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 340.02 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 340.02 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 340.02 Tm (42)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 317.19 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.61 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 317.19 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 317.19 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 279.78 Tm (physical disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 279.78 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 279.78 Tm (36)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 241.34 m 565.6 241.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 229.93 m 567.8 229.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.1 m 568.1 207.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.27 m 568.1 184.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.44 m 568.1 161.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.61 m 568.1 138.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 115.78 m 568.1 115.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.76 m 567.8 252.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 229.93 m 568.1 229.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.1 m 568.1 207.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.27 m 568.1 184.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 161.44 m 568.1 161.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 138.61 m 568.1 138.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 115.78 m 568.1 115.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 92.95 m 568.1 92.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 253.84 m 30.07 91.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 253.84 m 566.72 91.87 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 236.57 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.74 Tm (1 named individual under the age of 65 with DE )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 190.91 Tm (DE service users to be accommodated in Wendreda unit only. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 168.08 Tm (A maximum of 42 places to provide nursing care to category DE\(E\). )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 145.25 Tm (Physical Disability \(PD\) PD\(E\)\) only in association with Dementia \(DE DE\(E\)\). )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 122.42 Tm (A maximum of 36 places to provide nursing care under category OP. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 99.59 Tm (Up to 17 places to provide nursing care to category DE. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 78.16 m 315.25 78.16 l S 0.001 w 1 1 1 RG 20.58 w 317.5 78.16 m 346.55 78.16 l S 0.001 w 20.58 w 348.8 78.16 m 377.9 78.16 l S 0.001 w 20.58 w 380.15 78.16 m 409.2 78.16 l S 0.001 w 20.58 w 411.45 78.16 m 440.55 78.16 l S 0.001 w 20.58 w 442.8 78.16 m 471.9 78.16 l S 0.001 w 20.58 w 474.15 78.16 m 503.2 78.16 l S 0.001 w 20.58 w 505.45 78.16 m 534.55 78.16 l S 0.001 w 20.58 w 536.8 78.16 m 565.9 78.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 89.57 m 568.1 89.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 66.74 m 568.1 66.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 90.65 m 30.07 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 90.65 m 316.37 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 90.65 m 347.67 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 90.65 m 379.02 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 90.65 m 410.32 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 90.65 m 441.67 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 90.65 m 473.02 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 90.65 m 504.32 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 90.65 m 535.67 65.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 90.65 m 567.02 65.67 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 73.39 Tm (Date of last inspection)Tj ET /F1 12 Tf BT 1 0 0 1 328.2 73.39 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 359.53 73.39 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 390.86 73.39 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 422.18 73.39 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 453.53 73.39 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 484.86 73.39 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 516.18 73.39 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 547.53 73.39 Tm (8)Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)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 30.07 502.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 502.08 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 28.99 503.15 m 568.1 503.15 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 /F1 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 781.22 Tm (Heron House is a purpose built home situated off a main road in a residential area of )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 764.22 Tm (the market town of March. It is owned by Four Seasons Healthcare Ltd and provides )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 747.22 Tm (care and support for up to 95 service users from the age of 18 years and over.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 730.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 713.22 Tm (Most of the bedrooms are used for single occupancy rooms only and ensuite facilities )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 696.22 Tm (are available. Resident accommodation is on one level. There are a variety of )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 679.22 Tm (communal areas available to service users and the home provides bathing and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 662.22 Tm (additional toilet facilities with aids and equipment to enable the needs of service users )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 645.22 Tm (to be met. Service users can access the gardens and courtyards throughout the home.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 628.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 611.22 Tm (The home is situated approximately 1 mile away from the centre of March, where there )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 594.22 Tm (is a range of shops, pubs and a post-office.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 577.22 Tm (Fees for the home range between 347and 791 depending on the needs of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 560.22 Tm (residents. Additional costs include those for private chiropody, toiletries and )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 543.22 Tm (newspapers. Further information about fees can be obtained from the care home.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 526.22 Tm (Copies of our CSCI inspection reports are available on request, from the home, or via )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 509.22 Tm (our CSCI website at www.csci.org.uk)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 487.72 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (Following our key unannounced inspection, of the 20th November 2008, a requirement )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (was made for care plans to be up to date and accurate and drawn up in consultation , )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (with the resident, wherever possible. The timescale for this requirement was by the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (28th February 2009. We received an action plan, from Four Seasons Health Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (Limited, stating that action was being taken, to meet this requirement and within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm (set timescale.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (We looked at 2 people's care records, spoke with a member of the staff and visited the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (people's rooms. Because both of these people appeared to be asleep we did not speak )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (with them.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (For the first person we saw that they were assessed as being at very high risk of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (pressure sore development with a past history of developing pressure sores. The last )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm (record, that their pressure sore risk assessment had been carried out, was the 8th )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (December 2008 and none thereafter.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (The member of the staff stated that the person stayed in bed, due to having painful )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (arthritis, and would get up only for a shower and having their hair done. The member )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (of the staff told us that the person sometimes needed to have their position changed in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm (bed; the progress notes showed that this was the case. The member of the staff said )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (that the person had a pressure relieving mattress in bed and we saw that this was the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm (case when we visited th person's room. We, and the member of the staff, could find no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (care plan for care of the person's pressure areas and none of us could find a care plan )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (for care of the pressure relieving mattress and what pressure setting this mattress )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (should be set at.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (The person's care records, including their fluid intake, indicated that the person had a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (history of drinking less that one litre of drink each day: there was, for example on the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (18th October 2008, a record of the person having less than one litre of drink i.e. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (between 700 and 800 millilitres \(mls\); the member of the staff stated that the person )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (was currently drinking less that one litre each day; the accumulated fluid intake, for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (this person, for the 9th March 2009, was 600 mls and, for the 10th March 2009, the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (accumulated recorded fluid balance, was 495 mls. The care plan for this person was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (drawn up on, the 9th December 2008, that stated the person should 'ideally' be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm (drinking 1.5 to 2 litres of drink each day. This care plan was not person centered; it )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (failed to accurately reflect what the person was able to drink, historically and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (currently. We also noted that the person had been left a plastic beaker containing a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (drink, that would have been originally hot, and this was placed on their bedside table. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (The member of the staff told us that the person needed help with their drinks; we felt )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (the outside of this beaker and we found that the drink was luke warm.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (The person's food charts were examined and we saw that the person had little to eat )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (between the 7th and 10th March 2009. The food offered to the person lacked variety )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm (as this included 'weetabix', soup, sandwiches, yoghurt and 'pudding' such as jelly. On )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (the 8th March 2009 the person was offered a banana, at breakfast time, of which a )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (quarter of this was eaten and we found no other offer of fruit recorded on the other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (days. We also found no record of any other choices of food or drink offered to the )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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 717.42 w 31.2 453.82 m 563.65 453.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 93.98 m 565.85 93.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 92.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 92.91 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (person when they did not eat their food, or only part of it.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (For the second person we saw that they had a recorded history of pressure sores )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (occurring in 2007 and 2008. The person currently had acquired a grade 2 pressure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (sore, in the sacral area. The wound assessment chart noted that this pressure sore )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (had become 'green' and 'sloughy' \(slough is dead tissue\). The person had been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (assessed as being at very high risk of pressure sore development. A care plan was in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (place, for reducing the risk of the person developing pressure sores, that included staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (helping the person change their position, when in bed, every 4 hours. The member of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (the staff stated that the person had their position changed every 2-4 hours. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (repositioning charts, for this person were examined and we found, for example that, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (on the 19th February 2009, the person was turned to their right side, at 20:30; at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm (1:05 the person was assisted to lay on their back i.e. just over 4.5 hours later. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (next entry \(although this is not dated\) is when the person was assisted to lay on their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (right side at 6:00. There were no recorded entries for the 20th, 21st and 22nd )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (February 2009 until the 23rd February 2009 when at 9:00 the person was 'up in chair' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm (until 14:00 \(5 hours later\) when they were 'put back to bed' \(there is no record in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (what position the person was lying\) and, on the same day, at 16:00, the person's )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm (incontinence pad was changed. There was no record to say if the person had any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (pressure area care, to include repostioning. Following this latest entry, there were no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (other recorded entries until the 28th February 2009 i.e. 5 days later.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (When entering the person's room we noted a smell of body odour that came from the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm (person; we saw that the person was recorded to have had help with their personal )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (care, on the 28th February 2009; on the 10th March 2009 the night staff had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm (recorded, in the progress notes, the person was 'resistant' to some personal care, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (although there was no description of what personal care had been provided.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (This person was assessed to be at risk of malnutrition and there was a care plan for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (helping with their nutrition although the information, provided by the member of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (staff, indicated that the care plan had not been updated. We were told that, due to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (person becoming tired as the day wore on, the person was being given food in a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (liquidised form 'for the last 4 or 5 days' as the person was unable to chew 'in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (afternoon'. The person's food intake chart, for the 7th March 2009, indicated that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (had a liquidised meal for their lunch although the record for their evening meal, for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm (same day, was blank; for the evening meal, of the 8th March 2009, the record )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (indicated that the person was offered soup, sandwiches and 'pudding' although the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (person ate none of this food. Although we were told, by the member of the staff, the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (person was offered liquidised food, after lunchtime, we were uncertain about how the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (sandwiches could have been eaten, if the person wanted their food.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (Because we were unable to speak with them we were unable to assess if they had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm (been consulted about their care plan.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm (The standard of care records and the standard of health and personal care has placed, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (at least these two people at unnecessary risk, to their health, welfare and safety.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm ()Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 75.91 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 75.91 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 802.24 m 563.65 802.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 790.82 m 565.85 790.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 789.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 789.75 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 797.47 Tm (We did not assess what the service does well, on this occasion.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 769.38 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 78.9 w 31.2 718.74 m 563.65 718.74 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 759.31 m 565.85 759.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 678.16 m 565.85 678.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 760.39 m 30.07 677.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 760.39 m 564.78 677.09 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 743.13 Tm (We consider that the requirement about care planning has not been met and we have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 728.55 Tm (made a new requirement about this, with more specific wording.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 713.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 699.39 Tm (We have also made a new requirement about people's health and personal care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 684.81 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 659.85 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 659.85 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 643.85 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 769.89 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 81.9 w 31.2 699.43 m 566.2 699.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 741.5 m 568.4 741.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 742.58 m 30.07 658.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 742.58 m 567.32 658.48 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 725.32 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 707.74 Tm (These requirements were set at the last inspection. They may not have been looked at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 693.16 Tm (during this inspection, as a )Tj ET /F1 12 Tf BT 1 0 0 1 201.54 693.16 Tm (random inspection is short and focussed. The registered )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 678.58 Tm (person must take the necessary action to comply with these requirements within the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 664 Tm (timescales set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 639.95 m 91 639.95 l S 0.001 w 30.3 w 93.25 639.95 m 197.4 639.95 l S 0.001 w 30.3 w 199.65 639.95 m 289.5 639.95 l S 0.001 w 30.3 w 291.75 639.95 m 473.9 639.95 l S 0.001 w 30.3 w 476.15 639.95 m 566.2 639.95 l S 0.001 w 1 1 1 RG 140.22 w 31.2 552.44 m 91.05 552.44 l S 0.001 w 140.22 w 93.3 552.44 m 197.4 552.44 l S 0.001 w 140.22 w 199.65 552.44 m 289.45 552.44 l S 0.001 w 140.22 w 291.7 552.44 m 473.8 552.44 l S 0.001 w 140.22 w 476.05 552.44 m 566.1 552.44 l S 0.001 w 81.9 w 31.2 439.13 m 91.05 439.13 l S 0.001 w 81.9 w 93.3 439.13 m 197.4 439.13 l S 0.001 w 81.9 w 199.65 439.13 m 289.45 439.13 l S 0.001 w 81.9 w 291.7 439.13 m 473.8 439.13 l S 0.001 w 81.9 w 476.05 439.13 m 566.1 439.13 l S 0.001 w 125.64 w 31.2 333.11 m 91.05 333.11 l S 0.001 w 125.64 w 93.3 333.11 m 197.4 333.11 l S 0.001 w 125.64 w 199.65 333.11 m 289.45 333.11 l S 0.001 w 125.64 w 291.7 333.11 m 473.8 333.11 l S 0.001 w 125.64 w 476.05 333.11 m 566.1 333.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 623.68 m 568.4 623.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 657.31 m 92.12 480.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 657.31 m 290.62 480.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 657.31 m 475.02 480.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 481.21 m 568.3 481.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.06 m 568.3 397.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 656.23 m 568.4 656.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.68 m 568.3 623.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 481.21 m 568.3 481.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 397.06 m 568.3 397.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 269.17 m 568.3 269.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 657.31 m 30.07 268.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 624.76 m 92.17 268.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 657.31 m 198.52 268.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 624.76 m 290.57 268.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 624.76 m 474.92 268.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 657.31 m 567.32 268.09 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 642.05 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 642.05 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 642.05 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 642.05 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 642.05 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 629.9 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 607.49 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 607.49 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 607.49 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 607.49 Tm (Residents must have access )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 592.91 Tm (to health care advice and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 578.33 Tm (treatment.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 560.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.17 Tm (To ensure that residents' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 531.59 Tm (health care is delivered in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.01 Tm (proactive way to promote )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.43 Tm (health care and prevent any )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 487.85 Tm (deterioration in their health)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 607.49 Tm (18/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 465.02 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 465.02 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 465.02 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.02 Tm (Residents must have their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 450.44 Tm (dignity respected.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 432.86 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.28 Tm (To ensure that residents' )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 403.7 Tm (welfare is safeguarded.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 465.02 Tm (05/12/2008)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 380.87 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 380.87 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 380.87 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 380.87 Tm (Residents' must be offered )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 366.29 Tm (meaningful activities.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 348.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 334.13 Tm (To ensure that residents do )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 319.55 Tm (not suffer from isolation, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 304.97 Tm (depression and increased )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 290.39 Tm (incidents of challenging )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 275.81 Tm (behaviours)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 380.87 Tm (01/04/2009)Tj ET endstream endobj 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 21 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 793.57 Tm (Requirements and recommendations from this inspection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 733.59 m 566.2 733.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.09 m 568.4 761.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.17 m 30.07 707.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 762.17 m 567.32 707.22 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 744.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 727.32 Tm (These are immediate requirements that were set on the day we visited this )Tj ET /F1 12 Tf BT 1 0 0 1 493.86 727.32 Tm (care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 712.74 Tm (The registered person had to meet these within 48 hours.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 688.7 m 91 688.7 l S 0.001 w 30.3 w 93.25 688.7 m 197.4 688.7 l S 0.001 w 30.3 w 199.65 688.7 m 289.5 688.7 l S 0.001 w 30.3 w 291.75 688.7 m 473.9 688.7 l S 0.001 w 30.3 w 476.15 688.7 m 566.2 688.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 704.97 m 568.4 704.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.42 m 568.4 672.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 706.05 m 30.07 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 706.05 m 92.12 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 706.05 m 198.52 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 706.05 m 290.62 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 706.05 m 475.02 671.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 706.05 m 567.32 671.35 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 690.8 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 690.8 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 690.8 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 690.8 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 690.8 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 678.65 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 617.26 m 566.2 617.26 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 652.05 m 568.4 652.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 653.13 m 30.07 583.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 653.13 m 567.32 583.6 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 635.86 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 618.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 162.09 603.7 Tm (Care Homes Regulations )Tj ET /F1 12 Tf BT 1 0 0 1 314.21 603.7 Tm (2001 and the National Minimum )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET 0.99608 0.9451 0.76078 RG 30.3 w 31.2 565.08 m 91 565.08 l S 0.001 w 30.3 w 93.25 565.08 m 197.4 565.08 l S 0.001 w 30.3 w 199.65 565.08 m 289.5 565.08 l S 0.001 w 30.3 w 291.75 565.08 m 473.9 565.08 l S 0.001 w 30.3 w 476.15 565.08 m 566.2 565.08 l S 0.001 w 1 1 1 RG 169.38 w 31.2 462.99 m 91.05 462.99 l S 0.001 w 169.38 w 93.3 462.99 m 197.4 462.99 l S 0.001 w 169.38 w 199.65 462.99 m 289.45 462.99 l S 0.001 w 169.38 w 291.7 462.99 m 473.8 462.99 l S 0.001 w 169.38 w 476.05 462.99 m 566.1 462.99 l S 0.001 w 154.8 w 31.2 298.65 m 91.05 298.65 l S 0.001 w 154.8 w 93.3 298.65 m 197.4 298.65 l S 0.001 w 154.8 w 199.65 298.65 m 289.45 298.65 l S 0.001 w 154.8 w 291.7 298.65 m 473.8 298.65 l S 0.001 w 154.8 w 476.05 298.65 m 566.1 298.65 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 548.8 m 568.4 548.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 582.43 m 92.12 376.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 582.43 m 290.62 376.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 582.43 m 475.02 376.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.17 m 568.3 377.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 581.35 m 568.4 581.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 548.8 m 568.3 548.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.17 m 568.3 377.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.12 m 568.3 220.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 582.43 m 30.07 219.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 549.88 m 92.17 219.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 582.43 m 198.52 219.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 549.88 m 290.57 219.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 549.88 m 474.92 219.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 582.43 m 567.32 219.05 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 567.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 567.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 567.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 567.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 567.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 555.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 532.62 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 532.62 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 532.62 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532.62 Tm (Care plans and care records )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 518.04 Tm (must be accurate and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 503.46 Tm (updated with particular )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.88 Tm (regard to care of people's )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 474.3 Tm (pressure area care and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.72 Tm (nutrition.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 442.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 427.56 Tm (This is to ensure that people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.98 Tm (are protected from harm to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 398.4 Tm (their health, welfare and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 383.82 Tm (safety)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 532.62 Tm (12/05/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.99 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 360.99 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 360.99 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.99 Tm (People must receive the right )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 346.41 Tm (health and personal care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.83 Tm (with particular regard to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 317.25 Tm (nutrition, pressure areas and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 302.67 Tm (personal hygiene.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 285.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.51 Tm (To ensure that people are )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.93 Tm (protected from the risk of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 241.35 Tm (harm and to value their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 226.77 Tm (dignity.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 360.99 Tm (01/04/2009)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 164.96 m 566.2 164.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 199.75 m 568.4 199.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 200.83 m 30.07 131.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 200.83 m 567.32 131.3 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 183.56 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 165.98 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 151.4 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 136.82 Tm (improving their service.)Tj ET 0.99608 0.9451 0.76078 RG 18.15 w 31.2 118.85 m 91.05 118.85 l S 0.001 w 18.15 w 93.3 118.85 m 197.4 118.85 l S 0.001 w 18.15 w 199.65 118.85 m 566.1 118.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 129.05 m 568.3 129.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 108.65 m 568.3 108.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 130.13 m 30.07 107.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 130.13 m 92.17 107.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 130.13 m 198.52 107.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 130.13 m 567.22 107.58 l S 0.001 w [] 0 d /F1 10 Tf BT 1 0 0 1 34.05 114.88 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 114.88 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 114.88 Tm (Good Practice Recommendations)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 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 /F1 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 /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 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26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.2 m 567.2 694.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.6 m 27.22 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 224.46 786.6 m 224.46 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.13 786.6 m 566.13 693.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 769.33 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 769.33 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 746.5 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 746.5 Tm (CSCI)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 723.67 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 723.67 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 700.84 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 700.84 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 329.28 700.84 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 679.89 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 665.31 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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