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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 adults \(18-65 years\))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 (Norwood 30 Old Church Lane)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 (30 Old Church Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Stanmore)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Middlesex)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (HA7 2RF)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 1 383.08 331.89 Tm (three star excellent 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 (Judith Brindle)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (7)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 (7)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 Adults \(18-65 years\))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 (32)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 Adults \(18-65 years\))Tj ET /F2 12 Tf BT 1 0 0 1 526.6 285.18 Tm ( can )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Crispins, 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 Adults \(18-65 years\))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 (32)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 Adults \(18-65 years\))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 (32)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 (Norwood 30 Old Church Lane)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 (30 Old Church Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Stanmore)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Middlesex)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (HA7 2RF)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 (02089546566)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 1 273.05 648.22 Tm (02083857697)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 1 273.05 625.39 Tm (oldchurchlane@norwood.org.uk)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 1 358.35 559.35 Tm (Norwood)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 (8)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 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 382.81 m 565.6 382.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 567.8 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 304.83 m 568.1 304.83 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 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 568.1 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 304.83 m 568.1 304.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 282 m 568.1 282 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 280.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 393.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 393.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 280.92 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (learning disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.21 Tm (The Registered Person may provide the following categories of service only: Care home )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.63 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 34.05 326.05 Tm (needs on admission to the home are within the following categories: Learning Disability )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 311.47 Tm (- Code LD)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 288.64 Tm (The maximum number of service users who can be accommodated is: 8 )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 267.21 m 315.25 267.21 l S 0.001 w 1 1 1 RG 20.58 w 317.5 267.21 m 346.55 267.21 l S 0.001 w 20.58 w 348.8 267.21 m 377.9 267.21 l S 0.001 w 20.58 w 380.15 267.21 m 409.2 267.21 l S 0.001 w 20.58 w 411.45 267.21 m 440.55 267.21 l S 0.001 w 20.58 w 442.8 267.21 m 471.9 267.21 l S 0.001 w 20.58 w 474.15 267.21 m 503.2 267.21 l S 0.001 w 20.58 w 505.45 267.21 m 534.55 267.21 l S 0.001 w 20.58 w 536.8 267.21 m 565.9 267.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 278.62 m 568.1 278.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 255.79 m 568.1 255.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 279.7 m 30.07 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 279.7 m 316.37 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 279.7 m 347.67 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 279.7 m 379.02 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 279.7 m 410.32 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 279.7 m 441.67 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 279.7 m 473.02 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 279.7 m 504.32 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 279.7 m 535.67 254.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 279.7 m 567.02 254.71 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 262.44 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 243.92 m 565.9 243.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 234.29 m 568.1 234.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 235.37 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 235.37 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 253.54 m 568.1 253.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 234.29 m 568.1 234.29 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 30.07 254.62 m 30.07 233.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 254.62 m 567.02 233.21 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 240.36 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 240.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 221.11 Tm (30 Old Church Lane is a Jewish care home registered to provide personal care, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 204.11 Tm (accommodation for 8 adults with learning disabilities. The proprietor is Norwood. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 187.11 Tm (home is located on the outskirts of Stanmore. The shops, banks, restaurants, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 170.11 Tm (other amenities of Stanmore are within a short drive or walk from the care home. Bus )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 153.11 Tm (and train public transport services are located close to the care home.The home was )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 136.11 Tm (opened in 1997, and consists of a large detached two-storey building, within a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 119.11 Tm (residential area. All the bedrooms are single. The home includes a flat where two )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 102.11 Tm (people using the service are accommodated, and has an accessible well maintained )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 85.11 Tm (enclosed garden. There is parking for several cars on the forecourt area of the care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 68.11 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 51.11 Tm (Fees vary according to the needs of the people using the service, and information )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 Adults \(18-65 years\))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 (32)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 30.07 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 757.08 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 28.99 758.15 m 568.1 758.15 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 (about the fees is accessible from Norwood.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (The care home has accessible information about the service that it provides.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 746.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 729.09 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 558/Matrix [1 0 0 1 0 0]>>stream x1 s ĎAZV℠7aX㸝)iLBO.F(ѮDA4Oz}?2(_ 3qu$ 2T=M0rA2U-0h9%x:z,O/ֵMTJ-o7MlIk?Vٱʺ]l\=@KBc@Uy0ӯ߄IEt-3f09lN46BEkTꂬj3mD4kh JD8 2f&E[1RkdFJbuv্Be0I\(SCd|:d8iN8Rlѯ`0O5I&K]gῸ,4_&'A}~ЗFJܑCtw7}w)QT'IEp,].3ܚbX3ST\Ac1@ u?7if>*Hh.θ!~[[XŲVϴWon^ endstream endobj 21 0 obj<> 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 Adults \(18-65 years\))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 (32)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 1 394.28 715.45 Tm (three star excellent 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 1 145.27 572.82 Tm (Individual needs and choices)Tj ET /F2 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F2 10 Tf BT 1 0 0 1 127.51 503.92 Tm (Personal and healthcare support)Tj ET /F2 10 Tf BT 1 0 0 1 106.2 469.46 Tm (Concerns, complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 435.02 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 400.57 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 92.9 366.11 Tm (Conduct and management of the home)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 unannounced inspection took place throughout a day in July 2009. The previous )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (key unannounced inspection took place on the 31st July 2008. There was one vacancy )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (at the time of the inspection. We were pleased to meet and talk to several of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (people living in the home. The registered manager was present during all of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (A number of feedback surveys were supplied to the care home prior to the inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (At the time of writing this report the Commission had received six surveys from )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (residents, six from staff, and five from health and social care professionals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (Documentation inspected included, resident's care plans, risk assessments, staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (training records, and some policies and procedures.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (The inspection included a tour of the premises. Observation was also significant tool )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 221.7 w 32.32 701.68 m 566.72 701.68 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 30.12 589.7 m 568.92 589.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 588.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 588.63 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (used in the inspection process, due to the varied communication needs of the people )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (Assessment as to whether the requirements, and the recommendations from the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (previous key inspection had been met, also took place during this key unannounced )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (30 National Minimum Standards for Adults, including Key Standards, were inspected )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (during this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (Prior to this unannounced key inspection the registered manager supplied the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (Commission with a completed Annual Quality Assurance Assessment \(AQAA\) )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (document. This record includes required information from the registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (\(and/or owner\) about the quality of the service provided by the care home, and of any )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (planned improvements. This document had been completed very comprehensively. )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (Reference to some aspects of this AQAA record is documented in this report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 613.18 Tm (We thank the people living in the care home, staff, and the manager for their )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 598.6 Tm (significant assistance in the inspection process.)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 Adults \(18-65 years\))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 (32)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 457.98 w 32.32 561.83 m 566.72 561.83 l S 0.001 w 20.58 w 32.7 320.3 m 569.35 320.3 l S 0.001 w 216.79 w 33.82 199.37 m 568.22 199.37 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 30.12 331.72 m 568.92 331.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 330.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 331.72 m 569.35 331.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 308.89 m 569.35 308.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 308.89 m 570.42 308.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 89.85 m 570.42 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 309.97 m 32.7 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 330.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 309.97 m 569.35 88.77 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 (The care home has a very welcoming atmosphere. Residents live in a homely )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (environment, with quality furnishings, and decoration that is attractive, and meets the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (needs of people using the service. People using the service told us about how much )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (they liked living in the home and that they were happy with their bedrooms. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (included 'I am happy here', 'I like my bedroom', and 'I can get up when I want'. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (Residents spoke positively of the staff, and knew the names of their key workers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (The registered manager is experienced, and very motivated in continuing to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (that people using the service are empowered to live the life that they choose as )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (independently as possible, and that a quality service is provided to them all. The AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (was completed extremely fully, and gave us very detailed information about the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm (and the service that it provides.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (There is close liaison with health care professionals, and other specialists as and when )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (required by the residents. Feedback from health care professionals was generally very )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (positive about the 30 Old Church Lane, and the service that it provides.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (People using the service have their views listened to, and respected. There are regular )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (resident meetings, which they have the opportunity to attend. All the residents have a )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm (key worker, and co-key worker who supports them in many aspects of their lives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (People using the service are supported to have the contact that they wish with )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (relatives and friends. Holidays for residents are a regular feature of the care home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm (The home meets the cultural and religious needs of people using the service. Meals are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm (chosen by people using the service and are varied and wholesome, and meet each )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm (person's religious needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 382.1 Tm (Staff receive varied and appropriate training to ensure that they are skilled in carrying )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 367.52 Tm (out their roles and responsibilities. Observation, and talking to staff indicated that staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 352.94 Tm (were aware of each resident's needs, and of how these needs are met. Interaction )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 338.36 Tm (between staff, and residents was positive and respectful.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 560.28 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 318.19 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 315.53 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 1 569.35 318.75 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 197.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 292.7 Tm (The two requirements and the recommendations from the previous unannounced )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 278.12 Tm (inspection \(31st July 2008\) have been addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 263.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 248.96 Tm (The home has significantly improved some aspects of the resident's care plans, which )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 234.38 Tm (include the development of a more 'person centred' \(the person being central to their )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 219.8 Tm (plan of care\) plan in picture and written format. Health care plans and risk )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 205.22 Tm (assessments have also been developed and improved since the previous inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 190.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 176.06 Tm (Some aspects of record keeping has been improved, and there are better systems in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 161.48 Tm (place to monitor the quality of the service that is provided to people using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 146.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 132.32 Tm (Several areas of the home have been redecorated, and new furnishings and furniture )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 117.74 Tm (have been bought to ensure that the home is an attractive and suitable environment )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 103.16 Tm (for people using the service.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 197.82 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj 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750.08 m 570.1 750.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 727.25 m 571.17 727.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 646.1 m 571.17 646.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 814.73 m 32.7 749.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 728.33 m 33.45 645.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 728.33 m 570.1 645.03 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.42 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.42 788.14 Tm (The night staff needs have been fully reviewed and 'wake night' staff are employed to )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 773.56 Tm (work at night as and when needed by the people using the service, with the eventual )Tj ET /F2 12 Tf BT 1 0 0 1 34.42 758.98 Tm (aim to have a permanent 'wake night' staff on duty.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 737.12 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 733.9 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 31.2 685.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 711.07 Tm (There could be improvement to the format of information relevant, and of interest to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 696.49 Tm (people using the service, such as the menu, to ensure that it is more accessible to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 681.91 Tm (residents who have difficulty in reading.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 667.33 Tm (Some bathrooms in the home could be redecorated, and some carpets including the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 652.75 Tm (stair carpet could be cleaned or replaced. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 631.54 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 611.55 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 611.55 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 611.55 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 594.05 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 28.35 574.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 554.06 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 554.06 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 554.06 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 536.56 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 536.56 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 536.56 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 519.07 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 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 Adults \(18-65 years\))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 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (32)Tj ET 0.98431 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 \(standards 1 - 5\))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 (Individual needs and choices \(standards 6-10\))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 (Lifestyle \(standards 11 - 17\))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 (Personal and healthcare support \(standards 18 - 21\))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 (Concerns, complaints and protection \(standards 22 - 23\))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 (Environment \(standards 24 - 30\))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 (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 541.96 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 521.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC 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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 102 w 31.2 576.29 m 563.65 576.29 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 28.99 524.17 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 (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, what they hope for and want to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (achieve, and the support they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (that includes how much they will pay and what the home provides for the money.)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 207.46 w 33.45 359 m 563.65 359 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 184.96 w 32.32 347.76 m 564.78 347.76 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 31.2 253.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 253.07 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 30.12 254.15 m 566.98 254.15 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 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 (People who may use the service have the information needed to choose a home that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (will meet their needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (Prospective residents have their needs assessed, with their participation \(or family )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (member/friend\), prior to moving into the care home, which makes certain that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (home knows about the person, and the support that they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm (People using the service have a contract/statement of terms and conditions with the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm (care home.)Tj ET 0.99608 0.9451 0.76078 RG 160.05 w 33.45 148.25 m 563.65 148.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 219.28 m 565.9 219.28 l S 0.001 w 138.68 w 32.32 136.44 m 564.78 136.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 206.91 m 566.98 206.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 207.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 206.91 m 565.9 206.91 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 31.2 215.97 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (The home has comprehensive information about the service that it provides to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (residents. This information includes a statement of purpose and a service user guide, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (which we noted had been reviewed this year. This documentation is recorded in picture )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (and 'Easy English' format. We were told that each person using the service has a copy )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (of the service user guide, and that there were plans for this document to be updated )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (with more participation from the people using the service. Information about the fees )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (was accessible in each person's contract/statement of terms and conditions, which is )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 Adults \(18-65 years\))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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 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 282.44 w 32.32 647.69 m 564.78 647.69 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 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 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 30.12 505.35 m 566.98 505.35 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 (recorded in their copy of the service user guide.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (AQAA \(Annual Quality Assurance Assessment\) and previous inspection told us that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (home has an admissions policy/procedure. There have been no admissions to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (home since the last key inspection \(31/07/08\). We were told from the AQAA and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (manager during this inspection that all prospective residents would receive an initial )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (assessment of their needs, which is carried out by the manager, with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (organisation's 'funding team leader'. We were told from the AQAA that during the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (assessment and admission process there is close liaison with the care manager from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (the relevant funding Local authority, and full participation from the prospective )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (resident. We were told from the AQAA that 'the involvement of the individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (\(prospective resident\) is of paramount importance, as is the participation of significant )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (others in their lives'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (We were informed that each prospective resident has an individual transition plan that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (meets each person's individual needs and that it generally consists of a number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (visits to the home before moving in.)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 Adults \(18-65 years\))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 (32)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 (Individual needs and choices)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 85 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 28.99 594.42 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 28.99 507.17 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 (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (information on which to base decisions.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (because the home has clear policies and procedures that staff follow.)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 154.97 w 33.45 368.25 m 563.65 368.25 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 132.47 w 32.32 357 m 564.78 357 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 31.2 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 288.56 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 30.12 289.64 m 566.98 289.64 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 (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 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 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (People using the service have an individual plan of their needs, which includes details )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (of the care and support that they require from staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (People using the service are supported, and encouraged to make decisions and choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (about their lives, and are supported to take risks as part of an independent lifestyle.)Tj ET 0.99608 0.9451 0.76078 RG 195.54 w 33.45 166 m 563.65 166 l S 0.001 w 1 1 1 RG 22.5 w 31.2 254.77 m 565.9 254.77 l S 0.001 w 174.17 w 32.32 154.19 m 564.78 154.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.4 m 566.98 242.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.4 m 565.9 242.4 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 31.2 251.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (Each person using the service has a plan of care. Three care plans were looked at. It )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (was evident that the care plans had been improved and developed since the previous )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (inspection. These care plans are based upon assessment of each person's needs. This )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (assessment includes personal care, health care, continence management, memory and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (orientation, personality and behaviour, relationships and sexuality, morning routines, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (night safety and financial needs. Each of these identified needs included significant )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (detailed guidance with regard to meeting the person's goals/needs and aspirations. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (were shown some recently developed 'Person Centred Plans' \(plans where the person )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (using the service is central to and takes a lead with regard to their care and other )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 Adults \(18-65 years\))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 (32)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 (support needs\). These are recorded in picture, and written format, and were up to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (date, and evident of being 'working documents', so updated each time the person's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (needs changed. These plans/ 'wish lists' indicated that each person using the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (had participated fully \(as they are able to\) in their plan of care and support. The care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (plans showed evidence of having been regularly reviewed \(with each person using the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (service\) and staff had signed that they had read them. Staff feedback told us that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (were given up to date information about the needs of the people using the service. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Staff survey feedback forms told us that 'the care plans are updated regularly, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (every time there is a change'. Other comments included 'the manager is very )Tj ET /F2 12 Tf BT 1 0 0 1 506.96 639.13 Tm (pro-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (active)Tj ET /F2 12 Tf BT 1 0 0 1 68.96 621.63 Tm ( about handing over reviewed guidelines/care plans'. The manager told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (each person using the service has a copy of their 'person centred' plan of care and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (support. Records told us that the 'daily' progress of each person using the service is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (monitored. People using the service spoke positively about the staff. Two residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (told us the name of their key worker, and they spoke of their key workers supporting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (them with shopping and other activities. We were told that each person using the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (service has a key worker and a co-key worker. Information about the role and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (responsibilities of the key worker was accessible in the home. Staff were seen to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (interact with people using the service in a positive and respectful manner during the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Residents spoke of making choices. These include shopping for; clothes, toiletries, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (food. A person using the service told us that they could choose when to get up and go )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (to bed, and what preferred activities that they wished to participate in. From talking to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (people using the service and from feedback surveys, and from records, it was evident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (that residents are supported to make decisions about their lives. We were told that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (resident' meetings take place every month. Records of these meetings told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (resident's participated in the meetings and had the opportunity to communicate their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (views of the service, and of their wishes and needs. It was evident from records and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (from talking to staff and people using the service, that supporting residents to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (empowered continues to be a significant aim of the service, and that staff have a good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (understanding of the various communication needs of residents. We were told that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (several people using the service have an advocate and/or befriender. It was evident )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (from the inspection, staff, people using the services, and records that the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (involves and consults \(in various ways that meet each person's communication needs\) )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (residents fully with regard to meeting their needs, wishes and choices. The care home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (has a management of residents' monies policy/procedure. We were told that all the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (people using the service have their own bank account and have support with managing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (their finances. We noted that records of each person's expenditure is maintained and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (that staff 'check' resident's monies during the staff 'hand over'. It was evident that a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (person using the service was aware and involved in his finances.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ()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 Adults \(18-65 years\))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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 181.34 w 33.45 720.74 m 563.65 720.74 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 159.96 w 32.32 708.93 m 564.78 708.93 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 31.2 626.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 626.74 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 30.12 627.82 m 566.98 627.82 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 (There was evidence of risk assessment documented in the care plans. These risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (assessments had been developed and improved significantly since the previous key )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (inspection. Risk assessment included bathing, road safety, night, fire, hospital )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (admission, kitchen use, and unpredictable behaviour. These showed that they had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (been reviewed recently. Risk assessments in regard to safe working practices were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (available for inspection. AQAA told us that 'all staff attend organisational training on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (risk assessment within the first six months of employment'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (AQAA told us that the home has a 'clear and rigid Missing Person's policy and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (procedure in place'.)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 Adults \(18-65 years\))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 (32)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 (Lifestyle)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 223.25 w 32.32 584.79 m 562.53 584.79 l S 0.001 w 1 1 1 RG 51 w 31.2 499.79 m 563.65 499.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 526.42 m 565.85 526.42 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 28.99 526.42 m 565.85 526.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 473.17 m 565.85 473.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 472.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 472.09 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 can take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 566.48 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 549.48 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 532.48 Tm (place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 479.23 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 432.86 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 1 148.49 432.86 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 1 305.46 432.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 432.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 415.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.46 w 33.45 308 m 563.65 308 l S 0.001 w 1 1 1 RG 22.5 w 31.2 402.73 m 565.9 402.73 l S 0.001 w 184.96 w 32.32 296.76 m 564.78 296.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 390.36 m 566.98 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 391.44 m 31.2 202.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 391.44 m 565.9 202.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.36 m 565.9 390.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 203.15 m 566.98 203.15 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 399.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 374.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 374.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 357.18 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 35.47 337.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 317.19 Tm (People who use the service are able to make choices about their lifestyle, and are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.69 Tm (supported to develop their life skills, and to take part in a variety of activities that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 282.2 Tm (meet their individual needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.7 Tm (The people living in the care home have their rights respected, and their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 247.2 Tm (responsibilities are recognised in their daily lives. Meals are varied, and wholesome, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 229.71 Tm (and meet the cultural and religious needs of people using the service. The menu )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 212.21 Tm (information could be more accessible to residents.)Tj ET 0.99608 0.9451 0.76078 RG 109.06 w 33.45 122.75 m 563.65 122.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 168.28 m 565.9 168.28 l S 0.001 w 87.68 w 32.32 110.94 m 564.78 110.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 155.91 m 566.98 155.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 156.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 156.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 155.91 m 565.9 155.91 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 31.2 164.97 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 140.22 Tm (The home is located close to a variety of community facilities and amenities, which )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.73 Tm (include shops, restaurants, cafes, libraries, banks and parks. AQAA told us that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 105.23 Tm (home has 'a varied day activities programme in place taking in to account of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.74 Tm (development needs of each service user in line with their wishes'. We saw information )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 Adults \(18-65 years\))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 (32)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 (displayed about each person's activities that they had planned and did take part in on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (the day of the inspection. People using the service told us of the activities that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (participated in and enjoyed. These activities included taking part in a variety of leisure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (pursuits at resource centres. It was evident from talking to people using the service, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (speaking to staff, and from records that people using the service are fully involved in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (choosing the various activities that they want to participate in, and that these activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (meet their individual needs. We were told from the AQAA that the variety of activities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (include 'educational courses, work placements, and community participation as well as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (in-house activities'. A resident told us about a planned sailing activity that he was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (looking forward to, another resident spoke of enjoying their work placement. Another )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (person using the service, spoke of shopping, seeing friends and family, and of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (plans for a holiday to Disney Land. A resident told us about the recent celebration that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (he had had for his birthday, and another person indicated to us of how he wished to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (celebrate his up and coming birthday. A resident told us that he had some pet fish. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (AQAA told us that the 'varied day activities programme' is 'constantly monitored and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (updated in line with the changing needs and wishes' of people using the service. Other )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (activities that people using the service take part in include; music, cooking, the Jewish )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Way of Life training, watching DVDs, going to the cinema and West End shows, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (swimming, and accessing the resident's computer. A resident had a computer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (educational session during the inspection. A person using the service told us how much )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (he enjoyed going bowling, and had gone to the cinema on the day before this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (inspection. AQAA told us that two people using the service have a work placement, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (and plan to achieve a qualification in food safety. We were also told that residents are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (involved in carrying out household duties. Residents were seen to clear the table after )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (eating their meal. Care plans, staff, residents, and records told us how the cultural and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (religious needs of people using the service are met by the care home. We were told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (that people using the service have the opportunity to celebrate Shabbat every week.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (Staff and the AQAA told us how people using the service are supported to 'develop )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (personal relationships, while giving them knowledge and understanding to deal with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (these relationships' and by enabling people using the service to access professional )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (advice, education, and support in this area. This is positive. Residents told us about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (their contact with their family. One person told us that they regularly go on holiday )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (with, and stay for weekends with family members. Minutes of resident meetings told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (us that the wishes of people using the service with regard to activities and contact with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (family/friends are listened to by staff. AQAA told us of the various ways that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (keeps in contact with the family members/significant others of people using the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (service. This includes email and telephone contact.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (AQAA and the care plans looked at told us that each person using the service has a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ('thorough and comprehensive eating and drinking section in their individual care plan'. )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 Adults \(18-65 years\))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 (32)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 (We were shown a menu, which we were told is planned with people using the service. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (There was also an 'actual' menu that recorded any changes that were made to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (original menu. The home could look at developing the format \(i.e. in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (picture/photograph format of meals\) of the menu so that that the information is more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (accessible to people using the service who might have difficulty in reading. Meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (provided are all Kosher, and records told us that this is monitored closely. It was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (evident from records that meals provided were wholesome, and nutritious. We were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (told that the home has had significant input from a nutritionist. Staff told us about how )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ('healthy eating' was promoted in the care home. People using the service told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (they chose what they wished to eat. During the inspection residents chose a number of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (different food and drinks for breakfast. Staff were knowledgeable of the particular )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (dietary needs of people using the service. AQAA and staff told us that fresh food is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (bought \(with residents\) locally and that large items and other foods were delivered to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (the home. We were told that the two people living in the flat \(part of the home\) )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (choose their meals, and shop for and cook\(with support from staff \) all their own )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (meals, and that they join the main part of the house for the weekly Shabbat meal. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (were told that two days a week residents do cooking during 'Jewish Way of Life' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (sessions.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (Meals during the inspection were unhurried and staff were seen to eat lunch with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (residents.)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 Adults \(18-65 years\))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 (32)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 (Personal and healthcare support)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 155.25 w 32.32 618.79 m 562.53 618.79 l S 0.001 w 1 1 1 RG 68 w 31.2 576.29 m 563.65 576.29 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 28.99 541.17 m 565.85 541.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 540.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 540.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (way.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 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 35.5 581.23 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.86 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 1 148.49 500.86 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 1 305.46 500.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 500.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 483.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 402.25 m 563.65 402.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 470.73 m 565.9 470.73 l S 0.001 w 132.47 w 32.32 391 m 564.78 391 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 458.36 m 566.98 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 459.44 m 31.2 322.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 459.44 m 565.9 322.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.36 m 565.9 458.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 323.64 m 566.98 323.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 467.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 442.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 442.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.18 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 35.47 405.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 385.19 Tm (The health and personal care that people receive is based on their individual needs, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.69 Tm (and the principles of respect, dignity, and privacy are put into practice.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.2 Tm (Systems are in place to ensure that medication is stored, and administered safely to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.7 Tm (people using the service.)Tj ET 0.99608 0.9451 0.76078 RG 229.54 w 33.45 183 m 563.65 183 l S 0.001 w 1 1 1 RG 22.5 w 31.2 288.77 m 565.9 288.77 l S 0.001 w 208.17 w 32.32 171.19 m 564.78 171.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 276.4 m 566.98 276.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 277.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.4 m 565.9 276.4 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 31.2 285.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.71 Tm (It was evident from talking with staff, residents, general observation, and from looking )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.22 Tm (at records that staff have knowledge, and understanding of the importance of ensuring )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.72 Tm (that the residents have their health care needs assessed and met. The care plans that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.22 Tm (were looked at, included up to date Health Action Plans of each person, which are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.73 Tm (specific to each resident and have clear guidance to maintain and monitor their health )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.23 Tm (needs. Treatment and care for residents from health care professionals including the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.74 Tm (GP, dentist, chiropodist, psychiatrist, psychologist, and optician, were recorded. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.24 Tm (Attendance at specialist clinics and hospitals appointments were also documented. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.74 Tm (were told that advice was sought as and when required from health care professionals, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.25 Tm (and that referrals were made in accordance to resident's needs, and their changing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.75 Tm (needs. Records and the manager told us that each person using the service have clear )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 Adults \(18-65 years\))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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 583.74 w 33.45 519.53 m 563.65 519.53 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 562.37 w 32.32 507.72 m 564.78 507.72 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 31.2 224.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 224.33 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 30.12 225.41 m 566.98 225.41 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 (recorded guidelines and risk assessment in the event of them being admitted to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (hospital. This is very positive. We received very positive feedback from health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (professionals, who told us that resident's individual health care needs are always met )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (by the service, and that staff have the right skills and experience to support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (individual's health and social care needs, and that staff respond appropriately to any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (concerns raised by health care professional or the person using the service. Comments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (from health care professionals included; the home 'puts the resident's needs first', and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ('in terms of nutrition, and health' staff 'have a high level of knowledge in that area', )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (and 'the home takes a genuine interest' and is 'committed to the health and well being )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (of its residents'. AQAA told us of that residents are supported to lead a healthy lifestyle )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (which includes taking part in a variety of activities that include organised challenges )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (such as the 'Waterside Walk, South Africa bike ride, and Amalfi Coast trek'. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (manager told us that the home had guidance in place with regard to minimising the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (risk and responding to a possible outbreak of 'swine' flu in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (The home has a medication policy.We were told that all the people using the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (require support with 'taking' their prescribed medication. Medication is stored securely. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Medication administration records were up to date. We were told that a pharmacist )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (regularly inspects the medication storage, and administration systems in the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (We were told by staff that the medication administration records were looked at by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (staff during staff 'handover' meetings to ensure that the records were up to date, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (that there were no gaps in recording. It was noted that whether or not residents have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (an allergy was not recorded on the medication administration records. A senior staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (member up dated these records with this information during the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (We were told that all staff receive comprehensive medication training when they start )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (their job, and that prior to staff administering medication to people using the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (they receive a written and verbal test plus observation in the working environment, to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (ensure that they are competent to carry out the task. The manager told us that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (were 'shadowed' by senior staff for two weeks whilst they administer medication to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (people using the service. We were told by staff and records that staff regularly receive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ('refresher' medication training.)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 Adults \(18-65 years\))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 (32)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 (Concerns, 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. Their 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, neglect and self-harm and takes action to follow )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (up any allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (There are no additional outcomes.)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 119.98 w 33.45 487.74 m 563.65 487.74 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 97.48 w 32.32 476.5 m 564.78 476.5 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 31.2 425.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 425.55 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 30.12 426.63 m 566.98 426.63 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 510.68 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 who use the service, have access to an effective, robust complaints procedure, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (and are protected from abuse, and have their rights protected. )Tj ET 0.99608 0.9451 0.76078 RG 332.54 w 33.45 234.49 m 563.65 234.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 0.001 w 311.16 w 32.32 222.68 m 564.78 222.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 379.39 m 566.98 379.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 380.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 379.39 m 565.9 379.39 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 31.2 388.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 363.7 Tm (The care home has a complaints procedure. A summary of which is recorded in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (service user guide in an 'easy read' format, and is also displayed in the home. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (complaints procedure includes timescales with regard to responding to a complaint. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (There were no recorded complaints. We were told by staff that resident meetings are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (forums where people using the service have an opportunity to communicate any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm ('concern'. A resident told us that he/she would speak to his/her key worker or the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (manager if he/she had a concern or complaint. Feedback surveys from people using )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (the service told us that they know the complaints procedure and who to talk to if they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (were worried about anything. AQAA told us that the home 'will continue to support )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (service users to use the General Complaints book and to try to follow through on their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (requests'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (The home has clear and robust policies and procedures with regard to the protection of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (people using the service. AQAA told us that the home has copies of all the funding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (Local Authorities safeguarding policies/procedures. A staff member who spoke with us )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (and information from staff surveys told us that staff had an awareness, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (understanding of the reporting, and recording procedures with regard to responding to )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 Adults \(18-65 years\))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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 461.27 w 33.45 580.77 m 563.65 580.77 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 439.9 w 32.32 568.96 m 564.78 568.96 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 31.2 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.81 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 30.12 347.88 m 566.98 347.88 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 ('concerns' or complaints, or of any suspicion or allegation of abuse. Staff, and records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (told us that staff had received training in safeguarding adult's. We were told that that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (safeguarding adult's training is included in the staff induction programme, and in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (National Vocational Qualification \(NVQ\) in care that all staff have achieved or are in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (process of achieving. AQAA and ongoing contact with the care home since the previous )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (inspection told us that the manager has carried out a comprehensive review of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (resident's night time needs, risks, which has led to wake night staff being being put in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (place as and when needed by people using the service. This confirmed that a previous )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (requirement had been met.)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 (The service lets us know about notifiable incidents/accidents, and records them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (appropriately. AQAA told us that the home has policies/procedures with regard to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (counter bullying, dealing with violence and aggression, equal opportunities, diversity, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (and anti-oppressive practice, and whistle blowing.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (The care plans looked at included clear guidance with regard to meet the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (people using the service who could on occasions challenge the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (We noted that the home has up to date information with regard to the Mental Capacity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Act 2005/Deprivation of Liberty safeguards. The manager told us of the contact that he )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (had with a Local Authority regarding this issue, and had looked at each person's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (individual needs, with regard to this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (AQAA told us that the manager has developed and put in place 'Coping Strategies' and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (recorded a number of scenarios of possible 'abusive' situations that might occur in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (home, and so ensure that staff are well supported and have the knowledge and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (understanding to respond appropriately and consistently when a person living in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (care home might challenge the service. This is positive.)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 Adults \(18-65 years\))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 (32)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 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 85 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 28.99 662.42 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 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 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, comfortable, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (pleasant and 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. People have )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 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 1 148.49 534.86 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 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 436.25 m 563.65 436.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 132.47 w 32.32 425 m 564.78 425 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 357.64 m 566.98 357.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 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 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (The layout of the home enables residents to live in a clean, safe, well maintained, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (comfortable environment, which supports and encourages their independence.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.7 Tm (Resident's bedrooms, meet their individual needs, and are individually personalised.)Tj ET 0.99608 0.9451 0.76078 RG 263.54 w 33.45 200 m 563.65 200 l S 0.001 w 1 1 1 RG 22.5 w 31.2 322.77 m 565.9 322.77 l S 0.001 w 242.17 w 32.32 188.19 m 564.78 188.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.4 m 566.98 310.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.4 m 565.9 310.4 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 31.2 319.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (The care home is a large detached house, which includes a flat that is shared by two )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (people using the service. The house is located close to the amenities and facilities of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (Stanmore, and Harrow Weald. The inspection included a tour of the premises. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (home is generally well maintained, and is very clean, light, airy and homely. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (feedback surveys from a people using the service confirmed that they thought that the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (home was fresh and clean. The living environment is attractive, with furnishings of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (quality. Houseplants, ornaments, photographs, pictures, computer, music system, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (a large television are located in the communal sitting room. There has been some )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (redecoration of the communal areas since the previous key inspection \(31/07/2007\). )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (This includes the sitting room and dining room areas. Some new furnishings have also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (been purchased. These include new quality dining tables and chairs. AQAA told us that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (a number of new pictures, photos, new furniture have been bought. A new kitchen has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (been recently installed, which has low work surfaces, and a 'central island' where )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 Adults \(18-65 years\))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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 566.25 w 33.45 528.28 m 563.65 528.28 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 544.88 w 32.32 516.47 m 564.78 516.47 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 31.2 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 241.83 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 30.12 242.91 m 566.98 242.91 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 (people using the service can prepare food away from cooking hazards such as the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (cooker. Staff and a resident spoke positively of the kitchen. Residents were seen to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (access the kitchen freely.)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 (The home has an enclosed garden, which is well maintained. We were told that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (garden is regularly used in the good weather by residents, and that some people using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the service have participated in growing some plants including vegetables. A variety of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (garden furniture was seen to be accessible to people using the service. There are some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (areas,\( ie bathrooms\) of the home and the flat that could be redecorated. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (manager told us that he had put forward quotes for further maintenance and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (redecoration of these areas. The stair carpeting and the carpet located in the passage )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (way outside the upstairs bedrooms were stained in some areas, and should be cleaned )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (or replaced.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (AQAA also told us that the decor of some bedrooms has been updated within the last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (twelve months. A person using the service kindly showed me their bedroom. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (bedroom was individually personalised, with items that included their own television, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (music system, photographs and attractive furniture, of the person's choice. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (resident \(and other people using the service\) told us \(or indicated by gestures and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (sounds\) that they were happy with their bedrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The laundry facilities are located away from food storage, and food preparation areas. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (Disposable gloves were seen to be accessible to staff and to others. We were told that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (people using the service are supported to be as fully involved \(as far as they are able )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (to be\) in the laundering of their clothes. AQAA confirmed that the home has an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ('infection control' policy, and that staff had received infection control training. Care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (staff have been carrying out cleaning duties in the home. On the day of the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (a domestic staff member commence employment to work part time in the home. Soap )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (and paper towels were accessible with hand washing facilities in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (AQAA told us that the home's recent Environmental Health Inspection gave the home a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (5 star/excellent rating.)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 Adults \(18-65 years\))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 (32)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 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 34 w 31.2 593.29 m 563.65 593.29 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 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 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, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 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 1 148.49 534.86 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 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 436.25 m 563.65 436.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 132.47 w 32.32 425 m 564.78 425 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 357.64 m 566.98 357.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 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 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (Staff in the home are trained, skilled and are in sufficient numbers to support the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (people using the service, and to support the smooth running of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (People using the service are supported and protected by the care home's recruitment )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.7 Tm (policy and procedure.)Tj ET 0.99608 0.9451 0.76078 RG 263.54 w 33.45 200 m 563.65 200 l S 0.001 w 1 1 1 RG 22.5 w 31.2 322.77 m 565.9 322.77 l S 0.001 w 242.17 w 32.32 188.19 m 564.78 188.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.4 m 566.98 310.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.4 m 565.9 310.4 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 31.2 319.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (The staff rota was available for inspection. It was evident from the this record that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (there were generally four staff on duty \(plus a staff member in charge\) during the day )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (and a 'sleep in' staff member on duty at night. We were told that there were sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (staff on duty at all times to ensure that the varied needs of people using the service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (are met. The manager gave examples of the flexibility of staffing numbers on duty, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (particularly at night when a 'wake night' staff member has been employed when a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (resident had been unwell. We were told by him that the aim was to have a permanent )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm ('wake night staff' on duty. This is positive. Staff meetings take place regularly, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (records told us that they are well attended. Staff spoke of their role as key worker to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (residents. This includes supporting residents to lead a quality life as independently as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (they are able to, and to participate with residents in the review of their personal plan )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (of support. Staff spoke of knowing the residents well, and of working as a team in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (home. Staff follow a 'daily' shift planner with regard to their duties. We joined a staff )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 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 Adults \(18-65 years\))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 (26)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 (32)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 ('handover' meeting, which was a comprehensive discussion about the progress of each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (person using the service. Staff feedback surveys, records, told us that staff had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (received a staff induction when they started working in the home. A staff member told )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (us that the induction programme 'helped a lot', and that it covered what they needed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (to know. Staff feedback confirmed that this induction ensured that they felt )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (knowledgeable, and competent in carrying out their role and responsibilities in meeting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (the needs of people using the service. Comments from staff surveys told us that the ' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Company provides a comprehensive training programme, which is regularly reviewed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (and updated to reflect training requirements to meet the individual needs of service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (users', and that 'we've done all the mandatory training provided by Norwood'. AQAA )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (told us that there is very little staff turnover. Staff feedback confirmed that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (enjoyed working in the home. Comments included 'I love to work in this home', 'we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (share information'. AQAA told us that the staff induction meets National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Standards for the service, and that there is a staff training plan. We were told that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (staff attend several training days\(including refresher training\) each year. A staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (member spoke of there being 'lots of training'. Staff training records, including a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (training development plan, and certificates of training were available for inspection. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Staff training included health and safety, infection control, 1st Aid, moving and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (handling, fire safety, safeguarding adult's, medication and safe food handling training. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Specialist training areas included; Person Centred Planning training, dementia care, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (basic mental health, and National Vocational Qualification \(NVQ\) level 2 and/or 3 in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (health and care. The manager told us that all except one member of staff \(who had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (almost completed the course\) have achieved NVQ level 2 or above care qualification. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (AQAA told us that as well as the manager, and two senior staff have achieved Level 4 )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (in Care and the A1 NVQ Assessors Award.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (The home has a staff recruitment and selection procedure. Three staff personnel )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (records \(including the most recently employed member of staff\) were looked at. These )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (confirmed that appropriate required checks including an enhanced Criminal Record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Bureau check \(a check to gain information as to whether a person has a criminal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (record\) was carried out. AQAA told us that these checks are carried out every three )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (years. We were told by the manager that there were plans to ensure that people using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (the service would have the opportunity to participate in the staff recruitment process. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (AQAA told us that a resident has participated in a 'recruitment workshop'. This is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (positive. AQAA told us that 'all staff have written contracts with clear job descriptions'.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Records, including the AQAA, and staff told us that staff receive regular 1-1 staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (supervision and an annual appraisal, to ensure that staff are supported in their role, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (and have the opportunity to develop and achieve goals in regard to carrying out their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (duties in caring and supporting people using the service. Staff feedback surveys )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (confirmed that they receive one to one staff supervision, to give them support and to )Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 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 Adults \(18-65 years\))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 (27)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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 128.85 w 33.45 746.98 m 563.65 746.98 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 107.48 w 32.32 735.17 m 564.78 735.17 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 31.2 679.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 679.23 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 30.12 680.31 m 566.98 680.31 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 (discuss how they are working. The manager told us that he ensures that staff receive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (supervision. A senior staff member told us that she had received staff supervision )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (training. It was evident from talking to people using the service, records, and from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (observation that residents know the staff team well, including knowing their names. A )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (resident confirmed that she liked the staff and that they are approachable.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 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 Adults \(18-65 years\))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 (28)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 (32)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 (Conduct and management of the 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 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 85 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 28.99 611.42 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 28.99 524.17 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 (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (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. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (things should be done. )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 172.46 w 33.45 376.5 m 563.65 376.5 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 149.97 w 32.32 365.25 m 564.78 365.25 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 31.2 288.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 288.07 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 30.12 289.14 m 566.98 289.14 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 (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 425.68 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 (The management, and administration of the home is based on openness, and respect, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (has effective quality assurance systems, which ensures that a quality service is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (provided to people using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (So far as reasonably practicable the health, safety and welfare of people using the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (service is promoted and protected.)Tj ET 0.99608 0.9451 0.76078 RG 195.05 w 33.45 165.75 m 563.65 165.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 254.27 m 565.9 254.27 l S 0.001 w 173.68 w 32.32 153.94 m 564.78 153.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 241.9 m 566.98 241.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 242.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 241.9 m 565.9 241.9 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 31.2 250.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (The manager has managed the care home since 2006 and had worked in the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (prior to this. He has also managed another care home within the organisation. He has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (significant experience of working with people who have a learning disability. He is well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (qualified, having completed NVQ 4 in care and the Registered Manager's Award \(RMA\), )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (and the A1 Assessor's Award. AQAA told us that the manager 'works flexibly across )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (shifts to ensure that he has accurate understanding of everything that happens within )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (the service'. We were also told that the manager updates his skills by doing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (appropriate training and that he and other senior staff 'attend conferences and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (external courses'. It was evident from the completed AQAA, and from talking to the )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 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 Adults \(18-65 years\))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 (29)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 (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 566.25 w 33.45 528.28 m 563.65 528.28 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 544.88 w 32.32 516.47 m 564.78 516.47 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 31.2 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 241.83 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 30.12 242.91 m 566.98 242.91 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 (manager that he is motivated and competent in ensuring that people using the service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (are provided with a quality service. Where there are areas for improvement that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (emerge, the service recognises them, and works to put systems in place to manage )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (and develop them. A comment from a health care professional told us that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ('commended' the manager on his 'tireless dedication to the well being of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (residents'. Another comment described the service as an 'emphatic caring home'.)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 (Talking to staff, and looking at records \(including the AQAA, care plans, health and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (safety checks, and staff training\), confirmed that the home has systems in place to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (improve, and to monitor the quality of the service provided to people using the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (service. The manager told us that Norwood were in the process of developing a Quality )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Assurance policy/procedure. This should be completed. We saw a recent record of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (comprehensive monthly audit of the home that was carried out by a representative of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (the organisation. The manager told us that feedback questionnaires are regularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (supplied to stakeholders including relatives of people using the service and significant )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (others, for their views of the care home and the service that it provides. There are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (policies, and procedures in place to ensure that people using the service are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (safeguarded. AQAA told us that Norwood 'is looking at developing some pertinent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (policies in user friendly format, so that they are more accessible to a wider range of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (residents'. This is positive. AQQA indicated that some of the organisation's policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (procedures had not been reviewed since 2003 and 2004. It should be evident that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (these are reviewed regularly. AQAA told us that four people using the service take part )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (in a 'People First Residents Forum'. Records told us that residents regularly participate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (in resident meetings. The home has a fire risk assessment. Records and the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (told us that appropriate fire checks are carried out. Fire drills take place. AQAA told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (that 'a recent Fire Brigade Inspection showed no requirements and deemed all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (procedures and plans in place to be appropriate'. The manager and records told us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (that equipment in the home is regularly serviced/checked by appropriate persons. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (Records told us that fridge and freezer temperatures are monitored closely.)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 employer's liability insurance is up to date.)Tj ET endstream endobj 72 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 Adults \(18-65 years\))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 (32)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 ()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 1 548.37 783.16 Tm (5)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 [] 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 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /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 endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 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 Adults \(18-65 years\))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 (31)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 (32)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 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 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 34.05 617.99 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 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. 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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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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 83 0 obj<> endobj 84 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 85 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 86 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 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/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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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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C)L`Fsnwͮ\24WLPB~bۏnlẆ?t7%RjDT@Fy3!l!*]!xuvydy&WCn ;0Vռ/ %#d7x$ ޠʎ ih׼ \DOO}ՉK7|GV8Us6jqf,$F]Ǻ%kD:> s-rt\ږ؅nzV95[ɞ-{v"z@"A?ջ߃1>zL9jda;M=f~ܟ('_{EssH${FȆm{ _T*{pe>rSNеk 8vdWP#W -/ֺ5Y|:bh4c$9Zy`?}bŲoreMT*ubA::NǢ]ߧ%[N-~XO੫3ƒ+F=S<[<|m# =h^Ad+j)Yo!lQG92# .7҆N*%ݖTTz&E+?ۥP4tѥJdǀj:e7P/t(Iҍ9Pφ<8>A(vfCyLÆ(칡\ wtNYα9 |c~Nn}|;5!=2SF_If5.M+uh^|kp+w<@Rg mLe+36#w\M3!6Z8bL, 2OMz$ٙMYz֑"'N܌>gYst<qWU0HTH3kjsB?IU-#XcZ -?;#+mA"֞FgcѦ0{C@$TOOBuEWv{9l9v݇ KZ' 栦T_㭛of=͇%c)nQb[._1ڃz5{%nTA3boC׾ b`vM*xS5%ڃ,?92_@Iשͫ)705frK%׷[kKNd:@EP2KEҖP,Lj!EbF[. 5^8vu~@É7Osy4:]ûrl{SO`Du\ $ VX `3F`Q[k[k`*>AslR7ho59Q77t7Cu~fN"?>n=^Sl61 ~>ON x0_V8e2dOsUb<К1W<$wMhȧE@?y2BO㣌'B1}X^ޝ82*l%l"6V]uv@Tc^iB^: 6Pdj'SG4) 7󱼮6BMzpN*l Hzx +K?(Kh@Ze( pX>'O5jAkE\qG\#("vY{nݚQK1ϞP3td![M\Fx }Ga^`Ht"px:iWV7̠=tqDN^@T]69) sN| i٧Vv)fWB8 9r~']w0pҴӠ֖j`sK.a^rQQQvZ% k!0VS&wZFL*D*`}H(um@7͘LZ2Oo)HgQ]AA-{y [< jnRX=;:#R=֥mu,O+쩰aB0)=!udhZ| d|qE"Ep,zޅ[C|6ƥއ윺+z;4TXȲX3YEKQL֏{"MK:Mȅ ҆NЉD|BG1 Sּgh: e0ۏ뗳g:˹ag ٸych7VKNϯ!9fZSfա"ÒN+1ՕMMvV{vIH)xeq~@m%O+痷e66̠_KS6DlJ!Iu?0ήA:F {UH*_FUNт_NQGO _ܙH6m5iߊפ㨫RܳߺH[ܽϧ j֌ ?'#euDZyux[u:s`r&NaxAl mI0@<>"{0MoPR7 懥NKuVovzr_A4I%l Dcc)Oqϯ}TJVt]xWo9Y(vXch]H?4o𼋮àrchSej@*h!bL|hvgX pXFj81+VE*n8*W@2 "aJnǯ|CvmiW|ޠDŽ9sk_'bM3Ћ/O;Y rZJ:"һCnvXz@M^୩uivJ{E7_w2^0TOfɌ]iҹ\4 0+u:iME Gy9:¦=Bcc>?[ 06ϛbb-5|Xw]T 7lR**7iPlp7G}{c NC@cۨPi0Sy.Y͋~sf됑{=$)yeښN(ow"R h?WX°N ط-C۶v Ai㧩Τ|m)qLx;Oj2 En_Y">nqOWZEtky""mxů2 'Ϋ:Ž/hO rCs 5 Y#-geD;!C(X:êٯJ<GnBciޓzݎ")ڽ1KULBqK]ˎuEV0+7x:=X(GH6,974>\F[uG3W ci-A/iE8l7D6 /",U6: (CX fJHKxf'ۋKvtRa@ kɲEK-E]p$L3""Vo\yWC8f[({]t! fR8s6lρdGzSZPI9{ЉKL=L8" ᓔ6,Xbkg{)rǸ&(}KR*+B.v$8n6w&_IcyAMWȄ0jm8;'wbڹex81Xߋ˪ H܀]rָƢ#3GMo9*_qM>I!pMTIUJR3Q?yFs57S 4 ,dE SN?o(}X Ũ%xD]3nH b\u~ e#Jf=6-G7ZZx ~K::9f";w6xk%JeᮡCD5YySA63aF3JpStS=QNHJ'J$N4^7 J݁DxSLMD)1 :S@Bz,/SPmaC=ՓI3D/bpC% s8IFEwJP9j:!æJ*8/=&b-Pc|,&~9h]`*ӵlDwiQ˅ - Dz(=t2s92 3O/D $oX@vڊC*쩜:4<ƁLu Z[(Ikzb-$.5o1TX3quSr{/ňiEIVj!G(訚?\ ;=V KLvfΌԬ +X(b(1bG`ݹ9Ue76N+Vz&_l?V&'v=aApfXd7gqz[_d])B뿐ڣ5@(M`єZh 7(% nJtzT.̅5›pkcpv*83\/3ҜeNrc0W|/TZ+"πE%xxKyİ`0op( r ^VK_dGyұ]]z&a];iiN`>I)Abo)L8K15OzlmV 5]EoF ,tGٓ 1( (B75 q2PV\ KRy i&;IUOHNUw"u*J=xҨ ?b݄,Wܜ@t~ `$mst*,Dcrn TJ 1 M4t7pv$2wS3ˎTp@}qY^!T}?հƿ-/ގ ]΅O;>lCH7b(~o a_|W9zÓ(֎ ~a(kƟ<w5+$Nn1$W6_;4۴%~6xH-tM`v _6!&-H ;at1 V 뵾Nw[unF.(^ T1h!E[i5$.b]/x]}p{![,eR/W*vQРT)|:7 QJ ?(,y$_ -A"q~`BX@-&: `lj_k~-MT,G ́ ?"-UϠWR?Ycx Z$lYAm^#tVp\OY F<~%ROU*<(xN .x+XcзģKKYŕFߚRv+z1qEMZxk"Gd,(MG2˛DyD2ua,s@\S૮uH &~ X* ݵ1mϘ~'Fs&$^"UW:̈KFIҜBfTe@S%Rt`ch`[lߧë 2J5LJMcmS@GJdo%2Mt#LZ xjltb:׉ɭ1dC?Xal'C8Q/gm qGtA}IVCcFclĥ mCj`o- iXw8ZK4-p8'\)U͕6(I䅝q[>FD4+hSCP=/=nk䨕T]͢ޒT- z+Td^opA$].lQK/}8(c[$Z^-샥3^ 8F'KtMIG92 can0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 89 0 obj<> endobj 19 0 obj<> endobj 90 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 91 0 obj<> endobj 92 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 93 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 94 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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!k@^B\Xi\M'}lb7zȋ_xU-$y/'gv+i;0J~]Z*e}O<\jry싯Gf#٩sdJŢʨ'{x@W,ک! pն_ ep׼!c&uLA{`\ 9Ia.c4 <6Z%^66853y̌{0rf\F3O<Յb4 2 0Uj~em&A$؜P_kqaM}x]|#&m.}?{- { ٔbDBw'n|Our 7=xKs_H./bɞob#p{Xkc*b yꍋQB_u}~?ށ8i<ֳ,#Rlw>g钑yLu$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 95 0 obj<> endobj 32 0 obj<> endobj 96 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,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 97 0 obj<> endobj 98 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 99 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 73 0 obj<> endobj 100 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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