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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Belper Views)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (50/52 Holbrook Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Belper)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Derbyshire)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (DE56 1PB)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 399.3 331.89 Tm (zero star poor service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Helen Macukiewicz)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (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 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 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 0.99608 0.9451 0.76078 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 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 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 )Tj ET /F2 12 Tf BT 1 0 0 1 374.96 559.35 Tm (Alan )Tj ET /F2 12 Tf BT 1 0 0 1 405.49 559.35 Tm (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 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 398.35 m 297.3 398.35 l S 0.001 w 35.16 w 299.55 398.35 m 431.45 398.35 l S 0.001 w 35.16 w 433.7 398.35 m 565.6 398.35 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 368.23 m 565.6 368.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 379.65 m 567.8 379.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 568.1 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 379.65 m 567.8 379.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 568.1 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 568.1 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.42 m 568.1 267.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 266.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 378.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 378.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 266.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 386.29 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (25)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 363.46 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.63 Tm (The maximum number of service users who can be accommodated is: 25 )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 303.22 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 34.05 288.64 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 34.05 274.06 Tm (falling within any other category - Code OP )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 252.63 m 315.25 252.63 l S 0.001 w 1 1 1 RG 20.58 w 317.5 252.63 m 346.55 252.63 l S 0.001 w 20.58 w 348.8 252.63 m 377.9 252.63 l S 0.001 w 20.58 w 380.15 252.63 m 409.2 252.63 l S 0.001 w 20.58 w 411.45 252.63 m 440.55 252.63 l S 0.001 w 20.58 w 442.8 252.63 m 471.9 252.63 l S 0.001 w 20.58 w 474.15 252.63 m 503.2 252.63 l S 0.001 w 20.58 w 505.45 252.63 m 534.55 252.63 l S 0.001 w 20.58 w 536.8 252.63 m 565.9 252.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 264.04 m 568.1 264.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 241.21 m 568.1 241.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 265.12 m 30.07 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 265.12 m 316.37 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 265.12 m 347.67 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 265.12 m 379.02 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 265.12 m 410.32 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 265.12 m 441.67 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 265.12 m 473.02 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 265.12 m 504.32 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 265.12 m 535.67 240.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 265.12 m 567.02 240.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 247.86 Tm (Date of last inspection)Tj ET /F2 12 Tf BT 1 0 0 1 328.2 247.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 359.53 247.86 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 390.86 247.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 422.18 247.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 453.53 247.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 484.86 247.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 516.18 247.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 547.53 247.86 Tm (8)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 229.34 m 565.9 229.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 219.71 m 568.1 219.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 220.79 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 220.79 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 238.96 m 568.1 238.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.71 m 568.1 219.71 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 30.07 240.04 m 30.07 218.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 240.04 m 567.02 218.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 225.78 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 225.78 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 206.53 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 35.5 189.53 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 35.5 172.53 Tm (community and leisure facilities, although there are limited shopping facilities in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 155.53 Tm (immediate area. The home offers accommodation for 25 older people in single rooms, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 138.53 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 35.5 121.53 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 35.5 104.53 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 87.53 Tm (hospital in the town.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 70.53 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 53.53 Tm (The current range of fees for the home is 353.92 to 373.17 GBP per week with no top )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 706.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 706.08 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 28.99 707.15 m 568.1 707.15 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 (ups.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (Hairdressing is charged at 1.00 GBP. The last Inspection report was kept in the foyer.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (You can obtain further copies of this report on www.cqc.org.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 695.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 678.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 533/Matrix [1 0 0 1 0 0]>>stream xMo1 +r;GJ%N8T݁ZT~>vfTZ7v7'~dFs,_ ?7~@xOѸL`z\ r [.Y(ѰY!Ű9XOGռkzEYКݚӋf+^I--@i3cf| _W"j6 {)L#m,Gs ;AJF.R􌦥C챓k䔍N5#퓲vۙA&q SU2†h3A C[]g]wͥnk{‘KdtOֺf/)yqUqQӹD&t9vkRqx󞿶#_209z٤asW_k~dJu΂lWX 82M_ ~4-&Gr l>Kkg6sP-uu7?> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 410.5 715.45 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (The inspection was unannounced and involved a visit to the site on 22 April and 28 )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (April 2008.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (The focus of inspections undertaken by the Care Quality Commission is upon outcomes )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (for people who use the service and their views of the service provided. This process )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (considers the home's capacity to meet regulatory requirements, minimum standards of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (practice and focuses on aspects of service provisions that need further development.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 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 90.25 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 75.68 Tm (judgments. This may include notifications from the provider, complaints or concerns )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 236.28 w 32.32 694.39 m 566.72 694.39 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 575.12 m 568.92 575.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 574.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 574.05 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (and the pre-inspection questionnaire, which the provider is required to complete prior )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (to a visit to the service.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (The primary method of inspection used during the visit to this service was 'case )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (tracking'. This involved selecting three people who use the service and tracking the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (care they receive through review of their records, discussion with them where possible, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (the care staff and observation of care practices.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (All of the key standards were inspected on this occasion.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (We made a second visit on 28 April 2009. This formed part of this Inspection and was )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (used to complete our processes and to monitor whether there had been compliance )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (with the immediate requirements set on the first day of the visit on 22 April 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (An interim unannounced Inspection took place on 19 November 2008. The purpose of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 584.02 Tm (this visit was to follow up on the requirements made at the previous full inspection. )Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 137.22 w 32.32 722.21 m 566.72 722.21 l S 0.001 w 20.58 w 32.7 641.06 m 569.35 641.06 l S 0.001 w 78.9 w 33.82 589.07 m 568.22 589.07 l S 0.001 w 20.58 w 33.45 537.08 m 570.1 537.08 l S 0.001 w 108.06 w 34.57 470.51 m 568.97 470.51 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 652.48 m 568.92 652.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 651.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 652.48 m 569.35 652.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 629.65 m 569.35 629.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 629.65 m 570.42 629.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 548.5 m 570.42 548.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 525.67 m 570.1 525.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 548.5 m 570.1 548.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 525.67 m 571.17 525.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 415.36 m 571.17 415.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 630.73 m 32.7 547.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 526.75 m 33.45 414.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 651.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 630.73 m 569.35 547.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 526.75 m 570.1 414.28 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (There is a welcoming and homely atmosphere within the home. People told us they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (liked living there and were happy with the care they receive. Visiting professionals told )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (us 'I have always found the service helpful'. People are able to come and go as they )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (please, one person said 'staff are very good, you can do what you want in the day'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (There is good communication between staff and people who live in the home. Staff also )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (work well with eachother and communicate effectively.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (People told us they like the food and that this is plentiful.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 720.66 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 638.95 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 636.29 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 639.51 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 587.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 613.46 Tm (Staff have improved the paperwork relating to peoples' care meaning that it is easier )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 598.88 Tm (to understand and records in more detail what staff have done.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 584.3 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 569.72 Tm (The environment has been improved with some rooms refurbished, new carpets, blinds )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 555.14 Tm (and chairs.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 587.52 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 535.53 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 532.31 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 468.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 509.48 Tm (Management need to be more aware of legislative requirements affecting the home. )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 494.9 Tm (Medication, care planning and staff recruitment are the main areas where staff need to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 480.32 Tm (make improvements.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 465.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 451.16 Tm (Better quality assurance, monitoring and oversight of the service is required to make )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 436.58 Tm (sure that the changes required from this report are made, so people can be cared for )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 422 Tm (in a safer way. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 399.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 379.68 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 379.68 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 379.68 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 362.18 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 342.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 322.19 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 322.19 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 322.19 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 304.69 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 304.69 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 304.69 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 287.2 Tm (7535.)Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 368.74 m 563.65 368.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 97.48 w 32.32 357.5 m 564.78 357.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 306.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.63 m 566.98 307.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Lack of written information reduces peoples ability to make an informed decision about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (moving in and could lead to people being admitted inappropriately. )Tj ET 0.99608 0.9451 0.76078 RG 213.54 w 33.45 174.99 m 563.65 174.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.76 m 565.9 272.76 l S 0.001 w 192.16 w 32.32 163.18 m 564.78 163.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 260.39 m 566.98 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 261.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 261.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.39 m 565.9 260.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 269.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.7 Tm (We saw information about the home and the services it offers written in a 'Service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (Users Guide'. Although this was mainly accurate, we found that some information such )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (as contact points for complaints was out of date. The home should also provide more )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (detailed information in what is known as a 'Statement of Purpose'. This document was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (not available for people to read at the time of this visit as the manager told us it was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (being updated. Therefore people wishing to find out about the home did not have full )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (and accurate information on which the base their decision to move in. People we spoke )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (to confirmed they had not been given any information in writing about the home but )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (were told verbally.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm ()Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 111.35 w 33.45 755.73 m 563.65 755.73 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 89.98 w 32.32 743.92 m 564.78 743.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 696.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 696.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 697.8 m 566.98 697.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We saw the care records for the latest people to be admitted to the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (manager had obtained a Social Services and/or Health assessment prior to their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (admission for all but one person. This supported that she had knowledge about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (peoples' needs so she could ensure they were admitted appropriately. However, this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (standard needed to be applied for all people, particularly those admitted privately.)Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 394 m 563.65 394 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 114.98 w 32.32 382.75 m 564.78 382.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 323.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 323.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.14 m 566.98 324.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (Gaps in paperwork and lack of monitoring systems means there is potential for care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (needs to be overlooked and medication errors. Not all people have their privacy and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (dignity upheld.)Tj ET 0.99608 0.9451 0.76078 RG 230.04 w 33.45 183.24 m 563.65 183.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.27 m 565.9 289.27 l S 0.001 w 208.67 w 32.32 171.43 m 564.78 171.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 276.89 m 566.98 276.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 277.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.89 m 565.9 276.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 285.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (Since our last Inspection the manager and deputy had transferred much of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (information about peoples' care needs on to new paperwork. This paperwork made the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (assessment and recording of care needs more compliant with standards for record )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (keeping in care homes. However, we found that the old system of day to day recording )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (and care planning was also being used, alongside the new paperwork. This increased )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (the potential for care needs to be overlooked. The manager told us that all staff would )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (be trained to use the new paperwork at a planned staff meeting, and that old )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (paperwork would then be discontinued.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (We saw that there was still some information missing from both new and old style )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (paperwork. Peoples' photographs were not always present, although verbal )Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (communication and stability of staffing in the home ensured that people in the building )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (were always known to staff. Peoples' marital status and preferred names were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (always stated. This would help staff to provide more individualised care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (We found that one person did not have an assessment of their needs by care staff, or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (a plan of care in place. This persons' daily notes recorded some of the care that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (had given them. However, lack of detailed information about them meant that care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (needs could be overlooked and could not support a planned approach to meeting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (actual or potential needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (We saw space on the new care planning documentation for both staff and the person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (whose plan it was, to sign to confirm their agreement to its' contents. However, we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (found that none of the people living in the home, or their relatives had signed them. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (People confirmed that they had not seen their paperwork. This meant that staff were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (not fully involving people in the planning and reviews of their care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Despite gaps in recording, people and their relatives told us that they were getting the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (care they need. People told us they saw their G.P when needed, chiropodist and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (optician. One person told us they were able to access G.P. facilities within the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (community, but that the G.P. also came to see them at the home. There was evidence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (in the paperwork that people received visits from specialist nurses and district nurses )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (in the Community and that people attended out patients appointments when needed. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (One relative said 'on the whole \(x\) is very happy here'. A social care professional who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (completed a pre-inspection survey for us wrote 'provides appropriate level of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (care....they are often able to cope with residents who have behavioural problems, or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (perhaps bring about a more appropriate behaviour regime'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (Although staff told us they had received medication training, we saw that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (management of medication within the home was not being monitored effectively. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (saw that the dose of one persons' medications had been incorrectly recorded, although )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (when we checked we found they had been receiving the right dose. We found that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (same persons' medication chart had omitted two medicines they had been on when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (discharged from hospital. This person had been without their correct medication for 12 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (days. The staff took immediate action on the day of our visit, to contact the person's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (G.P. to ensure they got their medication. We also saw that not all of the medicines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (being brought in to the home were being recorded, this meant that there was potential )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (for unaccounted medicines within the building. We also found that one medication was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (not being stored in the correct medication cupboard. By the time of our second visit, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (we were assured that the staff had taken action to address issues. However, we were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (concerned that the systems in place within the home, to monitor medicines, had failed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (to identify these errors.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 426.28 w 33.45 598.27 m 563.65 598.27 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 404.91 w 32.32 586.45 m 564.78 586.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 381.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 381.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 382.88 m 566.98 382.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (On the second visit we also found that each persons medication was being started on a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (different day. Although this did not present staff with any problems, it would reduce )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the potential for errors if everyones' medication charts started on the same day. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (would also make it easier for staff to audit charts. We found that people were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (always receiving their medication at the times stated on medication charts, and that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (coding systems were not clearly explained on the paperwork.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (We saw some evidence that staff upheld peoples' need for privacy. People living in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (home told us that they saw visitors in private and that staff knocked on their bedroom )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (door to request permission before entering. Visitors told us that their relatives were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (treated with dignity and respect, and had their need for privacy upheld. However, we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (observed that staff were not always upholding the privacy and dignity of people who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (were unable to express an opinion. Staff were using one persons' bedroom for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (purposes other than their care. This person lacked capacity to consent to such use.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (We had not received any concerns about peoples' care since we last inspected and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (people we spoke to were happy with their arrangements. However, we found this was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (mostly as a result of the good relationships and communication between staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (themselves and between staff and people living in, and using the service. Supported )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (by a low staff turnover and stable management. This good practice was not mirrored )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (in record keeping standards and management audits. This is where the service falls )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (short of regulatory requirements and where staff will need to focus their attention.)Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 436.74 m 563.65 436.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 97.48 w 32.32 425.5 m 564.78 425.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 374.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 375.63 m 566.98 375.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (People are able to lead an active lifestyle but records do not support that people are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (able to choose what they do.)Tj ET 0.99608 0.9451 0.76078 RG 281.54 w 33.45 208.99 m 563.65 208.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.76 m 565.9 340.76 l S 0.001 w 260.16 w 32.32 197.18 m 564.78 197.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 328.39 m 566.98 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 329.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 329.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.39 m 565.9 328.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 337.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.7 Tm (In her completed pre-inspection self-assessment the manager told us that they 'could )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (do more activities and outings with residents'. Some people we spoke to said that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (there was not much to do during the day. One said it could be a 'bit boring'. People )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (were watching television, or doing jigsaws. Most people told us they were unwilling or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (unable to go out into the community. However, those who were able to, or who chose )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (to were supported to go out. One person had been supported to book a two week )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (holiday by the sea. Staff also supported people to meet their spiritual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (The manager recognised that a flurry of recent admissions had meant that there were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (some more people who would be able to go out and that she would need to organise )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (some trips out to meet their needs. People told us that staff had booked entertainers )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (to come in to the home and that they enjoyed these. Talking books/newspapers were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (available for those with visual impairment.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 321.3 w 33.45 650.75 m 563.65 650.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 299.93 w 32.32 638.94 m 564.78 638.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 486.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 486.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 487.85 m 566.98 487.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (Some paperwork had been filled in to show what activities people had taken part in, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (although records were not complete. Not all people had their social and spiritual needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (assessed in care documentation, so it was unclear as to whether entertainment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (programmes were meeting individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (Lifestyle choices and preferences were assessed for those people who had a plan of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (care, these showed peoples' preferred routines. People told us that the daily routine )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (was flexible and that they could come and go as they pleased. One said 'staff are very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (good, you can do what you want in the day'. One relative told us 'we make sure \(x\) )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (has enough to do during the day, \(x\) did tend to isolate themselves in their room but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (staff encouraged \(x\) to come out'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (People told us that the food was good and that they are offered plenty of food. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (cook knew about peoples individual dietary needs, she had menus and described how )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (she offered people choice, but was not routinely keeping a record of the choices she )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (offered to support this. Fresh fruit was available along with ample food stocks in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (kitchen area.)Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 102.48 w 33.45 496.49 m 563.65 496.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 79.98 w 32.32 485.24 m 564.78 485.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 443.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 443.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 444.13 m 566.98 444.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People are kept safe and have their right to complain upheld. )Tj ET 0.99608 0.9451 0.76078 RG 350.03 w 33.45 243.24 m 563.65 243.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 409.26 m 565.9 409.26 l S 0.001 w 328.66 w 32.32 231.43 m 564.78 231.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 396.89 m 566.98 396.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 397.96 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 397.96 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 396.89 m 565.9 396.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 405.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 381.2 Tm (In her completed pre-inspection self-assessment the manager wrote that they had not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (received any complaints since we last Inspected. This was consistent with what people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (told us on the day. People felt confident they could raise concerns with the manager or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (senior staff, and that she would sort things out. People told us they had never had any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (cause to complain. People were less confident about who they would contact outside )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (the home. The written information about the home, both in the 'Service Users Guide' )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (and displayed complaints procedure both had the incorrect contact details for us.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (One relative told us they taken minor issues to the manager in the past, but had all )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (issues resolved to their satisfaction. There were no recorded minor concerns in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (complaints log. In the absence of recording all issues raised, the manager would have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (to rely solely on verbal feedback from staff to audit trends within the home and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (identify any recurring issues.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (There had been one safeguarding issue in the past 12 months, this had been resolved. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (The manager had worked co-operatively with social services throughout. Some staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (had training certificates in their files to show that they had attended a safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (adults course in 2008. However, there were at least two staff members who had never )Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 592.83 m 566.98 592.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (attended this in respect of their employment in the care home. When asked, staff were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (unclear about the exact procedure should a safeguarding concern arise, but would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (ultimately keep people safe, through their response. There was heavy reliance in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (managers presence to deal with any issue, and no clear and available guidelines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (should the manager be unavailable. Contact numbers for key organisations were not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (clearly displayed and staff could not locate the safeguarding policy.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (There was information about the Mental Capacity Act on display in the foyer although )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (the manager and deputy told us that they had not undertaken any training on this, or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (the Deprivation of Liberty guidance. Therefore they had limited understanding of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (legal obligations and peoples' rights in relation to this important legislation.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The environment is suited to the needs of people living there, although outstanding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (maintenance potentially compromises some peoples privacy.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (In her completed pre-inspection self-assessment the manager told us 'all fire doors )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (have been upgraded, new carpets planned'. We saw that a programme for refurbishing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (the home was underway. Where complete this had made a significant improvement to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (peoples' environment. Some of the work had not been completed which meant that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (some people did not have a lockable bedroom door and one toilet door had no lock on. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (Both these areas impact on peoples' privacy and dignity. Some bedroom doors were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (not closing fully onto the rebates which compromises fire safety within the building. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (However, the manager told us that the owner was currently working on the doors to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (ensure they met standards.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (People told us they were happy with their environment, one relative said 'the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (always smells clean'. People told us that they were given a choice of bedroom when )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (they first moved in.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (People were happy with the laundry service and told us that clothes were quickly )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (returned. There was equipment available for the maintenance of infection control and )Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 41.37 w 33.45 790.72 m 563.65 790.72 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 20 w 32.32 778.91 m 564.78 778.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 766.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 767.79 m 566.98 767.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (dealing with soiled laundry.)Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Gaps in recruitment practices and training means that people are not fully safeguarded )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (by the home.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (Staffing rotas showed that there was a stable staff team with low staff turnover, thus )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (ensuring people had continuity of care. Staff told us they worked well with each other )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (and we observed that communication was positive between them. There was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (management support four days/week on the rotas we saw. For two days/week the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (manager and deputy worked together. There were three staff provided throughout the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (day plus cleaning staff and a cook. Two care staff worked each night. People told us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (that staff were quick to respond when they asked for help. One relative told us 'there )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (are always staff around')Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (We noticed that three shifts on a staffing rota had been covered by a member of staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (who was not a regular employee. We found that there were no recruitment records for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (them, which meant that people could be put at risk through unsuitable workers. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (found no induction programme for the staff member. By our second visit the manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (had asked this person to make a formal application to work at the home. However, the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (recruitment form used did not comply with legislative requirements for safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (recruitment practice.)Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We also found that there was no evidence of criminal records checks for some people )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (who were contracted to undertake regular non-care duties at the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (We spoke to staff who told us they had received most of their mandatory training and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (we saw certificates in staff files that supported this. Staff were planned to attend basic )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (food hygiene and first aid training and we saw confirmation that this training had been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (booked.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (We saw that two members of staff had not attended any training organised by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (home. This means that people may be put at risk through lack of staff knowledge on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (basic safety procedures, including fire and first aid.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Of the 15 staff in total employed at the home, 11 have National Vocational )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Qualifications to level 2 or above. We found that there was emphasis on getting staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (through this, and mandatory training. However, staff were not provided with many )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (opportunities to attend additional training in areas such as equality and diversity, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (dignity, choice and rights and complaints management. Furthering staff knowledge in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (such areas may assist management to address some of the dignity issues raised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (throughout his report.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 408.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (Gaps in legislative knowledge and quality assurance systems means that people are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (being exposed to preventable risks.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (The manager of the service has a Registered Managers Award and has updated her )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (knowledge in the past year by attending mandatory training. A deputy manager had )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (been appointed in September 2008 to assist in the development of care planing and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (organisational policies. She had also obtained a Registered Managers Award. Both )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (managers told us they had not attended any training yet in 2009 but that some )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (mandatory updates were planned. We saw from the staffing rotas that both managers )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (had about one supernumerary day/week to focus on the paperwork, but both stated )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (they were often called away to cover staffing shortfalls or to answer telephone queries. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (One of the projects that the deputy manager had taken on was the development of a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (staff handbook, and full review of the homes' policies. Although at the time of this )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (visit, both were at the early stages of development.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We found that both the manager, and the registered person were not fully aware of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (our legislative requirements surrounding the operational running of the home. As a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (result we had only received one notification legally required from them. Also, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (registered person had not been in day to day charge of the home and had not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (conducting monthly monitoring reviews and reports on the running of the home as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (legally required.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (In her completed pre-inspection self-assessment the manager told us 'we ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (once a year we send out questionnaires'. However, none had been sent out so far this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (year and there were no other quality control systems in place. The Annual Quality )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Assurance Assessment \(AQAA\), referred to as the 'pre-inspection self-assessment' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (throughout this report was poorly completed. This is an opportunity for providers to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (tell us about the state of the service, any areas for improvement that have occurred )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and any actions they intend to take to develop the service. This is a legal requirement. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (We found that the AQAA was not fully completed. The questions relating to equality )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (and diversity were particularly poorly completed with sections left blank. It did not give )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (us a reliable picture of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Good communication internally between staff had ensured that no adverse effects had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (occurred as a result of poor record keeping in terms of care records. The home had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (also ensured through diligent practices that medications had been safely administered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (despite errors in recording dosage and administering at different times than those )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (prescribed. Action had also been taken swiftly in terms of the immediate requirements )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (made at the time of the first visit. However lack of adequate quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (systems led to gaps in care planning and medication requirements being missed and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (ultimately left unattended. The lack of understanding about legal requirements in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (recruitment left people exposed to a potentially unsuitable care worker and peripatetic )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (workers on the part of both the registered person and registered manager.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (The manager told us that they were operating the same system for handling money as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (last year, and no concerns were raised about this by people who used the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (Staff told us they felt supported but had not received any formal supervisions. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (no record of regular staff supervision or any evidence of a programme in place to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (address this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (Staff policies were being updated by the deputy manager who aimed to put the key )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (policies into the staff handbook. This will be a positive development for the home. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (However, at the time of this visit staff did not have access to a clear set of accurate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (policies covering all aspects of the running of the home. We saw that some staff )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 592.83 m 566.98 592.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (members brought their dogs into the home. Whilst people using the service were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (clearly benefiting from having this arrangement, there was no clear policy in place )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (governing how this should be managed, and which took into account any trip hazards )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (they might present. The manager had taken action to address this by the time of our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (second visit.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (A general risk assessment of the environment was seen and service records were all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (up to date by the time of our second visit, with the exception of the portable appliance )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (testing, which was due, supporting that people were largely kept safe from faulty )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (equipment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm (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 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w 1 1 1 RG 344.34 w 31.2 442.38 m 91.05 442.38 l S 0.001 w 344.34 w 93.3 442.38 m 197.4 442.38 l S 0.001 w 344.34 w 199.65 442.38 m 289.45 442.38 l S 0.001 w 344.34 w 291.7 442.38 m 473.8 442.38 l S 0.001 w 344.34 w 476.05 442.38 m 566.1 442.38 l S 0.001 w 125.64 w 31.2 205.14 m 91.05 205.14 l S 0.001 w 125.64 w 93.3 205.14 m 197.4 205.14 l S 0.001 w 125.64 w 199.65 205.14 m 289.45 205.14 l S 0.001 w 125.64 w 291.7 205.14 m 473.8 205.14 l S 0.001 w 125.64 w 476.05 205.14 m 566.1 205.14 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 268.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 268.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 268.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 269.08 m 568.3 269.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 269.08 m 568.3 269.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.19 m 568.3 141.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 140.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 140.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 140.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 140.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 140.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 140.12 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 602.49 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 599.49 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 599.49 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 599.49 Tm (1\)2\) The new care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 584.91 Tm (documentation acquired by )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 570.33 Tm (the manager must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 555.75 Tm (completed in full for all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.17 Tm (people so that their care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 526.59 Tm (needs and any risks to them )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 512.01 Tm (are identified with )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 497.43 Tm (instructions for staff on how )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 482.85 Tm (to manage these. Care plans )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 468.27 Tm (must be updated as care )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 453.69 Tm (needs change. This )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 439.11 Tm (documentation must also be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 424.53 Tm (commenced immediately for )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 409.95 Tm (any new admissions to the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 395.37 Tm (home. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 377.79 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 363.21 Tm (This is to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 348.63 Tm (have their needs identified )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 334.05 Tm (and that this is recorded in a )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 319.47 Tm (logical way. To provide clear )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 304.89 Tm (instructions for staff so that )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 290.31 Tm (care needs are not )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 275.73 Tm (overlooked.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 599.49 Tm (31/01/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 255.9 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 252.9 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 252.9 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 252.9 Tm (1\)c\) All staff must receive )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 238.32 Tm (basic food hygiene and first )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 223.74 Tm (aid training updates. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 206.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 191.58 Tm (This is to ensure that peoples )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 177 Tm (wellbeing is not adversely )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 162.42 Tm (affected by gaps in staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 147.84 Tm (knowledge.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 252.9 Tm (31/01/2009)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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 749.72 m 566.2 749.72 l S 0.001 w 30.3 w 31.2 705.95 m 91 705.95 l S 0.001 w 30.3 w 93.25 705.95 m 197.4 705.95 l S 0.001 w 30.3 w 199.65 705.95 m 289.5 705.95 l S 0.001 w 30.3 w 291.75 705.95 m 473.9 705.95 l S 0.001 w 30.3 w 476.15 705.95 m 566.2 705.95 l S 0.001 w 1 1 1 RG 154.8 w 31.2 611.15 m 91.05 611.15 l S 0.001 w 154.8 w 93.3 611.15 m 197.4 611.15 l S 0.001 w 154.8 w 199.65 611.15 m 289.45 611.15 l S 0.001 w 154.8 w 291.7 611.15 m 473.8 611.15 l S 0.001 w 154.8 w 476.05 611.15 m 566.1 611.15 l S 0.001 w 140.22 w 31.2 461.39 m 91.05 461.39 l S 0.001 w 140.22 w 93.3 461.39 m 197.4 461.39 l S 0.001 w 140.22 w 199.65 461.39 m 289.45 461.39 l S 0.001 w 140.22 w 291.7 461.39 m 473.8 461.39 l S 0.001 w 140.22 w 476.05 461.39 m 566.1 461.39 l S 0.001 w 140.22 w 31.2 318.92 m 91.05 318.92 l S 0.001 w 140.22 w 93.3 318.92 m 197.4 318.92 l S 0.001 w 140.22 w 199.65 318.92 m 289.45 318.92 l S 0.001 w 140.22 w 291.7 318.92 m 473.8 318.92 l S 0.001 w 140.22 w 476.05 318.92 m 566.1 318.92 l S 0.001 w 140.22 w 31.2 176.45 m 91.05 176.45 l S 0.001 w 140.22 w 93.3 176.45 m 197.4 176.45 l S 0.001 w 140.22 w 199.65 176.45 m 289.45 176.45 l S 0.001 w 140.22 w 291.7 176.45 m 473.8 176.45 l S 0.001 w 140.22 w 476.05 176.45 m 566.1 176.45 l S 0.001 w 40.06 w 31.2 84.06 m 91.05 84.06 l S 0.001 w 40.06 w 93.3 84.06 m 197.4 84.06 l S 0.001 w 40.06 w 199.65 84.06 m 289.45 84.06 l S 0.001 w 40.06 w 291.7 84.06 m 473.8 84.06 l S 0.001 w 40.06 w 476.05 84.06 m 566.1 84.06 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 722.22 m 568.4 722.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.67 m 568.4 689.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 723.3 m 92.12 531.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 723.3 m 290.62 531.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 723.3 m 475.02 531.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.62 m 568.3 532.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 390.15 m 568.3 390.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.68 m 568.3 247.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 105.21 m 568.3 105.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 777.21 m 568.4 777.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 722.22 m 568.4 722.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 689.67 m 568.3 689.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 532.62 m 568.3 532.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 390.15 m 568.3 390.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.68 m 568.3 247.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 105.21 m 568.3 105.21 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 30.07 778.29 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 690.75 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 723.3 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 690.75 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 690.75 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 778.29 m 567.32 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 34.05 761.03 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 743.45 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 728.87 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 711.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 708.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 708.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 708.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 708.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 695.9 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 676.49 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 673.49 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 673.49 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 673.49 Tm (1\) A care plan and risk )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 658.91 Tm (assessments must be in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 644.33 Tm (place for the person )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 629.75 Tm (identified to staff during the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 615.17 Tm (first Inspection day. This )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 600.59 Tm (must be done by 27 April )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 586.01 Tm (2009.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 568.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 553.85 Tm (This is to ensure the persons' )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 539.27 Tm (care needs are met.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 673.49 Tm (14/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 519.44 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 516.44 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 516.44 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 516.44 Tm (2\) Staff must ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 501.86 Tm (person identified during the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 487.28 Tm (Inspection has their doses of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 472.7 Tm (medicine correctly recorded )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 458.12 Tm (on their medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 443.54 Tm (administration chart.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 425.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 411.38 Tm (This is to ensure the persons' )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 396.8 Tm (welfare is fully protected.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 516.44 Tm (13/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 376.97 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 373.97 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 373.97 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 373.97 Tm (2\) Staff must contact the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 359.39 Tm (G.P. for the person identified )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 344.81 Tm (during the Inspection by 22 )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 330.23 Tm (April 2009 to ensure they )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 315.65 Tm (receive their prescribed )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 301.07 Tm (medication.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 283.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 268.91 Tm (This is to enusre the persons )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 254.33 Tm (welfare is fully protected.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 373.97 Tm (13/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 234.5 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 231.5 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 231.5 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 231.5 Tm (2\) Staff must ensure the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 216.92 Tm (exact amount of medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 202.34 Tm (being brought into the home )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 187.76 Tm (is stated on the medication )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 173.18 Tm (chart.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 155.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 141.02 Tm (This is to ensure that all )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 126.44 Tm (medications are fully )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 111.86 Tm (accounted for.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 231.5 Tm (14/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 92.03 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 89.03 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 89.03 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 89.03 Tm (4\)a\) Staff must only use )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 74.45 Tm (toilet facilities designated for )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 89.03 Tm (04/05/2009)Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 81.9 w 31.2 771.58 m 91.05 771.58 l S 0.001 w 81.9 w 93.3 771.58 m 197.4 771.58 l S 0.001 w 81.9 w 199.65 771.58 m 289.45 771.58 l S 0.001 w 81.9 w 291.7 771.58 m 473.8 771.58 l S 0.001 w 81.9 w 476.05 771.58 m 566.1 771.58 l S 0.001 w 154.8 w 31.2 650.98 m 91.05 650.98 l S 0.001 w 154.8 w 93.3 650.98 m 197.4 650.98 l S 0.001 w 154.8 w 199.65 650.98 m 289.45 650.98 l S 0.001 w 154.8 w 291.7 650.98 m 473.8 650.98 l S 0.001 w 154.8 w 476.05 650.98 m 566.1 650.98 l S 0.001 w 125.64 w 31.2 508.51 m 91.05 508.51 l S 0.001 w 125.64 w 93.3 508.51 m 197.4 508.51 l S 0.001 w 125.64 w 199.65 508.51 m 289.45 508.51 l S 0.001 w 125.64 w 291.7 508.51 m 473.8 508.51 l S 0.001 w 125.64 w 476.05 508.51 m 566.1 508.51 l S 0.001 w 300.6 w 31.2 293.14 m 91.05 293.14 l S 0.001 w 300.6 w 93.3 293.14 m 197.4 293.14 l S 0.001 w 300.6 w 199.65 293.14 m 289.45 293.14 l S 0.001 w 300.6 w 291.7 293.14 m 473.8 293.14 l S 0.001 w 300.6 w 476.05 293.14 m 566.1 293.14 l S 0.001 w 76.56 w 31.2 102.31 m 91.05 102.31 l S 0.001 w 76.56 w 93.3 102.31 m 197.4 102.31 l S 0.001 w 76.56 w 199.65 102.31 m 289.45 102.31 l S 0.001 w 76.56 w 291.7 102.31 m 473.8 102.31 l S 0.001 w 76.56 w 476.05 102.31 m 566.1 102.31 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 729.5 m 568.3 729.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 572.45 m 568.3 572.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 444.56 m 568.3 444.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.71 m 568.3 141.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 729.5 m 568.3 729.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 572.45 m 568.3 572.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 444.56 m 568.3 444.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 141.71 m 568.3 141.71 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 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 61.82 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 292.3 802.72 Tm (them.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 782.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 767.56 Tm (This is to ensure peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 752.98 Tm (right to privacy and dignity )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 738.4 Tm (are upheld.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 716.32 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 713.32 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 713.32 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 713.32 Tm (4\)a\) Staff must discontinue )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 698.74 Tm (using the bedroom identified )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 684.16 Tm (during the Inspection for )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 669.58 Tm (purposes other than those )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 655 Tm (directly relating to the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 640.42 Tm (occupants care.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 622.84 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 608.26 Tm (This is to enusre peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 593.68 Tm (right to privacy and dignity )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 579.1 Tm (are upheld.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 713.32 Tm (04/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 559.27 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 556.27 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 556.27 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 556.27 Tm (and schedule 2\) No staff to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 541.69 Tm (be employed without )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 527.11 Tm (required pre-employment )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 512.53 Tm (checks.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 494.95 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 480.37 Tm (This is to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 465.79 Tm (are safeguarded at the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 451.21 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 556.27 Tm (04/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 431.38 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 428.38 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 428.38 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 428.38 Tm (and schedule 2\) Recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 413.8 Tm (records, evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 420.93 413.8 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 399.22 Tm (employment)Tj ET /F2 12 Tf BT 1 0 0 1 369.68 399.22 Tm ( checks and )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 384.64 Tm (induction training must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 370.06 Tm (obtained for the staff )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 355.48 Tm (member who worked 3 )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 340.9 Tm (shifts, identified during the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 326.32 Tm (Inspection. If )Tj ET /F2 12 Tf BT 1 0 0 1 379.31 326.32 Tm (pre-)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 311.74 Tm (employment)Tj ET /F2 12 Tf BT 1 0 0 1 369.68 311.74 Tm ( checks have not )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 297.16 Tm (been carried out, the person )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 282.58 Tm (must not be allowed to work )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 268 Tm (at the home until such )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 253.42 Tm (checks have been returned. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 238.84 Tm (CRB and POVA 1st checks )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 224.26 Tm (must be sent off by 23 April )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 209.68 Tm (2009. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 192.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 177.52 Tm (This is to ensure that people )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 162.94 Tm (are safeguarded at the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 148.36 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 428.38 Tm (14/05/2009)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 128.53 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 125.53 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 125.53 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 125.53 Tm (1\)c\)i\) There must be )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 110.95 Tm (arrangements in place for )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 96.37 Tm (the two staff members )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 81.79 Tm (identified during the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 67.21 Tm (Inspection to attend )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 125.53 Tm (14/05/2009)Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 154.8 w 31.2 735.13 m 91.05 735.13 l S 0.001 w 154.8 w 93.3 735.13 m 197.4 735.13 l S 0.001 w 154.8 w 199.65 735.13 m 289.45 735.13 l S 0.001 w 154.8 w 291.7 735.13 m 473.8 735.13 l S 0.001 w 154.8 w 476.05 735.13 m 566.1 735.13 l S 0.001 w 300.6 w 31.2 505.18 m 91.05 505.18 l S 0.001 w 300.6 w 93.3 505.18 m 197.4 505.18 l S 0.001 w 300.6 w 199.65 505.18 m 289.45 505.18 l S 0.001 w 300.6 w 291.7 505.18 m 473.8 505.18 l S 0.001 w 300.6 w 476.05 505.18 m 566.1 505.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 656.6 m 568.3 656.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 656.6 m 568.3 656.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 353.75 m 568.3 353.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 352.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 352.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 352.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 352.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 352.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 352.68 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 292.3 802.72 Tm (mandatory training in all )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 788.14 Tm (required areas. There must )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 773.56 Tm (be documented evidence of )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 758.98 Tm (this by 27 April 2009.)Tj ET /F2 12 Tf BT 1 0 0 1 292.3 738.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 292.3 723.82 Tm (This is to ensure that staff )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 709.24 Tm (are adequately trained to )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 694.66 Tm (ensure the health, safety and )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 680.08 Tm (welfare of pole living in the )Tj ET /F2 12 Tf BT 1 0 0 1 292.3 665.5 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 643.42 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 640.42 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 640.42 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 640.42 Tm (4\)a\) There must be a policy )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 625.84 Tm (in place for pets brought into )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 611.26 Tm (the home by staff. This must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 596.68 Tm (include risk assessment of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 582.1 Tm (animals against issues such )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 567.52 Tm (as trip hazards they may )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 552.94 Tm (cause to service users and in )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 538.36 Tm (case of any allergies service )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 523.78 Tm (users may have. The policy )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 509.2 Tm (must include designated )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 494.62 Tm (areas within the home where )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 480.04 Tm (staff may allow their pets to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 465.46 Tm (wander.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 447.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 433.3 Tm (To ensure peoples rights to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 418.72 Tm (privacy and dignity in their )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 404.14 Tm (own accommodation is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 389.56 Tm (upheld and to keep them )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 374.98 Tm (safe from preventable )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 360.4 Tm (hazards.)Tj ET /F2 12 Tf BT 1 0 0 1 478.9 640.42 Tm (14/05/2009)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 285.26 m 566.2 285.26 l S 0.001 w 30.3 w 31.2 234.49 m 91 234.49 l S 0.001 w 30.3 w 93.25 234.49 m 197.4 234.49 l S 0.001 w 30.3 w 199.65 234.49 m 289.5 234.49 l S 0.001 w 30.3 w 291.75 234.49 m 473.9 234.49 l S 0.001 w 30.3 w 476.15 234.49 m 566.2 234.49 l S 0.001 w 1 1 1 RG 153.06 w 31.2 140.56 m 91.05 140.56 l S 0.001 w 153.06 w 93.3 140.56 m 197.4 140.56 l S 0.001 w 153.06 w 199.65 140.56 m 289.45 140.56 l S 0.001 w 153.06 w 291.7 140.56 m 473.8 140.56 l S 0.001 w 153.06 w 476.05 140.56 m 566.1 140.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 250.76 m 568.4 250.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 218.21 m 568.4 218.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 251.84 m 92.12 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 251.84 m 290.62 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 251.84 m 475.02 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.75 m 568.4 319.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 250.76 m 568.4 250.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 218.21 m 568.3 218.21 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 30.07 320.83 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 219.29 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 251.84 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 219.29 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 219.29 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 320.83 m 567.32 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 31.2 306.57 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 286.57 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 34.05 271.99 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 271.99 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.41 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 31.2 239.59 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 236.59 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 236.59 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 236.59 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 236.59 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 224.44 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 205.03 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 205.03 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 205.03 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 205.03 Tm (The Service Users Guide )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 188.03 Tm (must be updated so that it )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 171.03 Tm (provides people with )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 154.03 Tm (accurate information about )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 137.03 Tm (the service.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 205.03 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 205.03 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 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 85 w 31.2 770.03 m 91.05 770.03 l S 0.001 w 85 w 93.3 770.03 m 197.4 770.03 l S 0.001 w 85 w 199.65 770.03 m 289.45 770.03 l S 0.001 w 85 w 291.7 770.03 m 473.8 770.03 l S 0.001 w 85 w 476.05 770.03 m 566.1 770.03 l S 0.001 w 221 w 31.2 614.78 m 91.05 614.78 l S 0.001 w 221 w 93.3 614.78 m 197.4 614.78 l S 0.001 w 221 w 199.65 614.78 m 289.45 614.78 l S 0.001 w 221 w 291.7 614.78 m 473.8 614.78 l S 0.001 w 221 w 476.05 614.78 m 566.1 614.78 l S 0.001 w 204 w 31.2 400.03 m 91.05 400.03 l S 0.001 w 204 w 93.3 400.03 m 197.4 400.03 l S 0.001 w 204 w 199.65 400.03 m 289.45 400.03 l S 0.001 w 204 w 291.7 400.03 m 473.8 400.03 l S 0.001 w 204 w 476.05 400.03 m 566.1 400.03 l S 0.001 w 204 w 31.2 193.78 m 91.05 193.78 l S 0.001 w 204 w 93.3 193.78 m 197.4 193.78 l S 0.001 w 204 w 199.65 193.78 m 289.45 193.78 l S 0.001 w 204 w 291.7 193.78 m 473.8 193.78 l S 0.001 w 204 w 476.05 193.78 m 566.1 193.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 726.4 m 568.3 726.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.15 m 568.3 503.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.9 m 568.3 296.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 726.4 m 568.3 726.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 503.15 m 568.3 503.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.9 m 568.3 296.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 90.65 m 568.3 90.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 89.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 89.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 89.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 814.73 m 290.57 89.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 814.73 m 474.92 89.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 89.58 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 295.8 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 785.72 Tm (This is to ensure people )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 768.72 Tm (have a summary of the )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 751.72 Tm (services provided at the )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 734.72 Tm (home and their rights.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 713.22 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 713.22 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 713.22 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 713.22 Tm (And Schedule 1\) A )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 696.22 Tm (Statement of Purpose must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 679.22 Tm (be written, which contains )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 662.22 Tm (the information listed in )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 645.22 Tm (Schedule 1. This must be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 628.22 Tm (made available to people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 611.22 Tm (who use the service.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 594.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 577.22 Tm (This is to ensure people )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 560.22 Tm (have an informed choice )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.22 Tm (about whether to move in to )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.22 Tm (the home and to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.22 Tm (inappropriate admissions.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 713.22 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 713.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 489.97 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 489.97 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 489.97 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 489.97 Tm (No person must be admitted )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 472.97 Tm (to the home without having )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 455.97 Tm (been assessed as 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34.05 777.64 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 777.64 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 777.64 Tm (People should sign to confirm their agreement to their plan )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 763.06 Tm (of care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 740.23 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 740.23 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 740.23 Tm (The marital status and photographs should be included in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 725.65 Tm (care planning documentation, so documentation supports )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 711.07 Tm (individualised care.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 688.24 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 688.24 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 688.24 Tm (All medication charts should commence on the same day to )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 673.66 Tm (reduce the potential for medication errors.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 650.83 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 650.83 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 650.83 Tm (Staff should record peoples' preferred names in their care )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 636.25 Tm (documentation, to ensure that they are addressed in the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 621.67 Tm (correct way and uphold their dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 598.84 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 598.84 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 598.84 Tm (All informal concerns should be recorded and a system )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 584.26 Tm (established for monitoring and audit of such records. This is )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 569.68 Tm (to ensure the service is run in peoples' best interests.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 546.85 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 546.85 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 546.85 Tm (Staff should attend training on the Mental Capacity Act and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 532.27 Tm (Deprivation of Liberty to ensure they understand peoples' )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 517.69 Tm (rights in relation to this.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 494.86 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 494.86 Tm (21)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 494.86 Tm (All bathrooms and toilets should be provided with a privacy )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 480.28 Tm (lock to ensure peoples' need for privacy can be met.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 457.45 Tm (10)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 457.45 Tm (28)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 457.45 Tm (All new starters should be placed on a TOPSS certified )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 442.87 Tm (induction and foundation training course. This is to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 428.29 Tm (people are cared for by experienced and competent new )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 413.71 Tm (staff.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 390.88 Tm (11)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 390.88 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 390.88 Tm (Staff should be offered additional training in areas of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 376.3 Tm (equality and diversity, dignity, choice and rights and )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 361.72 Tm (complaints management to further improve the quality of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 347.14 Tm (service provided to people.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 324.31 Tm (12)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 324.31 Tm (31)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 324.31 Tm (The registered person and registered manager should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 309.73 Tm (fully conversant with the legislative requirements governing )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 295.15 Tm (the operaton of the care home as stated in the Care Homes )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 280.57 Tm (Regulations 2001. This is to ensure people benefit from a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 265.99 Tm (home that is well managed and which keeps them safe )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 251.41 Tm (from preventable risks.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 228.58 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 228.58 Tm (32)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 228.58 Tm (The manager and deputy should have some additional )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 214 Tm (management training particularly in the areas of personnel )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 199.42 Tm (management practices and equality and diveristy.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 176.59 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 176.59 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 176.59 Tm (The Annual Quality Assurance Assessment should provide )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 162.01 Tm (us with the details of how you will comply with Regulation )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 147.43 Tm (24. This is to ensure people receive the best quality )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 132.85 Tm (service.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 110.02 Tm (15)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 110.02 Tm (36)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 110.02 Tm (The system for supervising staff should include all elements )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 95.44 Tm (listed in standard 36.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 72.61 Tm (16)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 72.61 Tm (37)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 72.61 Tm (Staff should have access to a clear set of accurate policies )Tj ET endstream endobj 86 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 87 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (36)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 46.74 w 31.2 789.16 m 91.05 789.16 l S 0.001 w 46.74 w 93.3 789.16 m 197.4 789.16 l S 0.001 w 46.74 w 199.65 789.16 m 566.1 789.16 l S 0.001 w 49.74 w 31.2 738.67 m 91.05 738.67 l S 0.001 w 49.74 w 93.3 738.67 m 197.4 738.67 l S 0.001 w 49.74 w 199.65 738.67 m 566.1 738.67 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 764.66 m 568.3 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 764.66 m 568.3 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.67 m 568.3 712.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 711.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 711.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 711.6 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 200.25 802.72 Tm (covering all aspects of the running of the home. This is to )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 788.14 Tm (ensure staff have the right guidelines and knowledge to )Tj ET /F2 12 Tf BT 1 0 0 1 200.25 773.56 Tm (keep people safe.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 748.48 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 748.48 Tm (38)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 748.48 Tm (The testing of portable appliances should occur at regular )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 733.9 Tm (intervals to ensure people are not exposed to preventable )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 719.32 Tm (risks.)Tj ET endstream endobj 88 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 89 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (37)Tj ET 0.98431 0.78824 0.08627 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 0.98431 0.78824 0.08627 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 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 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 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 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 28.35 532.64 Tm (misleading context. 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 ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 95 0 obj<> endobj 96 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 97 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 65 0 obj<> endobj 98 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 107 0 obj<> endobj 108 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 109 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 110 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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