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Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 193.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 193.87 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 193.87 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 193.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 193.87 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 193.87 Tm (0)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 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 697.6 m 274.61 697.6 l S 0.001 w 1 1 1 RG 73.32 w 276.86 697.6 m 580.25 697.6 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 648.4 m 274.61 648.4 l S 0.001 w 1 1 1 RG 20.58 w 276.86 648.4 m 580.25 648.4 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 625.57 m 274.61 625.57 l S 0.001 w 1 1 1 RG 20.58 w 276.86 625.57 m 580.25 625.57 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 602.74 m 274.61 602.74 l S 0.001 w 1 1 1 RG 20.58 w 276.86 602.74 m 580.25 602.74 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 579.91 m 274.61 579.91 l S 0.001 w 1 1 1 RG 20.58 w 276.86 579.91 m 580.25 579.91 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 659.82 m 582.46 659.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.98 m 582.46 636.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 614.16 m 582.46 614.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.33 m 582.46 591.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 568.49 m 582.46 568.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 567.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 567.42 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Beechwood Lodge)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 719.2 Tm (148 Barnhorn Road)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Bexhill-on-Sea)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 684.04 Tm (East Sussex)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 666.46 Tm (TN39 4QL)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 643.63 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 279.71 643.63 Tm (01424844989)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 620.8 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 597.97 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 575.14 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 539.2 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.71 m 353.25 519.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 519.71 m 565.9 519.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 451.21 m 353.25 451.21 l S 0.001 w 1 1 1 RG 20.58 w 355.5 451.21 m 565.9 451.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 428.39 m 353.25 428.39 l S 0.001 w 1 1 1 RG 20.58 w 355.5 428.39 m 565.9 428.39 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 508.29 m 568.1 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 567.8 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 532.2 m 354.37 507.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 531.12 m 568.1 531.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 508.29 m 567.8 508.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 485.46 m 568.1 485.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 462.63 m 568.1 462.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 439.8 m 568.1 439.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.97 m 568.1 416.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 532.2 m 30.07 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 463.71 m 354.37 415.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 532.2 m 567.02 415.89 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 514.93 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 514.93 Tm (Beechwood Lodge Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 492.11 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 469.27 Tm (Mr )Tj ET /F2 12 Tf BT 1 0 0 1 53.51 469.27 Tm (Robert )Tj ET /F2 12 Tf BT 1 0 0 1 97.84 469.27 Tm (Jempson)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 446.45 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 446.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 423.61 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 423.61 Tm (20)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 404.67 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 361.23 m 564.47 361.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.6 m 567.8 396.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 373.77 m 567.8 373.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 350.93 m 567.8 350.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.11 m 567.8 328.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 397.67 m 30.07 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 374.84 m 298.32 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 352.01 m 432.52 327.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 397.67 m 566.72 327.03 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 380.41 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 357.58 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 357.58 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 334.75 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 436.5 334.75 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 306.02 m 297.25 306.02 l S 0.001 w 35.16 w 299.5 306.02 m 429.25 306.02 l S 0.001 w 35.16 w 431.5 306.02 m 565.9 306.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 324.73 m 568.1 324.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 287.32 m 568.1 287.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 325.81 m 30.07 286.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 325.81 m 298.37 286.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 325.81 m 430.37 286.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 325.81 m 567.02 286.24 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 308.55 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 293.96 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.35 308.55 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 434.35 308.55 Tm (0)Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 231.57 m 564.77 231.57 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 244.12 m 567.8 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.29 m 568.1 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 266.95 m 567.8 266.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 244.12 m 568.1 244.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.29 m 568.1 221.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 198.46 m 568.1 198.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 268.02 m 30.07 197.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 268.02 m 566.72 197.38 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 250.76 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 227.93 Tm (Service users must be older people aged sixty-five \(65\) years or over on admission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 205.1 Tm (The maximum number of service users to be accommodated is twenty \(20\).)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 183.66 m 315.25 183.66 l S 0.001 w 1 1 1 RG 20.58 w 317.5 183.66 m 346.55 183.66 l S 0.001 w 20.58 w 348.8 183.66 m 377.9 183.66 l S 0.001 w 20.58 w 380.15 183.66 m 409.2 183.66 l S 0.001 w 20.58 w 411.45 183.66 m 440.55 183.66 l S 0.001 w 20.58 w 442.8 183.66 m 471.9 183.66 l S 0.001 w 20.58 w 474.15 183.66 m 503.2 183.66 l S 0.001 w 20.58 w 505.45 183.66 m 534.55 183.66 l S 0.001 w 20.58 w 536.8 183.66 m 565.9 183.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 195.08 m 568.1 195.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 172.25 m 568.1 172.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 196.16 m 30.07 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 196.16 m 316.37 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 196.16 m 347.67 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 196.16 m 379.02 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 196.16 m 410.32 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 196.16 m 441.67 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 196.16 m 473.02 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 196.16 m 504.32 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 196.16 m 535.67 171.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 196.16 m 567.02 171.17 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 178.9 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 178.9 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 178.9 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 178.9 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 178.9 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 178.9 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 178.9 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 178.9 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 178.9 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 160.38 m 565.9 160.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 150.75 m 568.1 150.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 151.83 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 151.83 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170 m 568.1 170 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 150.75 m 568.1 150.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 171.08 m 30.07 149.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 171.08 m 567.02 149.67 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 156.82 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 156.82 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 137.57 Tm (Beechwood Lodge is a care home registered to accommodate a maximum of 20 older )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 120.57 Tm (people. The premises are situated in a residential area of East Sussex near to Little )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 103.57 Tm (Common and just over a mile from Bexhill-on-Sea. The Home is close to local shops )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 86.57 Tm (and amenities and the coast is less than a mile away. Accommodation comprises of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 69.57 Tm (twelve single bedrooms and four double bedrooms, all of which have en-suite facilities. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 52.56 Tm (Bedrooms are located on two floors. There is a shaft lift to enable service users' ease )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 627.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 627.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.85 m 568.1 628.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 756.16 Tm (of access to each floor. In addition there are two bathrooms and six toilets. The Home )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 739.16 Tm (has two lounges, a billiard room and a dining room to provide communal space. There )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 722.16 Tm (are well maintained rear gardens and car parking facilities at the front of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 705.16 Tm (property.The current fees range from 460 - 590 per week. There are no extra )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 688.16 Tm (charges made, except for personal items such as clothing and toiletries etc.Potential )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 671.16 Tm (new service users can obtain information relating to the home by word of mouth, CQC )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 654.16 Tm (inspection reports, care managers and placing authorities, contacting the home direct )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 637.16 Tm (and Social Services.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 691.53 w 31.2 389.44 m 580.26 389.44 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 736.33 m 582.46 736.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 737.41 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 737.41 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 720.15 Tm (A random inspection of this service has been undertaken to assess progress made )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 705.57 Tm (towards compliance with outstanding requirements some of which are long standing. Our )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 690.98 Tm (inspection of this service has involved the assessment of AQAA information submitted )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 676.41 Tm (recently by the home and also the findings from an unannounced site visit conducted on )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 661.83 Tm (14th April 2010 between 9:30 a.m and 15:30 p.m.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 647.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 632.66 Tm (During our site visit we were able to examine a range of documentation and records and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 618.09 Tm (speak with the registered provider/manager and the deputy manager to assess )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.51 Tm (improvements made and highlight where shortfalls remain.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 574.34 Tm (The recent AQAA received by the commission was received within the designated )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 559.77 Tm (timescale, completion of this information has marginally improved. It would benefit from )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 545.18 Tm (greater detail to illustrate the day to day operation of the home, and also a fuller )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 530.6 Tm (reflection on how previous identified shortfalls have been addressed. These )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 516.03 Tm (improvements have been discussed with the registered Provider/manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.45 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 486.86 Tm (We examined the files of all present residents and found the majority to contain )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 472.29 Tm (confirmations signed by residents or their relatives that Statement Of Purpose, user guide )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 457.7 Tm (and terms and conditions information had been received, however, existing copies of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 443.13 Tm (these documents are out of date with agency addresses etc in need of changing. The )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 428.55 Tm (provider has indicated within AQAA information the aspiration to update the Statement of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 413.96 Tm (purpose and user guide and make this more personal and user friendly this is still to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 399.39 Tm (developed we therefore consider the requirement in regard to ensuring residents receive )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 384.8 Tm (copies to have been only partly met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 370.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.64 Tm (The user guide is also out of date again providing inaccurate contact details for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 341.07 Tm (commission. A draft copy of the terms and conditions information is not provided )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 326.48 Tm (although the guide makes reference to this information being available from the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 311.9 Tm (registered provider, we consider prospective e residents should have a opportunity to see )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 297.33 Tm (a draft terms and conditions document to inform their decision to accept a place or not.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 282.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 268.17 Tm (The service has met an outstanding requirement by ensuring that each resident now has )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 253.59 Tm (a revised and personalised plan of care this is not the case for those people who return )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 239.01 Tm (from time to time as respite residents, and we have discussed the importance of staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 224.43 Tm (being provided with updated care plan information for respite clients to ensure they )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 209.85 Tm (understand any changes in need and delivery of support.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 195.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 180.68 Tm (We found that overall new care plans are very informative for staff, enabling them to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 166.1 Tm (support residents effectively in line with their preferences, all support plans have been )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 151.52 Tm (viewed, some in more detail than others)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 136.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 122.36 Tm (Some of the files we looked at hi lighted a need for additional information to be added or )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 107.79 Tm (clarified to better inform staff and we have brought this to the attention of the provider )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 93.21 Tm (and deputy manager.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 78.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 64.04 Tm (Log entries are being well maintained, each resident now has their own daily log book. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 49.47 Tm (These tell us that for several residents who experience disturbed nights the home is )Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (undertaking monitoring of the level of nighttime activity for these residents, and whilst )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (this is good practice, it is unclear, what or who this information is being collected for and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (this needs clarity within the relevant care plans.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (Care plans viewed indicate the majority of residents are being supported and encouraged )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (to maintain a level of independence, any support offered by staff is managed sensitively )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (to not appear intrusive, and this is valued by the residents. It is important with the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (introduction of the new care plans that the content of files is standardised to bring )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (consistency to the type and range of information collected and recorded by staff.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (We noted several serious incidents where residents had fallen and staff had acted )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (appropriately to ensure they received appropriate interventions by attendance at A&E, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (however, the registered provider/manager had failed to inform the Commission of these )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (significant events in keeping with reporting responsibilities under Regulation 37 of the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (Care Homes Regualtions 2001.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (A health report plan has also been developed for each resident. We are satisfied that the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (service has implemented a review system for updating care plan information, however )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (this had not been updated for march 2010 and we discussed the importance with the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (provider and deputy of maintaining reviewing frequencies.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (One health plan we viewed recorded that the BMI index is low and the resident is at risk )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (of malnutrition, guidance has been developed for staff in regard to issues of underweight )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (and the relevant health report states that the BMI Should be recorded monthly owing to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (the level of risk. Examination of records and discussion with the deputy manager )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (indicates this is still to be implemented. In regard to the same resident we found care )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (plan information still lacks clarity as to whom is responsible for ensuring air mattress )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (pressures are maintained appropriately for this resident.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (We noted a body chart used to record injuries sustained by one resident in hospital, this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (would be considered good practise if staff are routinely using this visual recording aid for )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (all such events both internal and external to the home, which they are not.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (A range of risk assessments are now in place for every resident and we consider the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (outstanding requirement to be met, however through our discussion with the deputy )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (manager and examination of documentation we noted that whilst care staff have an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (awareness of other possible risks some residents may be subject to i.e.poor nutrition, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (skin breakdown, or continence issues; formal risk assessments have not been devised to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (inform staff practise and ensure that all appropriate risk reduction measures are in place. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (We have discussed with the deputy manager the importance of including these.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (Consent information in regard to the locking of the front door, medication, hourly checks, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (room keys etc have been introduced but are not used consistently across the resident )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (group and this needs to be standardised to avoid confusion or omissions of information.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (Detailed Guidelines have been developed to inform staff of how to work with individual )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (residents in some areas of need.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (Examination of documentation indicates that the service management have a clear )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (understanding of the limitations of the service and where changes in need can no longer )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (be supported within the service discussions with relatives and social services ensures )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (alternatives are sought.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (Examination of self administration assessments for medication, medication records, daily )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (log entries and discussion with the deputy manager highlights that there remain shortfalls )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (within the medication administration arrangements, and these could compromise resident )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (safety.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (A Register of administering staff is being maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (Receipt of medications into the home are being appropriately recorded onto the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (medication administration records \(MAR\).)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (During our examination of records we noted that two residents had not been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (administered a single weekly dose of medication, we found no reference to this mistake )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (within daily log information on the relevant days or actions taken by staff as a result of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (these incidents, in accordance with policy and procedure, the registered )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (provider/manager was unaware of these omissions although they had occurred a week )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (previous to our visit. The commission has not been notified about this incident, and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (investigation into the causes of the errors is still to be implemented.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Some care plans viewed contained self administration of medications assessments and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (yet log entries for the same residents indicate they are having their medications )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (administered by staff. We have discussed these anomalies with the deputy manager who )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (advises that in such cases residents are usually administering only some of their )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (medication, the present arrangements therefore need to be made much clearer within )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (care plan information. Issues of safe storage for self medicating individuals has not been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (addressed, we have confirmed from staff that some non self medicating residents still )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (have prescribed creams left in their rooms, this remains a risk to the health and safety of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (those residents who may have a degree of confusion that causes them to touch )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (medication that is not theirs if they are entering other residents rooms. There are still no )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (PRN guidelines for staff to follow to aid consistency in administration.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (Generally we found Medication sheets to be completed reasonably well. Handwritten )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (changes are being signed for but not dated. We have discussed the importance of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (handwritten comments added to MAR records by Pharmacy staff to be highlighted and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (consultation with the relevant pharmacy staff to ensure these are signed for.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (In view of some of the shortfalls that remain in the medication arrangements within the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (home we do not at this time consider the outstanding requirement to be met.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (A previous recommendation for the home to obtain royal pharmaceutical society guidance )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (for care homes has not been achieved although the deputy indicated she had discussed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (this with the homes pharmacy, we have further suggested a drug reference book for staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (to enable recognition of oral medications more readily and enable them to better )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (understand their purpose and side effects.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (The new AQAA informs us that two complaints have been received and resolved within a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (28 day period. Survey feedback from residents indicates they find the provider and staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (approachable and would feel comfortable raising issues if needed, the complaints )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (procedure has been revised and is displayed on the notice board, its content has been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (discussed with staff thereby meeting a previously outstanding requirement. Updated )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (versions of the complaints procedure need to be made available to residents in any pre )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (printed information about the home provided to existing and prospective residents.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (The provider now has obtained a copy of locally agreed protocols for the management of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (safeguarding issues by lead agencies and this is accessible to staff, he has also developed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (a laminated flowchart for staff reference explaining the identification and processing of a )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (safeguarding issue and this is on display within the office for staff to refer to. Staff have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (completed adult safeguarding training and a further refresher course is booked with an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (external training provider for June 2010.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (There have been improvements also in the completion of all mandatory training by staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (including health and safety. Risk information and guidelines have been developed to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (inform staff practise.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (Whilst we accept that the provider has met the outstanding requirement for staff to be )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (trained in the literal sense there are sufficient shortfalls still within the management of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (medication, staff recruitment, induction and supervision that may continue to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (compromise resident safety. General risk information is still to be updated and made )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (available to staff.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (The internal appearance of the home remains comfortable and pleasant providing a clean )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (homely atmosphere for residents with no unpleasant odours. We have not on this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (occasion assessed the premises, only the outstanding requirement. We found no evidence )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (that general risk assessments for the home environment have been updated at this time )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (and this requirement therefore remains unmet.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (A previous recommendation that periodic assessment of the premises by a suitably )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (qualified OT or other has not been acted upon at this time.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (The Registered provider/manager was not initially present at the home when we visited )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (on 14th April, although he was able to join us shortly afterwards. During our visit we )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (established that the home is still to establish a key work system which remains under )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (consideration. There are currently only twelve residents two of whom are currently in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (hospital, although some residents have experienced changes in need log entries and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (survey feedback does not indicate any concerns from either staff or residents in regard to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (current staffing levels at this time. Apart from a cleaner there are currently no other )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (ancillary staff to undertake cooking, laundry or maintenance works and these roles are )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (covered by care staff and the provider.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (Resident and relative survey feedback did highlight a need for additional activities and if )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (actioned will impact on current staffing levels and availability of staff, therefore staffing )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (levels should remain under review.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (We are advised by AQAA information submitted in march 2010 that 6 out of 8 care staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (have NVQ2 or above this, exceeding the requirement of 50%. Some of the newer staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (are being registered for NVQ courses.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (The AQAA informs us that there is a recruitment procedure in place and when we last )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm (assessed records we found these to be better organised and information more easily )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (accessible ,albeit a significant amount of individual recruitment information remains )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (missing, e.g. references, lack of interview records, ensuring gaps in employment are )Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (clarified and reasons for leaving previous care roles verified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (On this occasion we examined three staff files, one from an existing staff member and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (two new employees.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We found that the file for the longer serving staff member contained an application form, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (2 references which were in keeping with those referees given on the application form,CRB )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (information and POVA 1ST. No identification was noted within the file, and no evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (interview, checks on employment gaps, or verification of reasons for leaving previous )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (care role. A copy of Terms & Conditions is in place but no Job description for the position )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (held. A record of mandatory training attended with appropriate certificates has been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (noted.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (We looked at recruitment files for two new staff to ascertain whether improvements to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (recruitment practise has been sustained. We noted in respect of one new staff member )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (their recruitment file contains no application form with no employment history, health )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (statement or the ability to assess whether references obtained are from the most recent )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (and relevant employers. We also noted that a previous CRB was for a different service )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (and not transportable, although the registered provider insists that a new CRB has been )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (applied for we could find no evidence that the new CRB or ISA check have been applied )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (for. There is a job description for the current role and a letter of appointment when )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (appointed previously and briefly by the home. A signed supervision contract in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (a previous appointment at the home has not been updated. ID was found to be in place. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (We found no evidence that formal supervisions are being conducted at this time. Training )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (indicates that this staff member is still to complete the majority of mandatory training.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (We examined recruitment information for a 2nd new member of staff, the file contained , )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (personal details information, an application form, two references viewed indicated no link )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (to previous and last employers. A medical statement is in place. A job description is also )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (provided for the role they are undertaking. A CRB has been obtained but no evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (an ISA check being returned although evidence is in place that indicates this may have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (been applied for, the provider has indicated this may not have been filed appropriately )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (upon its return. A Supervision contract was found to be in place but no evidence of any )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (recorded supervisions since the staff member commenced work at the home in November )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (2009. We found some evidence of ID although nothing with a home address on.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (Current photos of staff are not in evidence.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (As we are advised that the provider has appointed a new member of staff to take over )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (the management of the home, who is to commence work on 1st May 2010. We have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (asked to see the recruitment file for this individual. The registered provider was able to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (provide us with a CV only. We found no evidence of application form or interview records. )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (We found no evidence that gaps in employment history have been explored and reasons )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (for leaving previous care roles have been verified. We are assured by the registered )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (provider that he has sought references and CRB and ISA checks have been applied for, )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm (but we were provided with no evidence that these applications have been made, neither )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (has any copies of ID been obtained or a statement as to the appointed staff members )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (health.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 75.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 60.99 Tm (We are concerned that our examination of staff records has provided evidence of the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 46.42 Tm (continued failure in compliance by the registered provider with regulation 19 of the Care )Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 702.84 w 31.2 433.8 m 580.26 433.8 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.26 m 582.46 81.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 80.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 80.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Homes Regulations 2001, and to ensure that a robust procedure for the recruitment of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (new staff including the new manager has been implemented and adhered to, this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm (requirement remains unmet.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (The provider has satisfied a previous requirement by establishing a training programme )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (for staff to ensure mandatory training is kept updated, but is unable to evidence that new )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm (staff are being provided with a satisfactory induction to the care home and their role in )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (keeping with Skills for Care Induction standards.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (A completed AQAA has been received from the service, this was returned within timescale )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (although the AQAA would benefit from additional information which we have discussed )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (with the registered provider we are satisfied that the service has now met this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm (requirement.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (Examination of documentation indicates that whilst the home has established a system of )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (surveying the views of relatives and residents, there is no mechanism at this time for the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (analysis of survey feedback or satisfactory systems to measure quality of service )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (delivery, the provider is still to produce an annual report of quality assurance findings. In )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm (discussion with the provider we are assured that he has identified a quality assurance tool )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (to monitor service quality, but, as this is still to be implemented the requirement remains )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (outstanding.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (We are assured that financial accounts for the service for the 2007/2008 period have now )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm (been signed off although these were not available to view, however the registered )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (provider is still to develop a financial and business plan and this remains an outstanding )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (requirement.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (The registered person/manager is on site most days and speaks with staff and residents )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm (routinely these informal discussions are not recorded and there is no established )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (monitoring by the registered provider of documentation and records, he has identified )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (documentation to formally record these visits but has yet to implement them, and this )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (requirement therefore remains outstanding.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm (During our site visit to the home we were given full access to records and documentation )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (and are satisfied that although there are significant gaps in some information within staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (files this is because the information has not been obtained and is not because it is being )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm (kept elsewhere. We are satisfied therefore, that the majority of records were accessible )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (and the home has met an outstanding requirement in regard to this.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (When we reviewed daily log entries and other documentation including medication )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (records we noted at least four events which should have been notified to the Commission )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (under regulation 37 of the Cares Homes Regulations 2001, these include a medication )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm (error, the death of a resident and two injuries sustained by residents at the home )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (requiring hospital treatment one of which is serious. This therefore remains an )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 133.9 Tm (outstanding requirement.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 119.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 104.74 Tm (As a result of our site visit we have assessed the home as having met seven of the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 90.15 Tm (sixteen outstanding requirements. )Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 63.19 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 63.19 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 283.02 w 31.2 643.72 m 580.26 643.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 501.08 m 582.46 501.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 500 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 500 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 770.16 Tm (The service provides residents with a spacious, clean and comfortable environment. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 755.59 Tm (Residents enjoy the quality of the furnishings and appearance of the home and its )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 741.01 Tm ('homelike' atmosphere. The home is well located close to public transport and within a )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 726.42 Tm (short distance of shops. It is generally accessible.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 711.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 697.27 Tm (The health support needs of residents are well met with evidence that appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 682.68 Tm (interventions are sought and that links with health care professionals are good.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 668.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.53 Tm (Residents enjoy a varied and nutritious diet that takes account of their own preferences )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 638.95 Tm (and affords them opportunities to choose from more than one option.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 624.36 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 609.78 Tm (Continuity within the staff team means that residents benefit from a familiar group of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 595.21 Tm (experienced staff who has been provided with updated knowledge and skills to better )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 580.63 Tm (safeguard residents.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 566.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 551.47 Tm (The service respects the right of residents to be individual, to maintain a level of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.89 Tm (independence and privacy without intrusion of staff, where residents require or actively )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 522.3 Tm (request support this is provided sensitively in keeping with the preference of the resident )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 507.73 Tm (concerned.)Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 479.64 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 427.02 w 31.2 256.06 m 580.26 256.06 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 470.7 m 582.46 470.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 471.77 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 471.77 m 581.38 40.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 454.51 Tm (Feedback from residents and relatives continues to reflect a positive view of the service )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 439.93 Tm (and a belief that residents receive good outcomes, our inspection has also identified )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 425.35 Tm (improved compliance in some areas meaning that six of the outstanding requirements )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 410.77 Tm (have been met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 396.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 381.61 Tm (When we visited the service in October 2009 we were satisfied that the registered )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 367.03 Tm (provider had ensured that all existing residents had received Statement of Purpose and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 352.45 Tm (user guide information, however, we identified the need for this information to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 337.87 Tm (updated to ensure prospective and existing residents have access to accurate )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.29 Tm (information.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 308.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.13 Tm (To date the registered provider/manager has failed to update this information and as a )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 279.55 Tm (consequence residents are not provided with accurate information about accessing the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 264.97 Tm (Commission, staffing structure information is aspirational rather than accurate and user )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 250.39 Tm (guide information does not provide prospective residents with a copy of terms and )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 235.81 Tm (conditions of residence to inform their decision making. The AQAA informs us that )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 221.23 Tm (updating of this documentation is an area the provider wishes to address in the future.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 206.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 192.07 Tm (The registered Provider has failed to update and make available general environmental )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 177.49 Tm (risk information, this informs staff and ensures that measures are in place to minimise )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 162.91 Tm (environmental risks to residents, this is also an outstanding requirement of the Health )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 148.33 Tm (and safety officer from the EHO.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 133.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 119.17 Tm (The registered provider has failed to provide oversight of the arrangements for the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 104.59 Tm (storage, administration and recording of medication, and was unaware until we hi lighted )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 90.01 Tm (it that medication errors had occurred for two residents.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 75.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 60.85 Tm (The registered provider has failed to ensure that residents are safeguarded by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 46.27 Tm (implementation of a robust recruitment procedure, and marginal improvements to the )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 644.52 w 31.2 462.96 m 580.26 462.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.58 m 582.46 139.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 138.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 138.5 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.8 775.41 Tm (recruitment procedure noted at the last inspection have not been sustained by ensuring )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 760.84 Tm (all required documentation is in place for new staff.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 731.67 Tm (Although staff complete supervision contracts there is no evidence from the three files )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 717.09 Tm (viewed that staff are in receipt of regular recorded supervision or that monitoring of staff )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 702.52 Tm (competency and performance is being undertaken routinely to drive up service quality.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 673.35 Tm (New staff are provided with a cursory induction to the home, this lacks substance to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 658.78 Tm (enable the registered provider/manager to undertake an assessment of their competency )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 644.2 Tm (or ensure they have sufficient knowledge and skills to support residents effectively and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 629.61 Tm (safely in keeping with the Nationally recognised Skills for Care Common Induction )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 615.03 Tm (Standards.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 585.88 Tm (The registered provider/manager is still to develop and implement a business and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 571.29 Tm (financial plan, and provide a copy of this information to the Commission, some financial )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 556.72 Tm (accounts have now been completed but those for 2008/2009 remain outstanding. We )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 542.14 Tm (have reminded the registered Provider of the need to ensure that the Commission is kept )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 527.55 Tm (informed and provided with the information requested as it becomes available.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 498.39 Tm (Our examination of records indicates that there have been at least four significant events )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 483.82 Tm (happen at the home that have not been notified to the Commission, guidelines and )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 469.23 Tm (procedures make clear to staff that the Commission must be notified but the registered )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 454.65 Tm (provider/manager has not ensured that this happens.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 425.49 Tm (The registered provider/manager as the sole director of Beechwood Lodge Ltd is required )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 410.92 Tm (to undertake formal visits to the home and to record the outcome of these visits, the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 396.33 Tm (registered provider is aware of this responsibility and has sought an appropriate recording )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 381.76 Tm (tool to undertake this activity, this is still to be implemented.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 352.6 Tm (The registered provider/manager is undertaking to survey relatives and residents but is )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 338.02 Tm (still to implement a mechanism for analysing their feedback and incorporating this into )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 323.43 Tm (service development plans, no system currently exists for the registered provider to )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 308.86 Tm (routinely monitor and report on service quality.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 294.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 279.7 Tm (As a result of these outstanding requirements a code B notice has been issued, and the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 265.11 Tm (Commission may decide to take further enforcement action as a result.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 235.96 Tm (We have indicated previously our concerns that the Registered provider does not have )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 221.38 Tm (the necessary skills, leadership, or qualifications to undertake the management of the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 206.79 Tm (home on a day to day basis or effect sustained improvement, and this is evident from the )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 192.21 Tm (continued shortfalls in key areas of service delivery and practise that directly impact on )Tj ET /F2 12 Tf BT 1 0 0 1 31.8 177.63 Tm (the safety and well being of residents.)Tj ET /F2 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 31.8 148.48 Tm (. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 123.52 Tm (If you want to know what action the person responsible for this care home)Tj ET /F2 12 Tf BT 1 0 0 1 483.55 123.52 Tm (is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 107.52 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 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631.12 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 631.12 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 34.05 616.54 Tm (Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 561.16 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 561.16 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 561.16 Tm (That all residents are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 546.58 Tm (provided with an up to date )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 532 Tm (and amended copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 517.42 Tm (Service user Guide and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 502.84 Tm (Statement of Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 485.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 470.68 Tm (That all residents are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 456.1 Tm (provided with an up to date )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 441.52 Tm (and amended copy of the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 426.94 Tm (Service user Guide and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 412.36 Tm (Statement of Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 389.53 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 389.53 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 389.53 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 389.53 Tm (All care staff' administering )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 374.95 Tm (medication must receive )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 360.37 Tm (certificated training to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 345.79 Tm (evidence they have achieve )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 331.21 Tm (the appropriate competency )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 316.63 Tm (to do so safely. Residents )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 302.05 Tm (who self medicate should be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 287.47 Tm (provided with secure and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 272.89 Tm (fixed storage facilities within )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 258.31 Tm (their own rooms. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 243.73 Tm (Administering staff must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 229.15 Tm (adhere to the medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 214.57 Tm (policy and procedure to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 199.99 Tm (ensure safe practice in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 185.41 Tm (administration )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 167.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 153.25 Tm (All care staff' administering )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 138.67 Tm (medication must receive )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 124.09 Tm (certificated training to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 109.51 Tm (evidence they have achieve )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 94.93 Tm (the appropriate competency )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 80.35 Tm (to do so safely. 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787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 671.43 Tm (regulation at least once per )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 656.85 Tm (month, and shall interview )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 642.28 Tm (with their consent and in )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 627.7 Tm (private a sample of residents )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 613.11 Tm (and care staff as necessary )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 598.53 Tm (to form a opinion of the )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 583.96 Tm (standard of care provided in )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 569.38 Tm (the home, carry out an )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 554.79 Tm (inspection of the home and )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 540.22 Tm (prepare a written report on )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 525.64 Tm (the conduct of the home )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 511.05 Tm (which must be made )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 496.48 Tm (available to the Commission.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 471.39 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 471.39 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 471.39 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 471.39 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 456.82 Tm (be able to demonstrate how )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 442.23 Tm (the home provides a good )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 427.65 Tm (quality service for residents )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 413.08 Tm (and the measures necessary )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 398.49 Tm (to improve the quality and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 383.92 Tm (delivery of the service )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 369.33 Tm (provided in the home. \(This )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 354.76 Tm (is an outstanding )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 340.17 Tm (Requirement from the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 325.6 Tm (inspection in June 2007\) )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 308.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 293.43 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 278.86 Tm (be able to demonstrate how )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 264.27 Tm (the home provides a good )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 249.7 Tm (quality service for residents )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 235.12 Tm (and the measures necessary )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 220.54 Tm (to improve the quality and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 205.96 Tm (delivery of the service )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 191.38 Tm (provided in the home. \(This )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 176.79 Tm (is an outstanding )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 162.21 Tm (Requirement from the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 147.63 Tm (inspection in June 2007\) )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 471.39 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 124.81 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 124.81 Tm (34)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 124.81 Tm (25)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 124.81 Tm (That a financial and business )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 110.22 Tm (plan is sent to the CSCI and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 95.64 Tm (is made available for future )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 81.07 Tm (inspections.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 63.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 48.9 Tm (That a financial and business )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 124.81 Tm (30/06/2009)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 495.06 w 32.32 536.57 m 564.97 536.57 l S 0.001 w 1 1 1 RG 46.74 w 31.2 657.88 m 91.05 657.88 l S 0.001 w 46.74 w 93.3 657.88 m 197.4 657.88 l S 0.001 w 46.74 w 199.65 657.88 m 289.45 657.88 l S 0.001 w 46.74 w 291.7 657.88 m 473.8 657.88 l S 0.001 w 46.74 w 476.05 657.88 m 566.1 657.88 l S 0.001 w 344.34 w 31.2 460.08 m 91.05 460.08 l S 0.001 w 344.34 w 93.3 460.08 m 197.4 460.08 l S 0.001 w 344.34 w 199.65 460.08 m 289.45 460.08 l S 0.001 w 344.34 w 291.7 460.08 m 473.8 460.08 l S 0.001 w 344.34 w 476.05 460.08 m 566.1 460.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 633.38 m 568.3 633.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 285.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 285.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 285.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 285.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 285.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 285.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 633.38 m 568.3 633.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 286.79 m 568.3 286.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 750.72 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 34.05 736.15 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 736.15 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 34.05 721.57 Tm (Act 2000, )Tj ET /F2 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 671.43 Tm (plan is sent to the CSCI and )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 656.85 Tm (is made available for future )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 642.28 Tm (inspections.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 617.2 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 617.2 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 617.2 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 617.2 Tm (The Registered person shall )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 602.61 Tm (give notice to the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 588.03 Tm (Commission without delay of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 573.46 Tm (the occurrence of the death, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 558.88 Tm (illness, and other significant )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 544.29 Tm (events made clear within this )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 529.72 Tm (regulation, and any )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 515.14 Tm (notification made orally in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 500.55 Tm (accordance with this )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 485.98 Tm (regulation shall be confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 471.39 Tm (in writing.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 453.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 439.23 Tm (The Registered person shall )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 424.65 Tm (give notice to the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 410.08 Tm (Commission without delay of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 395.49 Tm (the occurrence of the death, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 380.92 Tm (illness, and other significant )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 366.33 Tm (events made clear within this )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 351.76 Tm (regulation, and any )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 337.17 Tm (notification made orally in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 322.6 Tm (accordance with this )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 308.02 Tm (regulation shall be confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 293.43 Tm (in writing.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 617.2 Tm (01/12/2009)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 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 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 692.47 m 564.97 692.47 l S 0.001 w 1 1 1 RG 20.58 w 31.2 649.83 m 91.05 649.83 l S 0.001 w 20.58 w 93.3 649.83 m 197.4 649.83 l S 0.001 w 20.58 w 199.65 649.83 m 289.45 649.83 l S 0.001 w 20.58 w 291.7 649.83 m 473.8 649.83 l S 0.001 w 20.58 w 476.05 649.83 m 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694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 715.02 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 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET 0.95294 0.95294 0.95294 RG 122.12 w 32.32 537.73 m 564.97 537.73 l S 0.001 w 1 1 1 RG 20.58 w 31.2 488.08 m 91.05 488.08 l S 0.001 w 20.58 w 93.3 488.08 m 197.4 488.08 l S 0.001 w 20.58 w 199.65 488.08 m 289.45 488.08 l S 0.001 w 20.58 w 291.7 488.08 m 473.8 488.08 l S 0.001 w 20.58 w 476.05 488.08 m 566.1 488.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 500.58 m 30.07 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 500.58 m 567.22 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.3 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 500.58 m 92.17 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 500.58 m 198.52 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 500.58 m 290.57 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 500.58 m 474.92 475.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.04 m 568.4 601.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.05 m 568.4 532.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 499.5 m 568.4 499.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.67 m 568.3 476.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 602.12 m 30.07 498.42 l S 0.001 w [] 0 d [] 0 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Tel: 0870 600 5522. 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If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 210.26 Tm ( Care Quality Commission 2010)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 190.26 Tm (This publication may be reproduced in whole or in part in any format or medium for )Tj ET /F2 12 Tf BT 1 0 0 1 539.47 190.26 Tm (non-)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 172.77 Tm (commercial)Tj ET /F2 12 Tf BT 1 0 0 1 97.55 172.77 Tm ( purposes, provided that it is reproduced accurately and not used in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 155.27 Tm (derogatory manner or in a misleading context. 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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 46 0 obj<> endobj 47 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 48 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 28 0 obj<> endobj 49 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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