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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 461.32 m 160.38 461.32 l S 0.001 w 1 1 1 RG 90.9 w 162.63 461.32 m 563.65 461.32 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 565.85 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assessment of how well a care home)Tj ET /F3 12 Tf BT 1 0 0 1 389.13 323.23 Tm (is meeting the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 306.23 Tm (people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 138.93 306.23 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 147.37 306.23 Tm (We give a quality rating following a full review of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 517.67 306.23 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 526.12 306.23 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 289.23 Tm (call this full review a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 272.23 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 254.75 m 315.25 254.75 l S 0.001 w 20.58 w 317.5 254.75 m 565.9 254.75 l S 0.001 w 1 1 1 RG 20.58 w 317.5 231.92 m 346.55 231.92 l S 0.001 w 20.58 w 348.8 231.92 m 377.9 231.92 l S 0.001 w 20.58 w 380.15 231.92 m 409.2 231.92 l S 0.001 w 20.58 w 411.45 231.92 m 440.55 231.92 l S 0.001 w 20.58 w 442.8 231.92 m 471.9 231.92 l S 0.001 w 20.58 w 474.15 231.92 m 503.2 231.92 l S 0.001 w 20.58 w 505.45 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<>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a review of quality of outcomes that people experience in this )Tj ET /F3 12 Tf BT 1 0 0 1 448.39 787.03 Tm (care home. We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm ( Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Hilton Brook House)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Hilton Brook House)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Hilton)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Bridgnorth)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Shropshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 676.3 Tm (WV15 5PE)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01746716577)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01746716338)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 607.81 Tm (jen@hiltonbrookhouse.co.uk)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 566.03 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 522.59 m 564.77 522.59 l S 0.001 w 1 1 1 RG 20.58 w 355.5 546.54 m 565.9 546.54 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 523.71 m 353.25 523.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 523.71 m 565.9 523.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 500.88 m 353.25 500.88 l S 0.001 w 1 1 1 RG 20.58 w 355.5 500.88 m 565.9 500.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 535.13 m 568.1 535.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.3 m 568.1 512.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 489.47 m 568.1 489.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 488.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 488.39 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 541.77 Tm (Mrs Jennifer Jones)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 518.94 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 518.94 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 496.11 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 496.11 Tm (31)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 477.17 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 460.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 417.85 m 564.47 417.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 429.26 m 567.8 429.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 452.09 m 567.8 452.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.26 m 567.8 429.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.85 m 567.8 385.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 453.17 m 30.07 384.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 430.34 m 298.32 384.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 453.17 m 566.72 384.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 435.91 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 413.08 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 413.08 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 392.5 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 392.5 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 371.06 m 297.3 371.06 l S 0.001 w 20.58 w 299.55 371.06 m 431.45 371.06 l S 0.001 w 20.58 w 433.7 371.06 m 565.6 371.06 l S 0.001 w 35.16 w 31.2 340.94 m 297.3 340.94 l S 0.001 w 35.16 w 299.55 340.94 m 431.45 340.94 l S 0.001 w 35.16 w 433.7 340.94 m 565.6 340.94 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 310.82 m 565.6 310.82 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 359.65 m 567.8 359.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.24 m 567.8 322.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.41 m 567.8 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 568.1 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.48 m 567.8 382.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.65 m 567.8 359.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.24 m 567.8 322.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.41 m 568.1 299.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 276.58 m 568.1 276.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 210.01 m 568.1 210.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.55 m 30.07 208.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 383.55 m 298.42 321.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 383.55 m 432.57 321.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 383.55 m 566.72 208.93 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 366.29 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 366.29 Tm (10)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 366.29 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 343.46 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 328.88 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 343.46 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 343.46 Tm (21)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 306.05 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 283.22 Tm (The maximum number of service users who can be accommodated is: 31)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 260.39 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 245.81 Tm (Only \(Code PC\) To service users of the following gender: Either Whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 231.23 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 216.65 Tm (falling within any other category \(OP\) 21 Dementia \(DE\) 10)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 195.22 m 315.25 195.22 l S 0.001 w 1 1 1 RG 20.58 w 317.5 195.22 m 346.55 195.22 l S 0.001 w 20.58 w 348.8 195.22 m 377.9 195.22 l S 0.001 w 20.58 w 380.15 195.22 m 409.2 195.22 l S 0.001 w 20.58 w 411.45 195.22 m 440.55 195.22 l S 0.001 w 20.58 w 442.8 195.22 m 471.9 195.22 l S 0.001 w 20.58 w 474.15 195.22 m 503.2 195.22 l S 0.001 w 20.58 w 505.45 195.22 m 534.55 195.22 l S 0.001 w 20.58 w 536.8 195.22 m 565.9 195.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 206.63 m 568.1 206.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 183.8 m 568.1 183.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 207.71 m 30.07 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 207.71 m 316.37 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 207.71 m 347.67 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 207.71 m 379.02 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 207.71 m 410.32 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 207.71 m 441.67 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 207.71 m 473.02 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 207.71 m 504.32 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 207.71 m 535.67 182.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 207.71 m 567.02 182.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 190.45 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 171.93 m 565.9 171.93 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 162.3 m 568.1 162.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 163.38 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 163.38 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 181.55 m 568.1 181.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.3 m 568.1 162.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 182.63 m 30.07 161.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 182.63 m 567.02 161.23 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 168.37 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 168.37 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 149.12 Tm (Hilton Brook House is a residential home situated in the village of Hilton, South )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 132.12 Tm (Shropshire. The home is registered to provide care for older people, including older )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 115.12 Tm (people with dementia. The home is owned by Mrs Jennifer Jones, who is also the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 98.12 Tm (registered manager. There is a management team in place which supports the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 81.12 Tm (registered manager in the management of the home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 64.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 47.12 Tm (The home has been previously extended and converted. The accommodation currently )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 536.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 536.08 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 28.99 537.15 m 568.1 537.15 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 /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 783.47 Tm (provided is 21 single bedrooms \(6 en-suite\) and 5 double bedrooms, located over two )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 766.47 Tm (floors. The upper floor can be accessed via two passenger lifts. The gardens outside )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 749.47 Tm (the home are pleasant, well maintained and easily accessible. Residents also have the )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 732.47 Tm (use of Mrs Jones' garden, which adjoins the home, where there are a variety of pet )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 715.47 Tm (animals and birds.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 698.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.25 681.47 Tm (Hilton Brook House delivers care in accordance with individual care plans, supported by )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 664.47 Tm (an ongoing assessment of needs. All residents are allocated a key worker. Prospective )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 647.47 Tm (service users are offered the opportunity to spend supported time in the home as part )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 630.47 Tm (of the admission assessment process. The needs of residents are increasing and some )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 613.47 Tm (are highly dependant on carers to ensure that personal care needs are met.)Tj ET /F3 12 Tf BT 1 0 0 1 33.25 596.47 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.25 579.47 Tm (The current weekly fees are published in the service user guide and marketing )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 562.47 Tm (literature published for the home. These are currently 380 per week. There are )Tj ET /F3 12 Tf BT 1 0 0 1 33.25 545.47 Tm (additional charges for services such as hairdressing, chiropody and newspapers.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 529/Matrix [1 0 0 1 0 0]>>stream xMo1+|KGJ%N qm*%rRiRމ=~^`kBq8qdQ=>`9 8[- 2K',)MP!BNquU J/G/.ZIźO$-,VZ[S{zle+ҴFiN߅GV&2Nv\k|u4* {;?y*Ȧ<#d<ɛP5Z:hU)xAʌ}*#cg+yIyFe]+ EʮV2#lH6t]첋=Il'wt5s]gjBk;jMdϾ+zvYiӹH6t9vmbq𙾸#]4нs1qxk:N0\psQlʩ/6= ٥:mYcg~- xـ2opfq;s}ffw |YqfoRg7-u94닿7n7l~} endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 411.34 749.45 Tm (two star good service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The inspection was carried out by one inspector across two days. The time on site )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (lasted a total of 11.5 hours. The home was aware that an inspection was imminent but )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm (they were not aware of the date or time the inspection would take place. The main )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (purpose of this unannounced inspection was to monitor the home's continued )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (performance against standards.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (The service generally demonstrated systems and processes are in place to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (services provided meet the expected standards required by the regulations and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm (national minimum standards. There were some areas for improvement identified. There )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm (was a requirement made at the last key inspection in respect to medicines )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (management arrangements of the home and this was followed up as part of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (The home sent us their annual quality assurance assessment \(AQAA\) before the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (inspection. This gave us information about what they are doing now, what they want to )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 119.64 w 32.32 752.71 m 566.72 752.71 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 691.76 m 568.92 691.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 690.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 690.69 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm (do in the future and how they have met the requirements from the last key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 788.14 Tm (The management team and the staff who assisted with the inspection across the day )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 773.56 Tm (had a positive and helpful approach and the assessor felt welcome at all times.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 758.98 Tm (The inspection included observing activity within the home, inspecting the premises, )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 744.4 Tm (and reviewing in depth a range of records. The opportunity was taken to talk with )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 729.82 Tm (residents, staff and visitors to the home. As part of the inspection process, the )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 715.24 Tm (Commission circulated questionnaires for people living, visiting and working at the )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 700.66 Tm (home to expresses views and opinions for inclusion in this report.)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 78.9 w 32.32 734.37 m 566.72 734.37 l S 0.001 w 20.58 w 32.7 682.38 m 569.35 682.38 l S 0.001 w 93.48 w 33.82 623.1 m 568.22 623.1 l S 0.001 w 20.58 w 33.45 563.82 m 570.1 563.82 l S 0.001 w 122.64 w 34.57 489.96 m 568.97 489.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 693.8 m 568.92 693.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 692.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 693.8 m 569.35 693.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 670.97 m 569.35 670.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 670.97 m 570.42 670.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 575.24 m 570.42 575.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 552.41 m 570.1 552.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 575.24 m 570.1 575.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 552.41 m 571.17 552.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 427.52 m 571.17 427.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 672.05 m 32.7 574.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 553.49 m 33.45 426.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 692.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 672.05 m 569.35 574.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 553.49 m 570.1 426.44 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (The atmosphere within the home is warm and friendly. Staff provide a good standard )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (of care to people living in the home, communicating with and managing residents in a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (thoughtful, respectful manner. On the day of arrival, a resident was overheard to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (reflect with a member of staff that staff at the home were, "beautiful, caring, beautiful )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm (people, I love it here.")Tj ET /F3 10 Tf BT 1 0 0 1 568.97 732.82 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 680.27 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 677.61 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 680.83 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 621.55 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 654.78 Tm (The home has continued with a programme of internal decoration and improvement )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 640.2 Tm (works. Since the last inspection, a downstairs bathroom has been damp coursed and )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 625.62 Tm (replastered. A range of bedrooms have been redecorated and communal areas )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 611.04 Tm (continue to be kept to a high standard.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 596.46 Tm (An assistant deputy manager has recently been appointed. This has strengthened the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 581.88 Tm (management team generally but has enhanced day to day leadership.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 621.55 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 562.27 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 559.05 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 488.41 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 536.22 Tm (As a result of this inspection, one requirement and five recommendations to improve )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 521.64 Tm (practices in the home have been made.)Tj ET /F3 12 Tf BT 1 0 0 1 37.42 507.06 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 492.48 Tm (We found that the systems for the management of medication into and out of the )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 477.9 Tm (home needed to be reviewed. In particular, the monitoring systems to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 463.32 Tm (compliance with the home's procedures and the early identification of issues needed to )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 448.74 Tm (be developed. Information provided to us following this inspection has reassured us )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 434.16 Tm (that these issues have been addressed in full.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 411.83 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 391.84 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 391.84 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 391.84 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 374.34 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 354.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 334.35 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 334.35 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 314.35 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 314.35 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 294.36 Tm (order line 0870 240 7535.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 281.81 w 34.6 299.27 m 562.54 299.27 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 259.32 w 33.47 288.02 m 563.66 288.02 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 156.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 156.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 157.23 m 565.87 157.23 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (No individual moves into the home without having their needs assessed and where the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (home is confident it can meet these needs. All assessments are completed by )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.76 Tm (competent members of staff.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 306.26 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 288.77 Tm (Hilton Brook House has a variety of information to offer people who are thinking about )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 271.27 Tm (living at the home make an informed choice about whether the home is suitable to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 253.77 Tm (meet their individual needs. The home produces a well written and informative )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 236.28 Tm (welcome pack, providing an overview of services and accommodation offered. There is )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 218.78 Tm (the opportunity for individuals to spend time in the home to inform decisions on the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 201.29 Tm (choice of home.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 183.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 166.29 Tm (Hilton Brook House does not offer an intermediate care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 141.55 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 49.34 w 34.6 106.69 m 562.54 106.69 l S 0.001 w 1 1 1 RG 22.5 w 32.35 122.36 m 564.79 122.36 l S 0.001 w 27.97 w 33.47 94.88 m 563.66 94.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 109.99 m 565.87 109.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 111.07 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 111.07 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 109.99 m 564.79 109.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 119.05 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (The current statement of purpose and service user guide were freely available in the )Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 511.26 w 34.6 555.78 m 562.54 555.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 489.89 w 33.47 543.96 m 563.66 543.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 296.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 297.89 m 565.87 297.89 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (reception area of the home, along with a well written booklet, providing a brief )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (overview of services and accommodation provided at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The content of the statement of purpose and service user guide were consistent with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the requirements of the regulations and reflected the current conditions of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (registration. The home also publishes a home welcome pack, giving a brief overview of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (services and accommodation. This document was considered to be particularly well )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (written and informative and commits the home to six statements covering the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (standard of care residents can expect at the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (There was a discrepancy in information between the statement of purpose and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (service user guide in respect to the number of bedrooms and ensuite facilities )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (available. This was advised to the registered manager during the course of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The home issues a contract to all individuals living at the home, which clearly sets out )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (the fees and other charges payable. Not all contracts were complete in content. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (fee agreed was a detail that was often not recorded in the signed contract held on file.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Individuals and relatives are encouraged to be involved in the assessment process. A )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (comprehensive needs assessment is completed for most service users prior to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (admission by a skilled and experienced member of staff. This will be the registered )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (manager, deputy manager of assistant deputy manager. The home will accept )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (emergency respite and other placements where individual needs can be met and bed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (capacity allows. These assessments are informed by a wide range of sources and seek )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (to ensure that the home is the right environment and can meet the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (service user. Prospective service users are offered the opportunity to spend supported )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (time in the home as part of the assessment process.)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 264.32 w 34.6 342.01 m 562.54 342.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 241.82 w 33.47 330.77 m 563.66 330.77 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 207.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 207.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 208.73 m 565.87 208.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (The health and personal care which an individual receives at Hilton Brook is based on )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (an assessment of all health, personal preferences and social care needs, set out in an )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (individual plan of care. The detail in care plans and the adjustment to plans in )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.26 Tm (response to specific issues was not always clear.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 322.77 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.27 Tm (The health of individuals is promoted and maintained in the home, access to relevant )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 287.77 Tm (health care services supported to meet assessed needs and medication regimes are )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 270.28 Tm (complied with.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 252.78 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 235.29 Tm (It was also not always clear to what extent an individual or their representative had )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 217.79 Tm (been involved in the care planning process)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 193.04 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 100.83 w 34.6 132.44 m 562.54 132.44 l S 0.001 w 1 1 1 RG 22.5 w 32.35 173.86 m 564.79 173.86 l S 0.001 w 79.46 w 33.47 120.63 m 563.66 120.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 161.49 m 565.87 161.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 162.56 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 162.56 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 161.49 m 564.79 161.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 170.55 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (All of the written comments reviewed about the care carried out at the home were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (complimentary. Health professionals who work with the home were similarly positive )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (about the care provided.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm ()Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ("I know she was well looked after by you all,,, and I am always grateful for the piece )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (of mind you gave me having not to worry about her so much")Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ("Sadly her stay was short but we are pleased that at least she ended her days )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (amongst people who showed her dignity and compassion")Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (All residents have an individual care plan in place, based on individual needs and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (preferences. The deputy manager advised that residents are involved in care planning )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (to make decisions about their care. The approach reflected during observations and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (discussions with staff was to keep residents safe but promote independence as far as )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (possible. No patients were self medicating at the time of the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (In order to check the approach reflected by staff at the home to care planning, sample )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (care records were reviewed. The records included recent admissions, recent )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (discharges and records for individuals who had recently been admitted to hospital for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (a period. This review confirmed that care plans are developed in response to individual )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (needs but the detail in the ongoing recording and update was lacking and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (adjustment of plans in response to specific issues and incidents was not always )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (demonstrated. It was also not always clear to what extent an individual or their )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (representative had been involved in the care planning process.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The general standard of care plans was acceptable. There was an inconsistent )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (approach to signing or initialling of entries in the care plans. The recording of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (observations was not demonstrated where frequent observations form part of the care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (plan. This was discussed with the registered manager as part of the inspection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (feedback, who confirmed that the observations take place but are not individually )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (recorded, but anything exceptional would be recorded.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (The observations on the most recent admission at the time of the inspection need to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (be reflected. The individual had arrived at the home in a very frail, physically and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (mentally vulnerable state. The individual was too weak to mobilise and transfer )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (independently. This was reflected in the photograph taken at the time of admission for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (the medication records. The individual was seen at the home during the inspection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (just over a month later. The individual was seen to be mobilising and transferring )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (independently, having coherent discussions with staff and other residents and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (physically looked healthy and well looked after.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (The home promotes and maintains residents' health, ensuring access to primary and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (secondary care services as required. The home has a good relationship with a local GP )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (practice, with whom residents are registered during their stay at the home. This )Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (includes temporary registration where a resident has been admitted for respite care. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The practice visits the home every Wednesday but support visits in response to urgent )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (needs as they arise.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (The home has good standing relationships with local community nursing services. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (Direct referrals are made to services to ensure timely advice is sought. During the first )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (day of the inspection, there was various community nurses who visited the home. A )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (district nurse attended in the morning to attend to resident's dressings. In the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (afternoon, a member of the local community mental health team came to discuss with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (the home the management of a resident with emerging challenging behaviour. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (opportunity was taken to speak with the nurse from the mental health team. They )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (were very positive about the relationship with the home and the care and approach )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (they offered to the residents. They confirmed that the home always approached for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (advice and input at an appropriate stage and worked well with staff to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (residents were kept safe and supported appropriately.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (A minimum of annual oral health and optician assessments are arranged within the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (home for residents, local domiciliary arrangements in place. The deputy manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (advised that all new residents are referred and attendance requested where the need )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (arises.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (There was a requirement set at the last inspection to review medication systems and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (processes which had not been followed up through a further compliance visit. There )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (had also been a recent concern received on staff accessing medication for personal )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (use. The registered manager had responded to this concern before the inspection. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (medicines management arrangements at the home were therefore reviewed in detail )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (during the first day of the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (The systems at the home do not always follow good practice or safe practice )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (guidelines. General day to day processes to support the safe management of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (medicines were demonstrated. Staff involved in the administration of medication have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (completed and passed an appropriate medication course. Sample medication records )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (were reviewed and demonstrated compliance with prescribing regimes set by health )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (professionals. The storage of non routine medication, such as painkillers and cream & )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (ointments, was chaotic. Space in the main medicines cupboard is limited, and a lot of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (this type of medication was placed in a separate pigeon hole type storage system. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (Some medication was stored in one place for individual patients but there was some )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (mixing of medication between patients observed on inspection of the medicines )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (cupboard. The handling of medication once received at the home was also )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (inconsistent.)Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 196.33 w 34.6 713.24 m 562.54 713.24 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 174.96 w 33.47 701.43 m 563.66 701.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 611.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 611.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 612.82 m 565.87 612.82 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (Regular management reviews are not recorded to monitor compliance with procedures )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (or to reconcile stocks and identify discrepancies. There were several discrepancies )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (identified in the controlled drugs register. These were resolved immediately following )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (the inspection but reflected an inconsistent approach to recording and management )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (processes. PRN medication is supplied in jars for use as and when required. The lack )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (of management checks increases the risk of discrepancies going unidentified; we are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (now aware that a much more robust system of audit has been established at the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (home.)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (Individuals living at Hilton Brook are able to choose their life style and social activities )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (and are encouraged to maintain contact with family and friends. The food prepared at )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (the home is healthy and varied to meet with assessed needs and choices.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (From comments received and observations during the inspection, the home has a )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (strong commitment to support residents makes choices about their day to day )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (routines and lifestyles.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm ("She was always very happy in your home.")Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm ("Our family have fond memories of how she tootled around,chatting and laughing with )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (staff and other residents, which obviously proved she was quite happy and content.")Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm ("Lots to do here, they keep me busy")Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (" - and the companionship I have is precious")Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (Communication and relationships between staff, residents and visitors to the home )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 703.72 w 34.6 459.55 m 562.54 459.55 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 682.34 w 33.47 447.74 m 563.66 447.74 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 104.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 104.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 105.44 m 565.87 105.44 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (were observed to be positive. Conversations with visitors during the inspection )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (reflected that they were always welcomed at the home by staff and that residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (were actively encouraged to participate in activities taking place. A review of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (visitor's book confirmed that there are visitors to various residents across every day.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (The deputy manager's responsibilities include the coordination and planning of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (activities. The home has invested in this area through training and resources for the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (deputy manager to support this role. There was evidence across the home of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (range of activities supported, with display posters of photos of staff and residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (participating in events organised. Residents looked to be having a fun time fruit )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (picking and the staff try to enhance occasions by dressing up - all staff dressed up for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Halloween.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Routine activities organised include word searches, colouring, painting, knitting, bingo, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (pet therapy and exercise, aromatherapy and a range of outside entertainers are also )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (organised. Gentle exercise through walks in the garden and orchard, looking after the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (pet chickens and owl also form a part of day to day routines. Discussions with staff, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (residents and visitors confirmed that residents are very engaged with activities )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (organised, if they want to be and have the choice to participate or not. One to one )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (activity sessions are also supported through key workers and the deputy/assistance )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (deputy manager.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (All residents who made comments about the food were in agreement that the food )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (was lovely. The home employs a cook who works across the week, with cooking duties )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (covered by care staff every other weekend. Discussions with the cook reflected a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (commitment to preparing nutritious, homely meals using home grown produce - eggs )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (from the chickens and fruit from the orchard.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ("The food is excellent.")Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm ("The food is excellent and always lovely.")Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (On both inspection days, there was a homely cooking smell coming from the kitchen )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (leading up to lunchtime. The cook appeared keen to ensure that meals are well )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (presented and as afar as possible, truly home made. On the first day of the inspection, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (the cook was preparing home made lemon cake and rice pudding for the lunch time )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (sitting. The encouragement and assistance for individuals was observed at lunch time )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (on both days on site. Both observations reflected a sensitive and respectful approach )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (by staff.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 497 m 562.54 497 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 101.85 w 33.47 485.75 m 563.66 485.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 432.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 433.7 m 565.87 433.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (Individuals living at Hilton Brook have access to an open and transparent complaints )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm (procedure, with support and advocacy easily accessed through the home. Individuals )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 442.76 Tm (are protected from abuse and have their legal rights protected.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 418.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 234.95 w 34.6 290.35 m 562.54 290.35 l S 0.001 w 1 1 1 RG 22.5 w 32.35 398.83 m 564.79 398.83 l S 0.001 w 212.45 w 33.47 279.1 m 563.66 279.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 386.45 m 565.87 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 387.53 m 32.35 170.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 387.53 m 564.79 170.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 386.45 m 564.79 386.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 171.75 m 565.87 171.75 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 395.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 370.77 Tm (The home has a complaints procedure in place, which was available at the reception to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.27 Tm (the home, advised across the home and referenced in the statement of purpose, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 335.78 Tm (service user guide and supporting information about the home. The complaints policy )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.28 Tm (is clearly written and easy to understand.Information on advocacy services was clearly )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 300.79 Tm (on display across communal areas. Residents confirmed they were aware of how to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.29 Tm (raise concerns.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 265.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (The home has safeguarding procedures in place.The mandatory training programme )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (for staff includes safeguarding and this training considers the different forms of abuse )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (that can take place. Understanding of the policy arrangements and how to respond )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (was discussed with individual staff. Their understanding reflected the training provided )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (and procedures at the home.)Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 471.25 m 562.54 471.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 119.35 w 33.47 460 m 563.66 460 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 398.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 399.2 m 565.87 399.2 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Residents live in a safe, well-maintained, homely environment. A programme of )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (routine and developmental maintenance is in place. Indoor and outdoor communal )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (areas are provided at the home. All areas of the home are well maintained and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.26 Tm (cleaned on a routine basis.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 383.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 291.3 w 34.6 227.68 m 562.54 227.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 364.33 m 564.79 364.33 l S 0.001 w 269.93 w 33.47 215.87 m 563.66 215.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 351.96 m 565.87 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 353.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 353.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 351.96 m 564.79 351.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 361.02 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (The registered manager confirmed that reactive maintenance is covered by the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (maintenance man in post, who could attend to most routine and ongoing maintenance )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm (work without the need to call in external contractors. Improvement and development )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (maintenance remained a discussion at management level with staff input. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (registered manager confirmed that the current budget arrangements provided funding )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (for both reactive and proactive maintenance works. There was a forward plan of works )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (to extend the kitchen area and works to continue to upgrade bedroom areas and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (develop ensuite facilities remained the priority for the next 12 months.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (A full guided tour of the premises was provided on the first day of inspection. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (home generally appeared clean, tidy and fit for use. There were discreet areas where )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (noxious odours were detected - immediately outside the staff toilet area on the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (ground floor, in the shared male bedroom on the upper floor and the single female )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (bedroom on the upper floor. These areas were revisited on the second day of the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (inspection. The noxious smells were no longer present.)Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 616.23 w 34.6 503.29 m 562.54 503.29 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 594.86 w 33.47 491.48 m 563.66 491.48 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 191.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 192.92 m 565.87 192.92 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The bedrooms are a mix of ensuite and shared accommodation. Personalisation of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (bedrooms was evident across the site and some areas had recently been redecorated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (and recarpeted. During the first day on site, the maintenance man was undertaking )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (works to the radiators in the bedrooms to ensure the control of temperature in each )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (room was working properly. The standard of upkeep generally on the fabric and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (fittings across the site was observed to be good.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The home benefits from a garden area that is set against beautiful countryside. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (home has recently introduced chickens, which residents clearly enjoyed, particularly )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (when the chickens laid eggs. The manager's own home is next door and residents are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (welcome to enjoy the orchard and gardens attached. The manager's own cat often )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (visits the home, again much enjoyed by residents.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (There were clear schedules for cleaning across the home in place, to include a specific )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (rota for night shift staff. The kitchen has a rolling programme of routine and less )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (frequent cleaning tasks and it was evidenced that completion of the tasks is checked.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Hand gel dispensers were in place and actively used by staff and visitors within all )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (communal areas and along corridors. Infection control is included within the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (mandatory training programme for the home and observations on site confirmed that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (good infection control practice was observed by care staff.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (The range of health and safety checks and documents were reviewed and found to be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (in order and up to date. Fire fighting equipment and electrical equipment at random )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (were reviewed and all were labelled as up to date on required checks/testing and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (appeared to be in safe working order. The environmental health officer had completed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (an inspection on the 15th January 2009. There was a recommendation to clean the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (canopy to the extractor fan in the kitchen but no other issues were noted.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (Residents confirmed they were comfortable at the home and that they had been able )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (to bring a little bit of their own home to Hilton Brook. The personalisation of bedrooms )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (was observed during the time on site. Residents felt that the home was kept clean and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (that bedding was regularly changed.)Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 211.83 w 34.6 436.26 m 562.54 436.26 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 189.33 w 33.47 425.01 m 563.66 425.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 328.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 328.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 329.22 m 565.87 329.22 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Staff in the home are trained and competent to support individuals in the home and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (meet assessed needs. The home continues to have satisfactory recruitment and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm (vetting procedures and monitors practice on an ongoing basis to identify gaps in )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.26 Tm (completion of procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 390.77 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 373.27 Tm (There was a query raised during the inspection on the sufficiency of staff numbers and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 355.77 Tm (skill mix across shifts. This was discussed with the registered manager, who confirmed )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 338.28 Tm (that staff numbers was considered to be adequate at this time.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 313.53 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 221.32 w 34.6 192.69 m 562.54 192.69 l S 0.001 w 1 1 1 RG 22.5 w 32.35 294.35 m 564.79 294.35 l S 0.001 w 199.95 w 33.47 180.88 m 563.66 180.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 281.98 m 565.87 281.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 283.05 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 283.05 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 281.98 m 564.79 281.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 291.04 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (Staff cover for both expected and unexpected absences is generally covered through )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (existing staff resources. The home currently does not have any bank staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (arrangements and does not use agency staff. At the time of the inspection there were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (two members of staff on sick leave - one following an accident, the other following an )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (expected operation. Both members of staff were designated senior care workers, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (leaving three seniors actively working shifts at the time of the inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (The home has recently strengthened management support at weekends, with )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (presence on site through the deputy and assistant deputy manager hours including )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (weekends. The on call arrangements in place ensure there is always a designated )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (member of management for staff to refer to as required.)Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 721.21 w 34.6 450.8 m 562.54 450.8 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 699.84 w 33.47 438.99 m 563.66 438.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 86.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 86.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 87.94 m 565.87 87.94 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (The home reflected in its AQQA October 2009 that there were nine service users who )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (require two to one support of staff to manage their needs. The staffing levels were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (discussed in this context with the registered manager. There are two members of staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (on duty at night to support 31 people. We discussed our concern that staff may not be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (able to respond both to urgent events and maintain an overview of other residents )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (with this ratio. However there is no evidence in the accident book or daily records to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (indicate any incidents due to staffing levels and the registered manager is satisfied )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (that adequate staffing is in place.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (All interactions between staff, residents and visitors were positive. Staff were gentle )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (and respectful to all residents, encouraging involvement and residents to take control )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (of tasks and routines. Kitchen and maintenance staff knew all the residents names )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (they came into contact with and enjoyed friendly banter.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (The home has a programme of ongoing mandatory training. Core areas include )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (infection control, health and safety, fire safety, abuse, food hygiene, dementia care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (and managing challenging behaviour. The home has moved to computer based )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (training packages where possible to provide flexibility for both the staff and the home )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (to meet training needs. It was not clear from the evidence reviewed and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (discussions with the registered manager on the follow up of mandatory training and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (the frequency at which refresher training across the core areas forming the mandatory )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (training programme was completed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (The home also has links with Ludlow College. Training and education around palliative )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (care and dementia care has been provided through the college and there is link tutor )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (in place. The home was pursuing additional dementia mapping training for staff to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (access to enhance knowledge and competency in this area, recognising the increasing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (needs being presented and increased length of stay at the home. There is a high level )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (of NVQ achievement amongst the staff - 70% have achieved NVQ 2 or above, with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (more staff due to start NVQs in the New Year \(2010\).)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (Four sample staff recruitment files were reviewed during the second day of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (inspection. Recruitment practice generally meets with expected requirements and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (standards. There were some gaps identified in respect to references and checks )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (undertaken but the registered manager had made specific decisions in these areas. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (The home was monitoring the content and standard of recruitment files at the time of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (the inspection and was aware of where other gaps in information existed. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (registered manager was advised to ensure that these gaps were rectified to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (that files were complete and up to date.)Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 141.85 w 34.6 386.25 m 562.54 386.25 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 119.35 w 33.47 375 m 563.66 375 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 313.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 313.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 314.2 m 565.87 314.2 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (The home is managed by an experienced manager, supported by a skilled and )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (experienced management team and loyal staff group. The health, safety and welfare )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm (of residents and staff are promoted, training and procedures in place to support safe )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.26 Tm (working practices. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 298.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.3 w 34.6 185.18 m 562.54 185.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.33 m 564.79 279.33 l S 0.001 w 184.93 w 33.47 173.37 m 563.66 173.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 266.96 m 565.87 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 266.96 m 564.79 266.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 276.02 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.27 Tm (The registered manager has demonstrated that generally, the home is being managed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.78 Tm (appropriately and has effective processes in place to ensure the delivery of safe, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (quality care. The manager has the necessary experience to run the home, supported )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (by a management team who bring a broad range of skills and experience to the home. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (The manager is aware of the emerging demands on social care locally and has )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm (redesigned admission processes so that respite care, planned and emergency, can be )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (provided where bed capacity allows. The manager has also identified training needs )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm (around palliative care and dementia mapping, to reflect the increasing needs of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (residents admitted and to ensure staff are skilled up to meet these needs. The )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (increasing needs of individuals admitted to the home reflect that individuals are )Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 441.27 w 34.6 590.77 m 562.54 590.77 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 419.9 w 33.47 578.96 m 563.66 578.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 367.88 m 565.87 367.88 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (staying at home longer. The registered manager participates in the training )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (programme of the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The home ensures that quality and outcomes are reviewed on a regular basis. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (deputy manager is responsible for the completion of audits across a range of activity )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (taking place at the home. There is a policy for audit adopted by the home. There was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (evidence to demonstrate that certain audits were taking place but the scope of these )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (audits was limited and there was no clear evidence referenced to support the findings )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (of the audits.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Learning from accidents, incidents and complaints is shared with staff through the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (monthly staff meetings. Incidents are reported and recorded within the home but the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (linkage to care planning and individual risk assessments was not always explicit.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (Various staff reflected that working at the home was a positive experience. They felt )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (supported by management through the appraisal and supervision process in place and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (that they were confident they could raise issues and be taken seriously. These staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (also reflected that access to training was encouraged at the home. Many of the staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (had been working at the home for a number of years and the information provided b )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (the home prior to the inspection reflected a very small turnover of staff.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (Residents are encouraged to manage their own finances.There is a procedure in place )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (for the management, recording and reconciliation of residents monies, which was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (reviewed in September 2009. Regular checks and reconciliation was evidenced.)Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.95294 0.95294 0.95294 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 331.68 w 32.32 551.56 m 564.97 551.56 l S 0.001 w 1 1 1 RG 227.7 w 31.2 500.7 m 91.05 500.7 l S 0.001 w 227.7 w 93.3 500.7 m 197.4 500.7 l S 0.001 w 227.7 w 199.65 500.7 m 289.45 500.7 l S 0.001 w 227.7 w 291.7 500.7 m 473.8 500.7 l S 0.001 w 227.7 w 476.05 500.7 m 566.1 500.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 384.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 384.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 384.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 384.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 384.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 384.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.72 m 568.3 385.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm (13\(2\))Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm (Medication management )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 584.91 Tm (systems in the home must )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 570.33 Tm (be further developed to )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 555.75 Tm (ensure the safe storage, )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 541.17 Tm (recording, handling )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 526.59 Tm (safekeeping and )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 512.01 Tm (administration of insulin and )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 497.43 Tm (controlled drugs within the )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 482.85 Tm (home.)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 465.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 450.69 Tm (This means people will )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 436.11 Tm (benefit from medication )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 421.53 Tm (being appropiately and safely )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 406.95 Tm (stored and suitable for )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 392.37 Tm (administration.)Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm (05/03/2008)Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 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 32.32 719.78 m 564.97 719.78 l S 0.001 w 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 665.72 m 568.3 665.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 441.54 w 32.32 405.32 m 564.97 405.32 l S 0.001 w 1 1 1 RG 340 w 31.2 355.68 m 91.05 355.68 l S 0.001 w 340 w 93.3 355.68 m 197.4 355.68 l S 0.001 w 340 w 199.65 355.68 m 289.45 355.68 l S 0.001 w 340 w 291.7 355.68 m 473.8 355.68 l S 0.001 w 340 w 476.05 355.68 m 566.1 355.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 527.88 m 30.07 183.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 527.88 m 567.22 183.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.3 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 527.88 m 92.17 183.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 527.88 m 198.52 183.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 527.88 m 290.57 183.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 527.88 m 474.92 183.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.34 m 568.4 628.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 559.35 m 568.4 559.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 526.8 m 568.4 526.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.55 m 568.3 184.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 629.42 m 30.07 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 560.43 m 92.12 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 560.43 m 198.52 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 560.43 m 290.62 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 560.43 m 475.02 525.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 629.42 m 567.32 525.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 615.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 595.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 580.58 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 580.58 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 566 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 548.18 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 545.18 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 545.18 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 545.18 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 545.18 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 533.03 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.62 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 513.62 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 513.62 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 513.62 Tm (Medication management )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 496.62 Tm (systems in the home must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 479.62 Tm (be further developed to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 462.62 Tm (ensure the safe storage, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 445.62 Tm (recording, handling )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 428.62 Tm (safekeeping and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 411.62 Tm (administration drugs within )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 394.62 Tm (the home. )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 377.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 360.62 Tm (The medication policy and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 343.62 Tm (supporting procedures need )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 326.62 Tm (updating to reflect local )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 309.62 Tm (practice and expected )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 292.62 Tm (standards, which staff )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 275.62 Tm (understand and follow. A )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 258.62 Tm (programme of regular )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 241.62 Tm (management checks should )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 224.62 Tm (be implemented to monitor )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 207.62 Tm (compliance of staff with )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 190.62 Tm (policies and procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 513.62 Tm (30/04/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 513.62 Tm ()Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj 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814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 765.31 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 750.73 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 708.62 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 708.62 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 708.62 Tm (The registered manager is recommended to review the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 694.04 Tm (guidance issued to staff on the development and content of )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 679.46 Tm (care plans to ensure expected standards and the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 664.88 Tm (involvement of the individual and families is clear.)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 650.3 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 635.72 Tm (The registered manager is further recommended to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 621.14 Tm (that care plans are reviewed in response to specific issues )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 606.56 Tm (and incidents)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 583.73 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 583.73 Tm (27)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 583.73 Tm (The registered manager is recommended to ensure that )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 569.15 Tm (staffing at the home is kept under regular review to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 554.57 Tm (that staffing levels and skill mix is adequate to meet the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 539.99 Tm (needs of residents in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 517.16 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 517.16 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 517.16 Tm (The registered manager should ensure the gaps in )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 502.58 Tm (information held on staff files are rectified as soon as )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 488 Tm (reasonably possible.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 465.17 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 465.17 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 465.17 Tm (The registered manager is recommended to develop the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 450.59 Tm (mandatory training programme to ensure that the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 436.01 Tm (frequency of undertaking each area of training is clear.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 413.18 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 413.18 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 413.18 Tm (It is recommended that the registered manager develops )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 398.6 Tm (the frequency and content of the audits completed at the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 384.02 Tm (home to ensure that audits are meaningful and timely.)Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Web:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.61 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 605.13 Tm (reproduced in whole or in part, free of charge, in any format or medium provided that it )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 587.63 Tm (is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 570.13 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 77 0 obj<> endobj 78 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 79 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 80 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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LF}M ߞ %E'W?n}$lg1HBs }ٕ,),rqB-AHCrf!]vx.H x"n,6\O)FG=oNXLϤ$oǤ5xiP6 cXr,xW6A1I/?@ѵ}|6DMk7\8 Li$hu/,ZPpEo_I4 0B#\Gnnqk+5SHĺfo$؉qb;~l+0vi^v(< ;nҖx hHC~3xJa昐 X[[,D|14^^NH@Z{Ӌ2QiPT0%mujB1c!>73V zeKo7VWBlL<|d`{ܮē0jQyܒصȍOptNp@eSb= nvO 3Dv`Ogfi?FujH2#F@9P  N:.J4[4#(%$mXgY@~d`ñ}V$pбSa&vѠ\U@-$L:&,GZr!aʝʹg3PVT0?+m:~تo\xkx Жj\\3>Zl ӥz :S`F G(O{ աˡ3HJBrEu70pCzOd#H6+#T<֋T4Ks^C٨CAeB"C=)?0Sge!X(><+Eg4pr\ƌz_H^zR5IcF$уUhfzo}YBӎEM^ :"% E~$6$|B^t\:T&Y]7(ou&rzOU$`.@ŪÌ#1dEi!8 uXؗvA{o o쭺8*IϿcʒ,F[bdW3PI!:$-p31/_7v2dsoF2f6-HCaj>_lU4HqFa="QT, ?|Vbd j;[&̢ %[rU_Qpܥ^&@8k%^+#IzsFK~7GϽBAnxO4D]$y;0?[")X NFʼn(5FׁK%!k6BD"c&z#aoAb( +qt.B!#`>cD>LZZP%8,b"N7PȲ:ƚo0J zvAj[ԉ8dog7XxtփmMw*έLފӲV`E*V-Ữ  /&.SQ`q2ɸxAM gV>5~"ceLMDCRBϯ/k*cqX;vD=oD4]IU%qJ> ¥7s#1Ur*)ӆaØ׻$ CocfYzalS~]E3k+vQ]2B`DoB":6V?N  l ڊӌoIcWn'tj?*:NCCI}:DrL2w!8uqI 6jw)I VrjSuX d 3h\m0 r_cσAg彜.5?A Uz4VbɎݪj@r$'bC0plDS-ȱRyvJ2v,oHAaYin~]FZvae2c'T?9 ڧ}jk5ݕ (NJ7>B\&PupȺ=΁~ Cfv By1^lbN^yϚ|nNi7C<,ɓ0P%,q94BrByÄ` 0KzG;Tz𲀶) ߧ#jShfHn tS͋!\ #[<<$9A-)kGho$D?,E]b aEiI9 ;Al^ofrׯ'`\D o FQӟ>M3`ouKhHk]bn N:7f!&Tm$cGmr_v$McnvS;$۩4Ŀov엂 VƟq>#P}#[fCE~ȕ h?Y=cZcgiGz(S'h 1B2p#{ 42h,{WUaeao¤i<͑( | K>aHc?/} MZʚ|*yNaql!oIcp87`HZyb~>@l$ʁsb1B38b P%2Pov|2ؔqeflkǨ>Am=n/rЧYע>k}+v(b .|(bz؉Z3+:@ D 3TOA %L-TiȱmpvZjfarüY8#?/}!23Gp>kwOu]Rܻ56k$9Vv𧌰y"J^#MAОXېɅq o &d҂JșZw7x6.'S7JGTBʶjj_`휱<_;жBƏ0)[ό۲ZuW2^/woC㛟'ޙ]EusN(?yn)#X],'Tִ3#" }~#k]u`WKfT7~a8o#h ׈>M9ݐ1ӌ *~q(pӎQLٔLhD H@5Aٺ4{SdZ-jhZWM7MLr#fVML8*9Dx}ȃYpK=/Vj.l:(Tt#vW3#lЁ8wǫihm&Z(pB<# pۯ߂I˝ؾQ*HJͽiPG\#r+Z/L5h/*#a<8 G(<Ң0_(K׳8f*N3p<0+s-]1"}^ZuP; 6rgbPqwb 釞 W.]J~ ;=/![_j J26U\I4m6BG`Tnhr3[[-2ffy9Ew$ Y} "KaEB `m/ 1;>H՝u NV=apnYxFoܼħdž̀u_5*\ů_cމGCg3Vk@ncEtK4TS=ZdSL<ߗx2A`l6`eRhGFߦjVCov?ѵKRNQfF>DxH!#s%trY\i)Zpd|y!' ^?C4@(=r hCarS#ɹ 20&\VaBo6 )6S Q iIE LhI:+"HzI Yq={6 kCD))jBdfjPcwW!ret2?Z;Y@J8H8r(H?RRfTG1E6+J!^HqG_Oa߅} }5W1~L\_dԭ]CHƲ b|uae6> 7D(BD{v-d'kA}shzĆh9.S^ֳ.LX92sBÔUO?)Cڰ}'UݾqsK^N􀘊#1 C,&h[X|K[19v`oYI]Ηbf?Bm=d]#wBI6=Ϭx(yJNH'-PMMHXZ%RNV|v){z!6Gp.`a{t.0*a9+wS+)ϐV63Ew` eliV}qԥvWIu@ʔ h%kNːv-cLz{z68vΝ^u<}EZBݨV$GK93Fj˅G¦~#F#?J|6hU3m6@O CVw߼H$$2s6k=G ߈rAg`Xb=Om<̭(6~"H4w30VJ\IǫkK~D$Y8?N*@ "E4tgejDۚ<~i*EX{+w8RL%hV]o)@5Hgt\Aw"cJb0rXa28zb++j `#9Kr.S)cfU)iF,^'+Am1Sjt$}^N_a󒠀s5H㘠!chwI!c26Z_#13uHW'sbS M./9inɥd|mŊ? s6x+p]^@i%_OE ۞ ȔVTu.bH ͕fF+}kOOb5ʹk}|f,1Yݔ,GuaoL%Ob4 n` {_dhA!rgmﱨJxu`%faLwqr"95[M`^#߄8u PY:&''9{5k9eP>SSUZoXtMÛpGF PpGn|˓_`?G[~\s.\A4f)$@x9Fp}#H&יYBbwx4,`њy' +Dj&!uTfzsSlĢbbba/kTjb WI;{$7{ǝ70/:`U5Zp *M%5(:)Mh|J~^ߣ5dqoۜ>KRi9mfM=uC,TftDΩTswh.xϾxW1ې'y#|/T(}M/&xR`R`1Qd1T/ \){V(WɝEh]3XRgp7RKa@Ev06S 0d{)xb*tׯ•:\`h#lCjsUqۺ5vX\!C{o u7: }" w$>{y+f>5a*Rthq #p?Ùܜ/q&Nє{p$9 *1*;rhr>kF 1l呑m!Y]%Gr $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 81 0 obj<> endobj 9 0 obj<> endobj 82 0 obj <>stream  cvt bfpgmIglyf headg "6hheao"$hmtxłc#locaBmaxp b prep~ϚbcxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 83 0 obj<> endobj 84 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640]90[889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 85 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 31 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0037><0037><0054> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 86 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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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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