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We )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F2 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F2 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 /F2 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 /F2 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 /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F2 12 Tf BT 1 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30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F2 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 /F4 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F4 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F1 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 137.22 w 28.35 219.21 m 224.05 219.21 l S 0.001 w 1 1 1 RG 137.22 w 226.3 219.21 m 567 219.21 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 129.27 m 224.05 129.27 l S 0.001 w 1 1 1 RG 38.16 w 226.3 129.27 m 567 129.27 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 26.14 149.47 m 569.2 149.47 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 26.14 149.47 m 569.2 149.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 109.06 m 569.2 109.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 107.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 107.99 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 272.76 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 258.18 Tm (This publication may be reproduced in whole or in part, )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 243.6 Tm (free of charge, in any format or medium provided that )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 229.02 Tm (it is not used for commercial gain. This consent is )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 214.44 Tm (subject to the material being reproduced accurately )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 199.86 Tm (and on proviso that it is not used in a derogatory )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 185.28 Tm (manner or misleading context. The material should be )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 170.7 Tm (acknowledged as CQC copyright, with the title and date )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 156.12 Tm (of publication of the document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 133.29 Tm (Internet address)Tj ET /F2 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 133.29 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm 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28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Belper Views)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (50/52 Holbrook Road )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Belper)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Derbyshire)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (DE56 1PB)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (\(01773\)829733)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 583.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 540.17 m 564.77 540.17 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Mr Alan Kilkenny)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (25)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 477.75 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 435.43 m 564.47 435.43 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 446.84 m 567.8 446.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.67 m 567.8 469.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.84 m 567.8 446.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.43 m 567.8 403.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 470.75 m 30.07 402.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 447.92 m 298.32 402.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 470.75 m 566.72 402.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 453.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 430.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 430.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 410.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 410.08 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 381.35 m 297.3 381.35 l S 0.001 w 35.16 w 299.55 381.35 m 431.45 381.35 l S 0.001 w 35.16 w 433.7 381.35 m 565.6 381.35 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 351.23 m 565.6 351.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 362.65 m 567.8 362.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 568.1 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 400.06 m 567.8 400.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 362.65 m 567.8 362.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 568.1 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 568.1 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 250.42 m 568.1 250.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 401.13 m 30.07 249.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 401.13 m 298.42 361.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 401.13 m 432.57 361.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 401.13 m 566.72 249.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 383.87 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 369.29 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 383.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 383.87 Tm (25)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 346.46 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 323.63 Tm (The maximum number of service users who can be accommodated is: 25)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 300.8 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 286.22 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 271.64 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.06 Tm (falling within any other category - Code OP)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 235.63 m 315.25 235.63 l S 0.001 w 1 1 1 RG 20.58 w 317.5 235.63 m 346.55 235.63 l S 0.001 w 20.58 w 348.8 235.63 m 377.9 235.63 l S 0.001 w 20.58 w 380.15 235.63 m 409.2 235.63 l S 0.001 w 20.58 w 411.45 235.63 m 440.55 235.63 l S 0.001 w 20.58 w 442.8 235.63 m 471.9 235.63 l S 0.001 w 20.58 w 474.15 235.63 m 503.2 235.63 l S 0.001 w 20.58 w 505.45 235.63 m 534.55 235.63 l S 0.001 w 20.58 w 536.8 235.63 m 565.9 235.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 247.04 m 568.1 247.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 224.21 m 568.1 224.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.12 m 30.07 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 248.12 m 316.37 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 248.12 m 347.67 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 248.12 m 379.02 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 248.12 m 410.32 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 248.12 m 441.67 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 248.12 m 473.02 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 248.12 m 504.32 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 248.12 m 535.67 223.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.12 m 567.02 223.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 230.86 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 230.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 230.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 230.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 230.86 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 230.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 230.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 230.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 230.86 Tm (9)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 212.34 m 565.9 212.34 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 202.71 m 568.1 202.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 203.79 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 203.79 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.96 m 568.1 221.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.71 m 568.1 202.71 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 30.07 223.04 m 30.07 201.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 223.04 m 567.02 201.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 208.78 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 208.78 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 189.53 Tm (The home is a large detached brick building with its own large garden and patio area, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 172.53 Tm (set on a hill on the outskirts of Belper. The area offers access to a good range of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 155.53 Tm (community and leisure facilities, although there are limited shopping facilities in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 138.53 Tm (immediate area. The home offers accommodation for 25 older people in single rooms, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 121.53 Tm (some with en-suite facilities available, and has a good range of communal areas, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 104.53 Tm (offering a variety of spaces for people and their visitors to use. People at the home are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 87.53 Tm (registered with one of the two local Doctors practices and there is a small community )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 70.53 Tm (hospital in the town. The current range of fees for the home is 353.92 to 373.17 GBP )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 53.53 Tm (per week with no top ups. Day care is charged at 28.00 GBP per day. Hairdressing is )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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (32)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 30.07 740.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 740.08 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 28.99 741.15 m 568.1 741.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (charged at 1.00 GBP. The last Inspection report was kept in the office. You can obtain )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (further copies of this report on )Tj ET /F2 12 Tf BT 1 0 0 1 222.98 766.47 Tm (www.cqc.org.)Tj ET /F2 12 Tf BT 1 0 0 1 305.39 766.47 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()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 534/Matrix [1 0 0 1 0 0]>>stream xMo1 +rI J qU5ea|Y,x7k;~&`2PF_Y ?7Z~[,ф@h|&z\r VĖK ֘3+$oErjtE+I5x:|^^O$-lm&fʦ$8i3,ݡK!REXc(b+Klugl6ĥ)ޅLі;(Z{ATA{ F{uh8%RaoO6;l鰱&f]vyZg;zJ0޷;}c$LUvԚu^|S:yqY\vu)8y_ۑ/ι09zhN=%٤esW_k~rJu΂l6:nj;M_ ~4-Mbe/w`_ZKN9R+Z'iBs;/r 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 410.5 749.45 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The inspection was unannounced and involved a visit to the site on at 9.00 am. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 240.9 Tm (undertook a second visit on 7 October 2009 at 12.40 pm to follow up immediate )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 226.32 Tm (requirements left at the time of the first Inspection date.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 211.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 197.15 Tm (The focus of inspections undertaken by the Care Quality Commission \(CQC\) is upon )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 182.57 Tm (outcomes for people using the service and their views of the service provided. This )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 167.99 Tm (process considers the homes capacity to meet regulatory requirements, minimum )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 153.41 Tm (standards of practice and focuses on aspects of service provisions that need further )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 138.84 Tm (development.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 124.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 109.68 Tm (Where possible, we include evidence from other sources, notably District Nurses and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 95.1 Tm (Social Workers. We also use information gathered throughout the year, to support our )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 80.51 Tm (judgements such as notifications from the provider, complaints or concerns. We also )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 65.93 Tm (use information from an Annual Quality Assurance Assessment \(AQAA\), which the )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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 177.96 w 32.32 723.55 m 566.72 723.55 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 30.12 633.44 m 568.92 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 632.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm (provider is required to complete prior to a visit to the service. This provides evidence )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (for us to make informed judgements when assessing the National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (\(NMS\).)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (The primary method of inspection used during the visit to this service was 'case )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (tracking'. This involved selecting three people and tracking the care they receive )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (through review of their records, discussion with them where possible, the care staff )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (and observation of care practices. Time was spent in discussion with the Manager and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (staff. Relevant records belonging to the home were also examined such as complaints )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (and policy documents. A brief tour of the home took place including some bedrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (All of the key standards were inspected on this occasion.)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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)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 195.54 w 32.32 676.05 m 566.72 676.05 l S 0.001 w 20.58 w 32.7 565.74 m 569.35 565.74 l S 0.001 w 166.38 w 33.82 470.01 m 568.22 470.01 l S 0.001 w 20.58 w 33.45 374.28 m 570.1 374.28 l S 0.001 w 297.72 w 34.57 212.88 m 568.97 212.88 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 30.12 577.16 m 568.92 577.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 576.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 577.16 m 569.35 577.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 554.33 m 569.35 554.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 554.33 m 570.42 554.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 385.7 m 570.42 385.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 362.87 m 570.1 362.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 385.7 m 570.1 385.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 362.87 m 571.17 362.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 555.41 m 32.7 384.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 363.95 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 576.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 555.41 m 569.35 384.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 363.95 m 570.1 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.76 Tm (People told us they were happy at the home. They said 'I'm pleased with everything' )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.18 Tm (and another wrote 'I'm very happy indeed'. One relative said 'the service \(x\) receives )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.6 Tm (from Belper Views is excellent', 'I and my family have total peace of mind that \(x\) is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.02 Tm (being looked after'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 685.86 Tm (People told us they received good care. Comments included 'good care', 'care for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.28 Tm (individuals and attend to individual needs' and that the home 'take care of us'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.12 Tm (People told us they got on well with staff, and that staff treated them with respect. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.54 Tm (Their comments included 'the staff are very good', 'we've all got respect, we have )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 612.96 Tm (respect for one another', 'we get on well with all of them', ' I get on well with all the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.38 Tm (staff and that's really important' and 'there's plenty of them around, they are very )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 583.8 Tm (good to us'. )Tj ET /F2 10 Tf BT 1 0 0 1 568.97 674.5 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 563.63 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 560.97 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 564.19 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 468.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 538.14 Tm (People are receiving a documented assessment of their needs before they move into )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 523.56 Tm (the home, to reduce the likelihood of inappropriate admissions.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 508.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 494.4 Tm (The staff are now identifying and recording people's care needs in a more )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 479.82 Tm (comprehensive way. This means there is less chance of care needs being overlooked.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 465.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 450.66 Tm (Staff are getting better at recording what medications people have, and there are safer )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 436.08 Tm (storage areas for medications.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 421.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 406.92 Tm (Staff policies and procedures have been updated and improved, this means that staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 392.34 Tm (have access to more information to help them do their jobs.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 468.46 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 372.73 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 369.51 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 211.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 346.68 Tm (There still needs to be more information provided about the home, a 'Statement of )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 332.1 Tm (Purpose' needs to be developed for this purpose.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 317.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 302.94 Tm (Staff need further training to ensure they give people the medications they need. The )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 288.36 Tm (manager needs to put into place a recorded system to identify when people have not )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 273.78 Tm (had the medication they need.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 259.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 244.62 Tm (People need more to do in the daytime, they need more organised activities both inside )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 230.04 Tm (and outside the home and need to be able to access their immediate community more.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 215.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 200.88 Tm (Staff need further training in all mandatory subjects, there needs to be an organised )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 186.3 Tm (system to identify training needs of staff and to source relevant training at appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 171.72 Tm (intervals. This would help to ensure staff had the right skills to provide safe care to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 157.14 Tm (people.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 142.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 127.98 Tm (Staff need to be supervised at regular intervals and this needs to be recorded. This is )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 113.4 Tm (to ensure staff providing care to people are adequately supervised.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 98.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 84.24 Tm (Systems for monitoring the quality of the service, both at manager and provider level )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 69.66 Tm (need to be recorded. Copies of the providers' monitoring reports need to be sent to us, )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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 75.9 w 34.57 774.58 m 568.97 774.58 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 735.5 m 571.17 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 734.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 734.43 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (as evidence.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (There were several legal requirements of our last Inspection that have not been met )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (within the required timescales. We are considering legal action in these areas and will )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm (be monitoring compliance.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 720.94 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 700.95 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 700.95 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 700.95 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 683.45 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 663.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 643.46 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 643.46 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 623.46 Tm (You can get printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 225.22 623.46 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 603.47 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 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 /F1 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 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 /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 378 m 562.54 378 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 101.85 w 33.47 366.75 m 563.66 366.75 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 32.35 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 313.62 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 31.27 314.7 m 565.87 314.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 358.75 Tm (People are properly admitted to the home, although better information about the )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 341.25 Tm (home would ensure people had all the information they need to make informed )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 323.76 Tm (choices about their care.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 299.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.8 w 34.6 185.43 m 562.54 185.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.83 m 564.79 279.83 l S 0.001 w 185.43 w 33.47 173.62 m 563.66 173.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 267.45 m 565.87 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.45 m 564.79 267.45 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 /F2 12 Tf BT 1 0 0 1 35.5 276.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.77 Tm (We looked at the information the home provided to people about the services they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 234.27 Tm (offer. Since we last visited a 'Service Users Guide' had been written. This gave people )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.78 Tm (a summary of what they could expect from the home, including fees payable. There )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 199.28 Tm (were copies in people's bedrooms. One visitor we spoke to said they had been given )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.79 Tm (enough information about the home before their relative was admitted. Although there )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 164.29 Tm (was a new 'Service Users Guide', there had not been a more comprehensive )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.79 Tm (document, known as the 'Statement of Purpose' devised. This would provide potential )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 129.3 Tm (purchasers information about what they could expect from the service, in more detail. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.8 Tm (We had asked for this at the time of our last Inspection. This is a legal requirement )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 94.31 Tm (that has not been met.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 231.32 w 34.6 695.74 m 562.54 695.74 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 209.95 w 33.47 683.93 m 563.66 683.93 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 32.35 576.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 576.75 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 31.27 577.83 m 565.87 577.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (One person had been admitted to the home since we last visited. There was new )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (documentation in place to support they had been properly assessed prior to their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (admission. Staff had worked hard to ensure that new documentation was in place in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (all files. This supported that people also had a proper assessment of their needs )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (following their admission. This included risk assessments.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (People told us they were happy with their choice of home. In their completed )Tj ET /F2 12 Tf BT 1 0 0 1 506.1 656.63 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (inspection)Tj ET /F2 12 Tf BT 1 0 0 1 95.23 639.13 Tm ( survey one relative wrote 'the service \(x\) receives from Belper Views is )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (excellent', 'I and my family have total peace of mind that \(x\) is being looked after; on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (any visit we are made welcome'. One person living in the home wrote 'I'm pleased )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (with everything' and another wrote 'I'm very happy indeed'.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 420.74 m 562.54 420.74 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 84.36 w 33.47 409.5 m 563.66 409.5 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 32.35 365.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 365.12 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 31.27 366.19 m 565.87 366.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 437.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 392.75 Tm (People receive the care they require in a private and dignified way. Not all people )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 375.25 Tm (receive the medications they need.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 350.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 258.3 w 34.6 211.17 m 562.54 211.17 l S 0.001 w 1 1 1 RG 22.5 w 32.35 331.32 m 564.79 331.32 l S 0.001 w 236.93 w 33.47 199.36 m 563.66 199.36 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 318.95 m 565.87 318.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 320.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 320.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 318.95 m 564.79 318.95 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 /F2 12 Tf BT 1 0 0 1 35.5 328.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 303.27 Tm (Staff had ensured that people's care files were updated and that the required )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 285.77 Tm (improvements to care plans were made. When we checked through a sample of care )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.27 Tm (plans, all were in place and had been regularly reviewed. Care plans gave staff clear )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 250.78 Tm (directions about what the person's care needs were, and how they could meet those )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.28 Tm (needs. Care plans had been updated as people's needs changed. Personal details )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 215.79 Tm (about the person were completed except for the marital status, which was known by )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.29 Tm (staff, but not always recorded.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 180.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.3 Tm (Files supported that people were receiving regular visits from their G.P, District )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 145.8 Tm (Nurses, and also attending outpatients appointments as needed. They also supported )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.31 Tm (that people were being involved in the planning of their care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 110.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.31 Tm (One visitor on the day told us they thought their relative was being 'well looked after' )Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 318.8 w 34.6 652 m 562.54 652 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 297.43 w 33.47 640.19 m 563.66 640.19 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 32.35 489.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 489.27 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 31.27 490.35 m 565.87 490.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (and one person told us that staff upheld their privacy. Staff were observed to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (routinely knocking on doors, to request permission before entering. Several people )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (told us that staff maintained their dignity and treated them with respect. In their )Tj ET /F2 12 Tf BT 1 0 0 1 528.53 744.11 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (inspection)Tj ET /F2 12 Tf BT 1 0 0 1 95.23 726.61 Tm ( surveys people living in the home told us they got the care and support )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (they need. They wrote the following comments: 'looking after us very well', 'good )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (care', 'care for individuals and attend to individual needs' and that the home 'take care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (of us'. One relative wrote '\(staff\) do not think twice in calling the Doctor' and went on )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (to say that the staff 'give \(x\) their dignity'.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (There had been improvements to the management of medicines since we last visited, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (which meant that medicines were being given out and recorded in a safer way. Better )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (storage facilities for drugs had also been provided. Some staff had received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (medication training. However, we found that one person had not received all the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (medicines they required, but had them signed off as being given on the medication )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (record. The manager said she regularly checked medicines to ensure discrepancies did )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (not occur. However, she did not record this. We found no other discrepancies with )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (people's medications.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 471.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 426.75 Tm (People's lifestyle choices are limited at the home and they do not have enough )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 409.25 Tm (opportunity to access their local community. The meals provided meet people's )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 391.76 Tm (expectations.)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 319.77 Tm (The home provided people with some regular activities. People received regular visits )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 302.27 Tm (from a singing group. One person regularly went out into the local town using a local )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 284.78 Tm (bus service. Staff had accompanied people to Chiropody appointments at the local )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 267.28 Tm (Hospital. The manager showed us some Birthday cards that people had made, and we )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 249.79 Tm (saw people knitting and listening to music during the day. Two people had access to a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 232.29 Tm (regular supply of talking books.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 214.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 197.3 Tm (People's care files showed that staff had asked them to supply a life history so they )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 179.8 Tm (could get to know them better. Staff had written an individual social care plan, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 162.31 Tm (although they did not include anything about how they could assist people to access )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 144.81 Tm (their local community or individualise daily routines. Staff were also recording what )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 127.31 Tm (activity people had taken part in, including Bingo and nail care. Again, these records )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 109.82 Tm (were limited and did not provide a full picture of the activity they undertook.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 92.32 Tm ()Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 406.28 w 34.6 608.26 m 562.54 608.26 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 384.91 w 33.47 596.45 m 563.66 596.45 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 32.35 401.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 401.79 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 31.27 402.87 m 565.87 402.87 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (People told us that they would like to see more activities taking place both inside and )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (outside the home, although they acknowledged the staff had made improvements in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (this area. On the day, people's comments included 'not much to do at all', 'I don't do )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (anything', 'I'm alright now they have put the music on, they have the tele on but most )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (of us can't see it' and 'activities are getting better, there is more to do but it is still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (enough'. In their pre-inspection surveys some people living in the home also wrote )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (there were 'never' any activities they could take part in. Other surveys from relatives, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (staff and people in the home contained the following comments in the section about )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (what the home could do better: 'outings'; 'when I visit there is little sign of any )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (organised activities', 'join in making things' and 'maybe encourage service users to )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (participate in more recreational activities both inside and outside the home'. In )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (particular, people said they would like more outings.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (People told us their daily routine was flexible, they could get up and go to bed when )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (they wanted and spend time in their bedrooms. They could watch Television in their )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (rooms anytime. One person said they don't routinely have the option of breakfast in )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (bed but added 'I expect you could if you asked'. Visitors were allowed anytime.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (People described the food as 'very nice', 'food is good, you can have what you want )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (and we have crisps at night'. 'I'm quite happy with what we have'. People could eat )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (their lunch and tea in their bedroom if they wanted. The menus we saw showed that )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (people were offered a varied diet.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F2 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 /F1 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 505.74 m 562.54 505.74 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 84.36 w 33.47 494.5 m 563.66 494.5 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 32.35 450.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 450.12 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 31.27 451.19 m 565.87 451.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 319.4 522.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People may not have the all information they require in order to raise concerns. Gaps )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 460.25 Tm (in staff training means that all safeguards are not in place.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 435.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.3 w 34.6 253.67 m 562.54 253.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.32 m 564.79 416.32 l S 0.001 w 321.93 w 33.47 241.86 m 563.66 241.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 403.95 m 565.87 403.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 403.95 m 564.79 403.95 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 /F2 12 Tf BT 1 0 0 1 35.5 413.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 388.27 Tm (Not everyone who filled out a pre-inspection survey for us knew how to make a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 370.77 Tm (complaint, but said they had not got any concerns. One person wrote 'no complaints, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.27 Tm (very well taken care of'. On the day of this visit, people said they would see the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 335.78 Tm (manager or proprietor with concerns.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 300.79 Tm (We found that the contact points for complaints had not been updated at the time of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.29 Tm (our first Inspection visit. We had asked for this to be done at our last Inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 265.79 Tm (However, by the time of our second visit people had the right information available to )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.3 Tm (them.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 230.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.31 Tm (The manager told us she had not received any concerns about the home since we last )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 195.81 Tm (visited, but had new recording forms should she receive one. These gave clearer )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.31 Tm (guidance for staff on the procedures to follow should concerns be raised.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 160.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.32 Tm (The manager said that no-one was subject to any form of agreed restraint, such as )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 125.83 Tm (bed rails. There had been no safeguarding issues since we last visited. One member of )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.33 Tm (staff said they had attended recent training on safeguarding adults, but staff training )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 90.83 Tm (records showed that not all staff had received this mandatory training. Safeguarding )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 231.32 w 34.6 695.74 m 562.54 695.74 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 209.95 w 33.47 683.93 m 563.66 683.93 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 32.35 576.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 576.75 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 31.27 577.83 m 565.87 577.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (procedures were seen in a staff policy file. One member of staff said they hadn't seen )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (these but was able to provide a safe response when questioned.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The need to ensure that all staff had the required training and knew where to find )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (safeguarding procedures was a legal requirement of the last Inspection that has not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (been fully met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Management had undertaken training in the Mental Capacity Act and deprivation of )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (liberty. New documentation was in place within care files to enable staff to write a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (brief summary of any factors that may impact on people's liberty, and to record if they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (needed an assessment of capacity or support to make decisions, with key contact )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (points.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 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 /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 89.36 w 34.6 497.49 m 562.54 497.49 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 66.86 w 33.47 486.24 m 563.66 486.24 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 32.35 450.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 450.61 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 31.27 451.69 m 565.87 451.69 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 292.92 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The environment of the home meets with people's expectations.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 436 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.79 w 34.6 253.92 m 562.54 253.92 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.82 m 564.79 416.82 l S 0.001 w 322.42 w 33.47 242.11 m 563.66 242.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 404.45 m 565.87 404.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.52 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.52 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 404.45 m 564.79 404.45 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 /F2 12 Tf BT 1 0 0 1 35.5 413.51 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 388.76 Tm (The proprietor had undertaken an audit of all areas of the home on the day we visited, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 371.27 Tm (with a view to making improvements where needed. He showed us a list of the jobs he )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (had identified, and had set aside a team of maintenance staff to undertake repairs )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (within the next two weeks. We saw evidence of an ongoing programme to upgrade )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (bedroom facilities, including the provision of more privacy locks on bedroom doors. )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (One bedroom in particular had a damaged ceiling and we would expect this to be )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (prioritised within the forthcoming repairs.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (We found that there was only one staff call point in the conservatory. This was not )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (sufficient to ensure that all people sitting there had access to a call bell. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm (was aware of the need to provide an additional point and was looking into this with )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (the provider.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (People told us that they were very happy with the laundry service. One described it as )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm ('absolutely marvelous', and another said it was 'very good'. Staff told us that all the )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (laundry equipment was working at the time of our visit.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (We saw there were arrangements in place to maintain infection control. Staff had )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 56.36 w 34.6 783.22 m 562.54 783.22 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 34.99 w 33.47 771.41 m 563.66 771.41 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 32.35 751.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 751.71 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 31.27 752.79 m 565.87 752.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (hand rub available and gloves and aprons for protection. There were public health )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (notices around the home advising people on good practice.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 480 m 562.54 480 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 101.85 w 33.47 468.75 m 563.66 468.75 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 32.35 415.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 415.62 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 31.27 416.7 m 565.87 416.7 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 505.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 460.75 Tm (People are cared for by sufficient numbers of caring staff. However, gaps in training )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 443.25 Tm (and recruitment means that people could be exposed to potentially unsuitable workers )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 425.76 Tm (who do not have the right skills and training.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 401.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 308.8 w 34.6 236.43 m 562.54 236.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 381.83 m 564.79 381.83 l S 0.001 w 287.43 w 33.47 224.62 m 563.66 224.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 369.45 m 565.87 369.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 370.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 370.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 369.45 m 564.79 369.45 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 /F2 12 Tf BT 1 0 0 1 35.5 378.52 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 353.77 Tm (There was no staffing rota for the week of the inspection at the home. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 336.27 Tm (told us that the administrator had taken it to do staff wages, and confirmed that all )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 318.78 Tm (staff knew what they should be working. Staffing rotas for the previous week showed )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 301.28 Tm (that there were three care staff on duty during the day and two at night. Additional )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 283.79 Tm (support was provided by domestics, a cook, an administrator and the proprietor and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 266.29 Tm (his wife. People told us they thought there was enough staff. They said that although )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 248.79 Tm (there had been times when the home was 'short', two new staff had recently been )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 231.3 Tm (appointed to address this.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 213.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 196.31 Tm (In their completed pre-inspection survey one relative wrote 'they \(the staff\) create a )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 178.81 Tm (very happy, caring and professional environment' and another told us that staff )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 161.31 Tm (showed 'good interpersonal skills, carers show great care and responsiveness to those )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 143.82 Tm (they look after. They show much patience and retain their sense of humour'. People )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 126.32 Tm (on the day of this visit also spoke highly of staff. Their comments included 'staff are )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 108.83 Tm (very nice', 'the staff are very good' and ' I get on well with all the staff and that's )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 91.33 Tm (really important'. Three people told us that staff were respectful when caring for them. )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 581.24 w 34.6 520.78 m 562.54 520.78 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 559.87 w 33.47 508.97 m 563.66 508.97 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 32.35 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 226.83 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 31.27 227.91 m 565.87 227.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (One person said 'we've all got respect, we have respect for one another' and 'we get )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (on well with all of them'. 'There's plenty of them around, they are very good to us'. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (People confirmed that staff regularly checked on them through the night and attended )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (to their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (We found that 11 of the 16 care staff had National Vocational Qualifications in care )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm (subjects to level 2 and above. There were also certificates in staff files to show they )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (had received some first aid, dignity, fire safety and mental capacity act training )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (recently. The manager had forms to show that she had booked some staff on a )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (nutrition course, dementia care and palliative care courses. However, staff had not )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (received mandatory training in subjects such as basic food hygiene and COSHH. We )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (found that some staff had never had moving and handling training, and others had out )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (of date certificates in their files. We observed staff using wheelchairs without footrests )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (during this Inspection suggesting that practices in the home needed to be improved )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (and that staff training was required.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The need to ensure all staff received the required mandatory training was a legal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (requirement of our last Inspection, this has not been met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Due to the fact that no new staff had actually commenced work at the home, we could )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (not fully assess compliance with recruitment procedures. However, two new staff were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (in the process of being recruited. There were gaps in the employment history one )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (person had provided and both had not been subject to any health screening. Advice )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (was given to the manager about what checks needed to be made and an extended )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (timescale was given for compliance in this area.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm (One person was covering shifts in the home, this person was known personally to the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (proprietor and manager. A satisfactory criminal records check was seen for this )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (person, but no recruitment history, or training records were in place.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (Some paperwork was in place to provide any prospective new staff with an induction, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (although this needed further development and co-ordinating into a working document.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F1 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 106.85 w 34.6 403.74 m 562.54 403.74 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 84.36 w 33.47 392.5 m 563.66 392.5 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 32.35 348.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 348.12 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 31.27 349.19 m 565.87 349.19 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (poor)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 290.57 420.12 Tm (quality outcomes in this area. We have )Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 36.62 375.75 Tm (Management in the home is not effective in ensuring legal requirements, which may )Tj ET /F2 12 Tf BT 1 0 0 1 36.62 358.25 Tm (be necessary to safeguard people, are met. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 333.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 241.3 w 34.6 202.67 m 562.54 202.67 l S 0.001 w 1 1 1 RG 22.5 w 32.35 314.32 m 564.79 314.32 l S 0.001 w 219.93 w 33.47 190.86 m 563.66 190.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 301.95 m 565.87 301.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 303.03 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 303.03 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 301.95 m 564.79 301.95 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 /F2 12 Tf BT 1 0 0 1 35.5 311.01 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 286.27 Tm (In their pre inspection survey one person living in the home wrote 'management and )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 268.77 Tm (staff are very good to us'. The manager of the service had a Registered Managers )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 251.27 Tm (Award and had updated her knowledge in the past year by attending some, but not all )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 233.78 Tm (the required mandatory training. The deputy manager, appointed in September 2008, )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 216.28 Tm (was still in place and also had a Registered Managers Award. We saw from the staffing )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 198.79 Tm (rotas that both managers were not being provided with the supernumerary time we )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 181.29 Tm (would expect to ensure standards and legal requirements within the home were met.)Tj ET /F2 12 Tf BT 1 0 0 1 36.57 163.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.57 146.3 Tm (The projects that the deputy manager had taken on at the time of our last visit had )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 128.8 Tm (been achieved. She had successfully developed a staff handbook, and conducted a full )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 111.31 Tm (review of the homes' policies. We also found that the manager and the registered )Tj ET /F2 12 Tf BT 1 0 0 1 36.57 93.81 Tm (person had been successful in improving care planning and medications. However, )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F5 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 /F2 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 779.1 Tm (they were still not fully aware of our legislative requirements surrounding the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 761.6 Tm (operational running of the home. As a result we had not received a notification legally )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 744.11 Tm (required from them concerning a serious injury sustained by a person living in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 726.61 Tm (home. This is a legal requirement of our last Inspection, that has not been fully met. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 709.11 Tm (We also found that there were several requirements made at the time of our last visit, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 691.62 Tm (that had not been complied with.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The registered person was not in day to day charge of the home. Although he had )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 639.13 Tm (appointed a person to undertake monitoring visits on his behalf, only one had taken )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 621.63 Tm (place and we had not received a copy of this and did not see it at the home. Such )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 604.14 Tm (visits are required monthly, and a copy of the report was requested at the last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 586.64 Tm (Inspection. This is a legal requirement that has not been met. Shortly after our )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 569.15 Tm (Inspection we were sent a copy of the one visit made and saw a copy at the home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 551.65 Tm (However, this had not been effective in identifying outstanding requirements identified )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 534.15 Tm (through this report. No quality assurance systems were in place at the time of the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 516.66 Tm (visit. No questionnaires seeking the views of people who use the service had been )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 499.16 Tm (issued. Improvements had been made to medication practices and care planing, but )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 481.67 Tm (no formal monitoring systems were in place to ensure these areas continued to be )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 464.17 Tm (safely maintained, and we saw that a medication error had occurred. Although we did )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 446.67 Tm (not fully check recruitment practices, there was evidence to suggest that the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 429.18 Tm (management of the home still required more experience and knowledge of the legal )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 411.68 Tm (requirements surrounding the employment of staff. Staff were still employed to work )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 394.19 Tm (at the home without sufficient training, induction and recruitment records. This left )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 376.69 Tm (people exposed to a potentially unsuitable care workers. The need to ensure staff )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 359.19 Tm (received the right training was a legal requirement that has been unmet from our last )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 341.7 Tm (Inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 306.71 Tm (A check of the systems for handling people's personal money showed that there were )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 289.21 Tm (discrepancies between the amount held on behalf of people, and their financial )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 271.71 Tm (records. An immediate requirement was made at the time for the manager to address )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 254.22 Tm (this. By the time of our second visit money held corresponded with balance sheets. )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 236.72 Tm (However, receipts were not available for all transactions.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 201.73 Tm (The way the home was managed ensured that staff were regularly supervised by the )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 184.23 Tm (manager, although there were no formal systems in place to ensure staff received )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 166.74 Tm (regular formal supervision. This was a legal requirement of the past two inspections, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 149.24 Tm (that had not been met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.32 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.32 114.25 Tm (There were records in place to support that equipment used by people in the home, )Tj ET /F2 12 Tf BT 1 0 0 1 34.32 96.75 Tm (was safely maintained.)Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)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 /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 654.5 w 32.32 391.28 m 564.97 391.28 l S 0.001 w 1 1 1 RG 286.02 w 31.2 472.66 m 91.05 472.66 l S 0.001 w 286.02 w 93.3 472.66 m 197.4 472.66 l S 0.001 w 286.02 w 199.65 472.66 m 289.45 472.66 l S 0.001 w 286.02 w 291.7 472.66 m 473.8 472.66 l S 0.001 w 286.02 w 476.05 472.66 m 566.1 472.66 l S 0.001 w 198.54 w 31.2 228.13 m 91.05 228.13 l S 0.001 w 198.54 w 93.3 228.13 m 197.4 228.13 l S 0.001 w 198.54 w 199.65 228.13 m 289.45 228.13 l S 0.001 w 198.54 w 291.7 228.13 m 473.8 228.13 l S 0.001 w 198.54 w 476.05 228.13 m 566.1 228.13 l S 0.001 w 63.71 w 31.2 94.76 m 91.05 94.76 l S 0.001 w 63.71 w 93.3 94.76 m 197.4 94.76 l S 0.001 w 63.71 w 199.65 94.76 m 289.45 94.76 l S 0.001 w 63.71 w 291.7 94.76 m 473.8 94.76 l S 0.001 w 63.71 w 476.05 94.76 m 566.1 94.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 328.53 m 568.3 328.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 127.74 m 568.3 127.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 617.88 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 617.88 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.35 m 568.4 649.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 616.8 m 568.3 616.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 617.88 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 617.88 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 617.88 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 617.88 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 720.78 m 568.4 720.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.35 m 568.4 649.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 616.8 m 568.4 616.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 328.53 m 568.3 328.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 127.74 m 568.3 127.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 721.86 m 30.07 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 650.43 m 92.12 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 650.43 m 198.52 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 650.43 m 290.62 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 650.43 m 475.02 615.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 721.86 m 567.32 615.72 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 703.57 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 685.15 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 670.57 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 670.57 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 670.57 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 655.99 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 638.17 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 635.17 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 635.17 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 635.17 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 635.17 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 623.02 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 603.61 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 600.61 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 600.61 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 600.61 Tm (And Schedule 1\) A )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 586.03 Tm (Statement of Purpose must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 571.45 Tm (be written, which contains )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 556.87 Tm (the information listed in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 542.29 Tm (Schedule 1. This must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 527.71 Tm (made available to people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 513.13 Tm (who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 498.55 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 483.97 Tm (An extended timescale to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 469.39 Tm (meet this requirement has )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 454.81 Tm (been given. This must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 440.23 Tm (completed by 30 November )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 425.65 Tm (2009.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 408.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 393.49 Tm (This is to ensure people have )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 378.91 Tm (an informed choice about )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 364.33 Tm (whether to move in to the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 349.75 Tm (home and to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 335.17 Tm (inappropriate admissions.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 600.61 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 315.34 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 312.34 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 312.34 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 312.34 Tm (6\) All staff must receive )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 297.76 Tm (safeguarding training and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 283.18 Tm (have access to local )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 268.6 Tm (procedures, including )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 254.02 Tm (telephone contact numbers )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 239.44 Tm (for passing on safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 224.86 Tm (concerns in the absence of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 210.28 Tm (the manager. This )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 195.7 Tm (information must be kept in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 181.12 Tm (a place known to all staff.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 163.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 148.96 Tm (This is to ensure people are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 134.38 Tm (kept safe.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 312.34 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 114.55 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 111.55 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 111.55 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 111.55 Tm (and schedule 2\) )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 96.97 Tm (Documentation to support )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 82.39 Tm (the recruitment of staff must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 67.81 Tm (be compliant with Regulation )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 111.55 Tm (30/06/2009)Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 746.25 w 32.32 438.28 m 564.97 438.28 l S 0.001 w 1 1 1 RG 271.44 w 31.2 572.83 m 91.05 572.83 l S 0.001 w 271.44 w 93.3 572.83 m 197.4 572.83 l S 0.001 w 271.44 w 199.65 572.83 m 289.45 572.83 l S 0.001 w 271.44 w 291.7 572.83 m 473.8 572.83 l S 0.001 w 271.44 w 476.05 572.83 m 566.1 572.83 l S 0.001 w 111.06 w 31.2 379.33 m 91.05 379.33 l S 0.001 w 111.06 w 93.3 379.33 m 197.4 379.33 l S 0.001 w 111.06 w 199.65 379.33 m 289.45 379.33 l S 0.001 w 111.06 w 291.7 379.33 m 473.8 379.33 l S 0.001 w 111.06 w 476.05 379.33 m 566.1 379.33 l S 0.001 w 227.7 w 31.2 207.7 m 91.05 207.7 l S 0.001 w 227.7 w 93.3 207.7 m 197.4 207.7 l S 0.001 w 227.7 w 199.65 207.7 m 289.45 207.7 l S 0.001 w 227.7 w 291.7 207.7 m 473.8 207.7 l S 0.001 w 227.7 w 476.05 207.7 m 566.1 207.7 l S 0.001 w 27.57 w 31.2 77.81 m 91.05 77.81 l S 0.001 w 27.57 w 93.3 77.81 m 197.4 77.81 l S 0.001 w 27.57 w 199.65 77.81 m 289.45 77.81 l S 0.001 w 27.57 w 291.7 77.81 m 473.8 77.81 l S 0.001 w 27.57 w 476.05 77.81 m 566.1 77.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 435.98 m 568.3 435.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.67 m 568.3 322.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 92.72 m 568.3 92.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 710.75 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 710.75 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.3 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 710.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 710.75 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 710.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 710.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.22 m 568.4 742.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 709.67 m 568.4 709.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 435.98 m 568.3 435.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.67 m 568.3 322.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 92.72 m 568.3 92.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 743.3 m 92.12 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 743.3 m 198.52 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 743.3 m 290.62 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 743.3 m 475.02 708.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 708.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 796.45 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 778.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 763.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 763.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 763.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 748.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 698.74 Tm (19 and Schedule 2. All staff )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 684.16 Tm (who are employed by the )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 669.58 Tm (home and who may have )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 655 Tm (unsupervised access to )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 640.42 Tm (people must be subject to )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 625.84 Tm (Criminal Records Bureau )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 611.26 Tm (checks.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 596.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 582.1 Tm (Compliance with this )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 567.52 Tm (regulation could not be )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 552.94 Tm (checked at this Inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 538.36 Tm (An extension to meet this )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 523.78 Tm (requirement is given. This )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 509.2 Tm (must be complied with by 30 )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 494.62 Tm (November 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 474.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 459.46 Tm (This is to ensure people are )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 444.88 Tm (kept safe at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 422.8 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 419.8 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 419.8 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 419.8 Tm (1\)c\) All staff must receive )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 405.22 Tm (basic food hygiene updates. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 387.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 373.06 Tm (This is to ensure that peoples )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 358.48 Tm (wellbeing is not adversely )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 343.9 Tm (affected by gaps in staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 329.32 Tm (knowledge.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 419.8 Tm (31/01/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 309.49 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 306.49 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 306.49 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 306.49 Tm (1\)c\)i\) There must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 291.91 Tm (arrangements in place for )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 277.33 Tm (the two staff members )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 262.75 Tm (identified during the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 248.17 Tm (Inspection to attend )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 233.59 Tm (mandatory training in all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 219.01 Tm (required areas. There must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 204.43 Tm (be documented evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 189.85 Tm (this by 27 April 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 172.27 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 157.69 Tm (This is to ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 143.11 Tm (are adequately trained to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 128.53 Tm (ensure the health, safety and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 113.95 Tm (welfare of peole living in the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 99.37 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 306.49 Tm (14/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 79.54 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 76.54 Tm (32)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 76.54 Tm (37)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 76.54 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 76.54 Tm (30/06/2009)Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 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Tm (notify us without delay of )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 684.16 Tm (any occurrence listed within )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 669.58 Tm (this regualtion.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 649 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 634.42 Tm (To ensure that people are )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 619.84 Tm (kept safe at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 597.76 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 594.76 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 594.76 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 594.76 Tm (1\) There must be systems )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 580.18 Tm (put in place to review and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 565.6 Tm (improve the quality of care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 551.02 Tm (provided at the home, )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 536.44 Tm (including the development of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 521.86 Tm (systems to monitor )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 507.28 Tm (medications, care plans and )Tj ET /F2 12 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This system )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 478.12 Tm (must allow for consultation )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 463.54 Tm (with service users and their )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 448.96 Tm (representatives.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 431.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 416.8 Tm (This is to ensure that internal )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 402.22 Tm (quality control identifies and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 387.64 Tm (rectifies any shortfalls in care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 373.06 Tm (that people receive and to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 358.48 Tm (keep them safe.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 594.76 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 338.65 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 335.65 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 335.65 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 335.65 Tm (Where the registered )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 321.07 Tm (provider is not in day to day )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 306.49 Tm (charge of the home, he shall )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 291.91 Tm (visit the home in accordance )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 277.33 Tm (with this regualtion and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 262.75 Tm (prepare a report on the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 248.17 Tm (conduct of the home. This )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 233.59 Tm (must be sent to the Care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 219.01 Tm (Quality Commission each )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 204.43 Tm (month.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 186.85 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 172.27 Tm (This is to ensure that any )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 157.69 Tm (shortfalls in practice are )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 143.11 Tm (identified in a timely way to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 128.53 Tm (reduce the impact on people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 113.95 Tm (using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 335.65 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 94.12 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 91.12 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 91.12 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 91.12 Tm (You must establish and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 76.54 Tm (maintain a system for )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 91.12 Tm (31/07/2009)Tj ET endstream 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Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 731.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 728.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 728.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 728.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 728.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 715.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 698.74 Tm (reviewing at appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 684.16 Tm (intervals and improving the )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 669.58 Tm (quality of care provided by )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 655 Tm (the home.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 634.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 619.84 Tm (This is to ensure that you are )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 605.26 Tm (fully aware of what )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 590.68 Tm (improvements you need to )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 576.1 Tm (make to improve the quality )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 561.52 Tm (of service that people )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 546.94 Tm (receive.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 524.86 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 521.86 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 521.86 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 521.86 Tm (2\) All staff who work in the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 507.28 Tm (care home, including the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 492.7 Tm (manager must be supervised )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 478.12 Tm (and these sessions must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 463.54 Tm (recorded as evidence.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 445.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 431.38 Tm (To ensure people are cared )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 416.8 Tm (for by adequately supervised )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 402.22 Tm (staff.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 521.86 Tm (31/07/2009)Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> 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(1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 672.36 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 672.36 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 672.36 Tm (6\) All accounts for money )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 657.78 Tm (held on behalf of people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 643.2 Tm (living in the home must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 628.62 Tm (audited.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 614.04 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.46 Tm (All money belonging to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.88 Tm (people must be correctly )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.3 Tm (accounted for in the records )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.72 Tm (held at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.56 Tm (Receipts must be kept for all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 511.98 Tm (monetary transactions.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 482.82 Tm (Balance sheets must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 468.24 Tm (correspond to the amount of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 453.66 Tm (money held on behalf of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 439.08 Tm (people. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 421.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 406.92 Tm (This is to keep people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 392.34 Tm (protected from financial )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 377.76 Tm (abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 672.36 Tm (05/10/2009)Tj ET 0.95294 0.95294 0.95294 RG 268.59 w 32.32 198.32 m 564.97 198.32 l S 0.001 w 1 1 1 RG 169.3 w 31.2 147.55 m 91.05 147.55 l S 0.001 w 169.3 w 93.3 147.55 m 197.4 147.55 l S 0.001 w 169.3 w 199.65 147.55 m 289.45 147.55 l S 0.001 w 169.3 w 291.7 147.55 m 473.8 147.55 l S 0.001 w 169.3 w 476.05 147.55 m 566.1 147.55 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 234.41 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 234.41 m 567.22 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.88 m 568.4 265.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.33 m 568.3 233.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 234.41 m 92.17 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 234.41 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 234.41 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 234.41 m 474.92 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 334.87 m 568.4 334.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 265.88 m 568.4 265.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.33 m 568.4 233.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 335.95 m 30.07 232.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 266.96 m 92.12 232.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 266.96 m 198.52 232.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 266.96 m 290.62 232.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 266.96 m 475.02 232.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 335.95 m 567.32 232.25 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 321.68 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 301.68 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 287.1 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 287.1 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 272.52 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 254.7 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 251.7 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 251.7 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 251.7 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 251.7 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 239.55 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 220.14 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 220.14 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 220.14 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 220.14 Tm (2\) People must receive the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 203.14 Tm (medications they are )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 186.14 Tm (prescribed.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 169.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 152.14 Tm (Staff must not sign for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 135.14 Tm (medications that have not )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 118.14 Tm (been given.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 101.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 84.14 Tm (All staff responsible for )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 67.14 Tm (administering medications )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 220.14 Tm (31/10/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 220.14 Tm ()Tj ET endstream endobj 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 746.25 w 32.32 438.28 m 564.97 438.28 l S 0.001 w 1 1 1 RG 119 w 31.2 651.49 m 91.05 651.49 l S 0.001 w 119 w 93.3 651.49 m 197.4 651.49 l S 0.001 w 119 w 199.65 651.49 m 289.45 651.49 l S 0.001 w 119 w 291.7 651.49 m 473.8 651.49 l S 0.001 w 119 w 476.05 651.49 m 566.1 651.49 l S 0.001 w 119 w 31.2 530.24 m 91.05 530.24 l S 0.001 w 119 w 93.3 530.24 m 197.4 530.24 l S 0.001 w 119 w 199.65 530.24 m 289.45 530.24 l S 0.001 w 119 w 291.7 530.24 m 473.8 530.24 l S 0.001 w 119 w 476.05 530.24 m 566.1 530.24 l S 0.001 w 170 w 31.2 383.49 m 91.05 383.49 l S 0.001 w 170 w 93.3 383.49 m 197.4 383.49 l S 0.001 w 170 w 199.65 383.49 m 289.45 383.49 l S 0.001 w 170 w 291.7 383.49 m 473.8 383.49 l S 0.001 w 170 w 476.05 383.49 m 566.1 383.49 l S 0.001 w 232.21 w 31.2 180.13 m 91.05 180.13 l S 0.001 w 232.21 w 93.3 180.13 m 197.4 180.13 l S 0.001 w 232.21 w 199.65 180.13 m 289.45 180.13 l S 0.001 w 232.21 w 291.7 180.13 m 473.8 180.13 l S 0.001 w 232.21 w 476.05 180.13 m 566.1 180.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 590.86 m 568.3 590.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.61 m 568.3 469.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 297.36 m 568.3 297.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 590.86 m 568.3 590.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.61 m 568.3 469.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 297.36 m 568.3 297.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 701.18 Tm (must be provided with )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 684.18 Tm (further training in handling )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 667.18 Tm (medicines.)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 650.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 633.18 Tm (This is to ensure people )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 616.18 Tm (receive the treatment they )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 599.18 Tm (require and are kept safe.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 577.68 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 577.68 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 577.68 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 577.68 Tm (2\) The manager must record )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 560.68 Tm (any audits of medications, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.68 Tm (as evidence that this area is )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.68 Tm (being monitored effectively.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 492.68 Tm (This is to ensure people get )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 475.68 Tm (the medication they need.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 577.68 Tm (31/10/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 577.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 456.43 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 456.43 Tm (27)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 456.43 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 456.43 Tm (2\) and schedule 4. A copy of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 439.43 Tm (the duty roster of person's )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 422.43 Tm (working at the care home )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 405.43 Tm (must be kept in the home at )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 388.43 Tm (all times.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 371.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 354.43 Tm (This is to support that staff )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 337.43 Tm (numbers are sufficient at all )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 320.43 Tm (times, to meet people's )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 303.43 Tm (needs.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 456.43 Tm (31/10/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 456.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 284.18 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 284.18 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 284.18 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 284.18 Tm (A staff file, demonstrating )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 267.18 Tm (the training, recruitment, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 250.18 Tm (induction and supervision )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 233.18 Tm (received must be kept at the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 216.18 Tm (home, in respect of the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 199.18 Tm (person identified at the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 182.18 Tm (Inspection as being known )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 165.18 Tm (to the manager and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 148.18 Tm (provider, who is working )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 131.18 Tm (shifts.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 284.18 Tm (30/11/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 284.18 Tm ()Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 184.29 w 32.32 719.26 m 564.97 719.26 l S 0.001 w 1 1 1 RG 85 w 31.2 668.49 m 91.05 668.49 l S 0.001 w 85 w 93.3 668.49 m 197.4 668.49 l S 0.001 w 85 w 199.65 668.49 m 289.45 668.49 l S 0.001 w 85 w 291.7 668.49 m 473.8 668.49 l S 0.001 w 85 w 476.05 668.49 m 566.1 668.49 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 713.19 m 30.07 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 623.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 624.86 m 568.3 624.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 701.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 684.18 Tm (This is to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 667.18 Tm (are not exposed to )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 650.18 Tm (potentially unsuitable )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 633.18 Tm (workers.)Tj ET 0.95294 0.95294 0.95294 RG 334.21 w 32.32 437.38 m 564.97 437.38 l S 0.001 w 1 1 1 RG 35.16 w 31.2 499.19 m 91.05 499.19 l S 0.001 w 35.16 w 93.3 499.19 m 197.4 499.19 l S 0.001 w 35.16 w 199.65 499.19 m 566.1 499.19 l S 0.001 w 35.16 w 31.2 461.78 m 91.05 461.78 l S 0.001 w 35.16 w 93.3 461.78 m 197.4 461.78 l S 0.001 w 35.16 w 199.65 461.78 m 566.1 461.78 l S 0.001 w 64.32 w 31.2 409.79 m 91.05 409.79 l S 0.001 w 64.32 w 93.3 409.79 m 197.4 409.79 l S 0.001 w 64.32 w 199.65 409.79 m 566.1 409.79 l S 0.001 w 35.16 w 31.2 357.8 m 91.05 357.8 l S 0.001 w 35.16 w 93.3 357.8 m 197.4 357.8 l S 0.001 w 35.16 w 199.65 357.8 m 566.1 357.8 l S 0.001 w 64.32 w 31.2 305.81 m 91.05 305.81 l S 0.001 w 64.32 w 93.3 305.81 m 197.4 305.81 l S 0.001 w 64.32 w 199.65 305.81 m 566.1 305.81 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 480.48 m 568.3 480.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.07 m 568.3 443.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.5 m 568.3 376.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.09 m 568.3 339.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 518.97 m 30.07 271.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 518.97 m 567.22 271.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 537.17 m 568.4 537.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 517.89 m 568.3 517.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 518.97 m 92.17 271.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 518.97 m 198.52 271.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 606.74 m 568.4 606.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 537.17 m 568.4 537.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 480.48 m 568.3 480.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.07 m 568.3 443.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 376.5 m 568.3 376.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.09 m 568.3 339.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 272.52 m 568.3 272.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 607.82 m 30.07 516.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 538.25 m 92.17 517.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 538.25 m 198.47 517.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 607.82 m 567.32 516.82 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 590.55 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 572.97 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 558.39 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 543.81 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 34.05 522.99 Tm (No)Tj ET /F2 10 Tf BT 1 0 0 1 96.15 522.99 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.45 522.99 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 501.71 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 501.71 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 501.71 Tm (People's marital status should be recorded in their care )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 487.13 Tm (files, to ensure personalised care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 464.3 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 464.3 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 464.3 Tm (People should be offered more social activity at the home. )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 449.72 Tm (This is to improve their quality of life.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 426.89 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 426.89 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 426.89 Tm (People should be assisted to access their local community )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 412.31 Tm (more and organised trips out should take place at intervals )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 397.73 Tm (agreed with people living int he home. This is to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 383.15 Tm (people do not become socially isolated.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 360.32 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 360.32 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 360.32 Tm (A formal induction and foundation training programme )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 345.74 Tm (should be established for any new staff employed.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 322.91 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 322.91 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 322.91 Tm (The managers at the home should be given supernumerary )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 308.33 Tm (time to ensure the legal requirements listed in this report )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 293.75 Tm (can be achieved. This is to ensure safeguards are in place )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 279.17 Tm (for people.)Tj ET endstream endobj 78 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 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 /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (32)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 /F2 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 /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 95.88 759.6 Tm ( 03000 616161)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 66.84 739.6 Tm ( enquiries@cqc.org.uk)Tj ET /F2 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 /F2 12 Tf BT 1 0 0 1 64.35 719.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.61 Tm ()Tj ET /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 622.62 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be )Tj ET /F2 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 /F2 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 /F2 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 /F2 12 Tf BT 1 0 0 1 28.35 552.64 Tm (misleading context. 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/eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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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 $` Ӳs9%8ãNZW#P7Xup .sg\_JyYȎ0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 85 0 obj<> endobj 9 0 obj<> endobj 86 0 obj <>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;:9876543210/.-,+*)('&%$#"!  ,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! 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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 87 0 obj<> endobj 88 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 89 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 90 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. 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 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+Y#B#B endstream endobj 93 0 obj<> endobj 94 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 95 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 63 0 obj<> endobj 96 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) 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