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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 124.75 w 24.07 747.9 m 558.15 747.9 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 20.74 685.53 m 561.48 685.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 684.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 684.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 693.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 667.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 607.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 563.19 m 557.15 563.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 515.5 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 28.35 504.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 497.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 483.44 m 160.38 483.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 483.44 m 563.65 483.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 425.45 m 160.38 425.45 l S 0.001 w 1 1 1 RG 90.9 w 162.63 425.45 m 563.65 425.45 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.85 m 565.85 494.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 378.87 m 565.85 378.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.93 m 30.07 377.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.93 m 161.5 377.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.93 m 564.78 377.8 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 478.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 478.67 Tm (Grange \(The\) & Walton Cottage)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 455.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 455.84 Tm (The Grange And Walton Cottage)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 438.26 Tm (26-28 St John`s Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 420.68 Tm (Woking)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 403.1 Tm (Surrey)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 385.52 Tm (GU21 7SA)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 366.62 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 349.62 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 330.08 m 358.95 330.08 l S 0.001 w 1 1 1 RG 20.58 w 361.2 330.08 m 565.9 330.08 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 341.5 m 568.1 341.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.67 m 568.1 318.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 342.57 m 30.07 317.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 342.57 m 360.07 317.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 342.57 m 567.02 317.59 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 325.31 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 1 191.92 325.31 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 1 255.59 325.31 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 383.08 325.31 Tm (three star excellent service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 306.41 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 287.36 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 28.35 270.36 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 270.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 270.36 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 253.36 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 253.36 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 253.36 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 236.36 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 218.88 m 315.25 218.88 l S 0.001 w 20.58 w 317.5 218.88 m 565.9 218.88 l S 0.001 w 1 1 1 RG 20.58 w 317.5 196.05 m 346.55 196.05 l S 0.001 w 20.58 w 348.8 196.05 m 377.9 196.05 l S 0.001 w 20.58 w 380.15 196.05 m 409.2 196.05 l S 0.001 w 20.58 w 411.45 196.05 m 440.55 196.05 l S 0.001 w 20.58 w 442.8 196.05 m 471.9 196.05 l S 0.001 w 20.58 w 474.15 196.05 m 503.2 196.05 l S 0.001 w 20.58 w 505.45 196.05 m 534.55 196.05 l S 0.001 w 20.58 w 536.8 196.05 m 565.9 196.05 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 207.46 m 568.1 207.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.29 m 568.1 230.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 207.46 m 568.1 207.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.63 m 568.1 184.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 231.37 m 30.07 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 231.37 m 316.37 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 208.54 m 347.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 208.54 m 379.02 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 208.54 m 410.32 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 208.54 m 441.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 208.54 m 473.02 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 208.54 m 504.32 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 208.54 m 535.67 183.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 231.37 m 567.02 183.55 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 214.11 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 1 320.35 214.11 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 191.28 Tm (Patricia Collins)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 191.28 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 191.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 191.28 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 191.28 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 191.28 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 172.38 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 155.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 138.38 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 126.31 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 114.24 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 (34)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 (34)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.csci.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 (34)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 90.9 w 31.2 716.23 m 267.95 716.23 l S 0.001 w 1 1 1 RG 90.9 w 270.2 716.23 m 565.65 716.23 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.24 m 267.95 658.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 658.24 m 565.65 658.24 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.41 m 267.95 635.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 635.41 m 565.65 635.41 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.58 m 267.95 612.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 612.58 m 565.65 612.58 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.75 m 267.95 589.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 589.75 m 565.65 589.75 l S 0.001 w [] 0 d 2.25 w 0.99216 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 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.65 m 567.85 669.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.82 m 567.85 646.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.99 m 567.85 623.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.16 m 567.85 601.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.33 m 567.85 578.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 577.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 577.26 l S 0.001 w [] 0 d /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 (Grange \(The\) & Walton Cottage)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 (26-28 St John`s Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (The Grange And Walton Cottage )Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Woking)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (Surrey)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 676.3 Tm (GU21 7SA)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 653.47 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 653.47 Tm (01483730670)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 630.64 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 630.64 Tm (01483730670)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 607.81 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 607.81 Tm (grangeandwaltoncottage@hotmail.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 584.98 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 35.16 w 31.2 539.25 m 353.25 539.25 l S 0.001 w 1 1 1 RG 35.16 w 355.5 539.25 m 565.9 539.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 557.96 m 568.1 557.96 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.55 m 568.1 520.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 559.03 m 30.07 519.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 559.03 m 354.37 519.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 559.03 m 567.02 519.47 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 541.77 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 541.77 Tm (Grange & Walton Cottage Limited )Tj ET /F2 12 Tf BT 1 0 0 1 358.35 527.19 Tm (\(The\))Tj ET 0.99608 0.9451 0.76078 RG 49.74 w 31.2 491.18 m 353.35 491.18 l S 0.001 w 1 1 1 RG 49.74 w 355.6 491.18 m 566 491.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 517.17 m 568.2 517.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 465.18 m 568.2 465.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 518.25 m 30.07 464.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.47 518.25 m 354.47 464.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.12 518.25 m 567.12 464.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 500.99 Tm (Name of registered manager \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.45 500.99 Tm (The registered provider is )Tj ET /F2 12 Tf BT 1 0 0 1 358.45 486.41 Tm (responsible for running the )Tj ET /F2 12 Tf BT 1 0 0 1 358.45 471.83 Tm (service)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 450.39 m 565.6 450.39 l S 0.001 w 20.58 w 31.2 404.73 m 353.25 404.73 l S 0.001 w 1 1 1 RG 20.58 w 355.5 404.73 m 565.9 404.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 381.9 m 353.25 381.9 l S 0.001 w 1 1 1 RG 20.58 w 355.5 381.9 m 565.9 381.9 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 438.98 m 567.8 438.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.15 m 567.8 416.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 393.32 m 568.1 393.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.81 m 567.8 461.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 438.98 m 567.8 438.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 416.15 m 568.1 416.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 393.32 m 568.1 393.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 370.49 m 568.1 370.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 462.88 m 30.07 369.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 417.22 m 354.37 369.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 462.88 m 566.72 369.41 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 445.62 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 422.79 Tm (Miss Parveen Akram)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 399.96 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 399.96 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 377.13 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 377.13 Tm (18)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 358.19 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 338.7 m 565.6 338.7 l S 0.001 w 41.16 w 31.2 305.58 m 297.2 305.58 l S 0.001 w 20.58 w 299.45 315.87 m 565.6 315.87 l S 0.001 w 20.58 w 299.45 295.29 m 432.52 295.29 l S 0.001 w 20.58 w 432.52 295.29 m 565.6 295.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 327.28 m 567.8 327.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 350.11 m 567.8 350.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 327.28 m 567.8 327.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 283.87 m 567.8 283.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 351.19 m 30.07 282.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 328.36 m 298.32 282.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 351.19 m 566.72 282.8 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 333.93 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 311.1 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 311.1 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 290.52 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 290.52 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 269.08 m 297.3 269.08 l S 0.001 w 20.58 w 299.55 269.08 m 431.45 269.08 l S 0.001 w 20.58 w 433.7 269.08 m 565.6 269.08 l S 0.001 w 35.16 w 31.2 238.96 m 297.3 238.96 l S 0.001 w 35.16 w 299.55 238.96 m 431.45 238.96 l S 0.001 w 35.16 w 433.7 238.96 m 565.6 238.96 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 208.84 m 565.6 208.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 257.67 m 567.8 257.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.26 m 567.8 220.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.43 m 567.8 197.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.6 m 568.1 174.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 280.5 m 567.8 280.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.67 m 567.8 257.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 220.26 m 567.8 220.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 197.43 m 568.1 197.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.6 m 568.1 174.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 108.03 m 568.1 108.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 281.57 m 30.07 106.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 281.57 m 298.42 219.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 281.57 m 432.57 219.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 281.57 m 566.72 106.95 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 264.31 Tm (learning disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 264.31 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 264.31 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 241.48 Tm (mental disorder, excluding learning )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 226.9 Tm (disability or dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 241.48 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 241.48 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 204.07 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 181.24 Tm (The maximum number of service users who can be accommodated is: 18)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 158.41 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 143.83 Tm (home only \(PC\) to service users of the following gender: Either within the following )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 129.25 Tm (categories: Learning disability \(LD\) Mental Disorder- excluding learning disability or )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 114.67 Tm (dementia \(MD\))Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 93.24 m 315.25 93.24 l S 0.001 w 1 1 1 RG 20.58 w 317.5 93.24 m 346.55 93.24 l S 0.001 w 20.58 w 348.8 93.24 m 377.9 93.24 l S 0.001 w 20.58 w 380.15 93.24 m 409.2 93.24 l S 0.001 w 20.58 w 411.45 93.24 m 440.55 93.24 l S 0.001 w 20.58 w 442.8 93.24 m 471.9 93.24 l S 0.001 w 20.58 w 474.15 93.24 m 503.2 93.24 l S 0.001 w 20.58 w 505.45 93.24 m 534.55 93.24 l S 0.001 w 20.58 w 536.8 93.24 m 565.9 93.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 104.65 m 568.1 104.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.82 m 568.1 81.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 105.73 m 30.07 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 105.73 m 316.37 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 105.73 m 347.67 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 105.73 m 379.02 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 105.73 m 410.32 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 105.73 m 441.67 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 105.73 m 473.02 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 105.73 m 504.32 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 105.73 m 535.67 80.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 105.73 m 567.02 80.75 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 88.47 Tm (Date of last inspection)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 (34)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 30.07 519.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 519.08 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 28.99 520.15 m 568.1 520.15 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 35.5 781.22 Tm (The Grange and Walton Cottage is a small family owned Ltd company that has )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 764.22 Tm (operated a care home for adults with learning disabilities since 1986. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 747.22 Tm (provides personal care and support for up to eighteen adults of either gender whose )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 730.22 Tm (primary need on admission is a learning disability. The home is also registered to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 713.22 Tm (accommodate adults with a mental disorder, excluding dementia.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 696.22 Tm (Accommodation comprises of two detached properties in adjoining grounds. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 679.22 Tm (is situated in a residential area within walking distance of shops and other local in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 662.22 Tm (village of St John's and is on a bus route. The Grange has 10 single bedrooms, 6 on )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 645.22 Tm (the ground floor and 4 on the first floor and Walton Cottage has 8 single bedrooms, )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 628.22 Tm (three downstairs and 5 upstairs. Neither property has a passenger or chair lift. A large )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 611.22 Tm (spacious building has been erected in the rear garden of Walton Cottage providing )Tj ET /F2 12 Tf BT 1 0 0 1 538.54 611.22 Tm (on-)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 594.22 Tm (site)Tj ET /F2 12 Tf BT 1 0 0 1 56.92 594.22 Tm ( day services for people who live at the home. Communal areas in both properties )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 577.22 Tm (include sitting and dining rooms, bathing and toilet facilities, kitchens and utility )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 560.22 Tm (rooms. Off street parking is provided and the large, secluded rear gardens are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 543.22 Tm (attractive and accessible to people using services. Each property is furnished to a high )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 526.22 Tm (standard, affording a comfortable, clean and homely environment. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 504.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 487.72 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 557/Matrix [1 0 0 1 0 0]>>stream xMo09<89T*qB7ġjjQ̇,Twjיw'C#X(G^Ï ?ʿVkę8b C U&WMà x ^k1OźD_RXí&Ԧ-KyA]4YuWqZP- U9M~vNH9Yf(parQٜhl1֨Ն,3mD4kZY> 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 (34)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 inspection process incorporated discussions with nine people using the home's )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (services. Also with the responsible individual on behalf of the provider organisation, the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (registered manager, deputy manager and a support worker. Some time was spent on )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (indirect practice observations, specifically assessing the quality of interactions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (staff and people using services.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (All available information has been taken into account to inform judgements about how )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (well the home is meeting the National Minimum Standards for Adults. This includes the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (cumulative assessment, knowledge and experience of the home since its last key )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (inspection. The inspection process involved sampling records and tour of the premises )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (including the day centre and viewing the garden. We also considered information in )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 192.54 w 32.32 716.26 m 566.72 716.26 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 30.12 618.86 m 568.92 618.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 617.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 617.79 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (surveys completed by six people using services with support from the manager and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (staff.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (Each year providers registered with the Commission for Social Care Inspection \(CSCI\) )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (must complete a self assessment called an Annual Quality Assurance Assessment )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (\(AQAA\) and send this to the CSCI. It provides quantitative information about their )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (service, requiring assessment of the service against the National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm (\(NMS\) outcome areas, demonstrating both areas of strength and where improvements )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (can be made. The home's AQAA was received on time and its content was clear, of )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (good quality and validated by evidence. This information was also used to inform )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 656.92 Tm (judgements about the home.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 642.34 Tm (We wish to thank all of the people using the home's services, its management and staff )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 627.76 Tm (for their time, hospitality and assistance throughout the inspection visit.)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 (34)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 699.85 w 32.32 440.9 m 566.72 440.9 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 89.85 m 568.92 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 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 (A comprehensive range of clear, accurate and accessible information has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (produced about the home. This informs prospective people using services about what )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (they can expect if they are considering moving into the home. The information is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (available in a range of accessible formats to meet the communication needs of people )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (for whom the home is intended, including a pictorial complaint procedure, all of which )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (has been explained to each individual, enabling an informed choice of home. The home )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (has a easy to navigate, informative website in which the home's monthly newsletter is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (published with the agreement of people using services. This demonstrates the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (imaginative and varied opportunities available to people living at the home for )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (community participation. Staff support people to lead full and stimulating lifestyles in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (which they engage in age, peer and culturally appropriate social and leisure activities.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (People who wish to move into the home can be confident their needs can be met. This )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm (is due to an inclusive comprehensive assessment process carried out by the manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (before admission, to establish their needs and aspirations. Assessed and changing )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm (needs are reflected in person-centred support plans which they are involved in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (producing. Significant time and effort is spent planning admissions and a high value )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (placed on responding to individuals' need for information, reassurance and support at )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm (this time.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 498.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 484.16 Tm (Recognition of equality and diversity is embedded in the culture of the organisation, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 469.58 Tm (underpinning its policies and procedure, staff recruitment and training and care )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 455 Tm (planning. This ensures the diverse needs of people using services are identified and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 440.42 Tm (met in a non-discriminatory way. Daily life at the home promotes independence and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 425.84 Tm (informed risk-taking within individual levels of capacity.The home's atmosphere is )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 411.26 Tm (warm and welcoming. Discussions with management and staff and practice )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 396.68 Tm (observations confirmed a high level of commitment to provision of quality services in )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 382.1 Tm (the best interest of people living at the home. Staff support and empower people using )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 367.52 Tm (services to have control over their lives, to make decisions and to have active )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 352.94 Tm (involvement in the day- to- day running of their home. We were told by a person using )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 338.36 Tm (services, " I like it here. I have so many things in my room. A play-station, TV, DVD )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 323.78 Tm (player, videos and posters". Survey feedback from people using services confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 309.2 Tm (most always make decisions about what they do each day and in the evening and at )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 294.62 Tm (weekends. Comments included, "I get to go out where I want at weekends". " I have )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 280.04 Tm (my own room and I like it here, I like going on holiday with The Grange ".)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 265.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 250.88 Tm (Health care needs are met ensuring access to routine health checks and specialist )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 236.3 Tm (services. Staff work in partnership with health and other professionals. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 221.72 Tm (management of medication is safe and principles of respect, dignity and privacy are )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 207.14 Tm (put into practice. The approach to ageing, illness and death is handled with sensitivity )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.56 Tm (and respect.Observations confirmed staff and management have a good understanding )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.98 Tm (of the individual needs of people living at the home. A flexible and individualised )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.4 Tm (approach to their care and support was evident, ensuring continuity of structures and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.82 Tm (routines. Staff support people in maintaining personal and family relationships. They )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 134.24 Tm (also encourage healthy and varied diets. Pictorial menus are displayed in each of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.66 Tm (dining rooms. People using services were observed moving freely around kitchens )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 105.08 Tm (during the visit, making their own breakfast and lunch and helping themselves to )Tj ET /F2 10 Tf BT 1 0 0 1 568.97 439.35 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for 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 (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 105.06 w 32.32 760 m 566.72 760 l S 0.001 w 20.58 w 32.7 694.93 m 569.35 694.93 l S 0.001 w 443.4 w 33.82 460.69 m 568.22 460.69 l S 0.001 w 20.58 w 33.45 226.45 m 570.1 226.45 l S 0.001 w 49.74 w 34.57 189.04 m 568.97 189.04 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 30.12 706.34 m 568.92 706.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 705.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 705.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 706.34 m 569.35 706.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 683.51 m 569.35 683.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 683.51 m 570.42 683.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 237.86 m 570.42 237.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 215.03 m 570.1 215.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 237.86 m 570.1 237.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 215.03 m 571.17 215.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 163.04 m 571.17 163.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 684.59 m 32.7 236.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 216.11 m 33.45 161.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 684.59 m 569.35 236.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 216.11 m 570.1 161.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 32.92 802.72 Tm (drinks. The induction and staff training programme ensures staff have the necessary )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (skills and competencies.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (The location of the home is well situated within walking distance of St John's village, )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (providing convenient access to local shops and a pub. The physical environment is well )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (maintained, clean and hygienic. It is tastefully decorated and furnished, reflecting the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (individuality and interests of people using services.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 692.82 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 690.16 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 1 569.35 693.38 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 459.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 667.33 Tm (Staff recruitment and vetting procedures now ensure full compliance with statutory )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 652.75 Tm (requirements.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 638.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 623.59 Tm (The manager told us she had recently completed her studies for a National Vocational )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 609.01 Tm (Qualification in management \(NVQ Level 4\) and for the Registered Managers Award.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 594.43 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 579.85 Tm (The home's statement of purpose has been updated, incorporating more views about )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 565.27 Tm (the home from people using services. The service users guide has also been updated to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 550.69 Tm (reflect new developments and is available on the website. Work was stated to be in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 536.11 Tm (progress to produce an information DVD about the home aimed to inform people )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 521.53 Tm (considering living there about what they can expect. People using services were stated )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 506.95 Tm (to be involved in this project and the DVD will include a virtual tour of the home and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 492.37 Tm (chats with current users and staff. An information pack has been produced about the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 477.79 Tm (activities on offer in the home's day services centre. New developments include daily )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 463.21 Tm (checks of care plans and fortnightly in- house staff training sessions. Work has taken )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 448.63 Tm (place on risk assessments to predict behaviour or events that can harm or impair )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 434.05 Tm (wellbeing. Also on ways for promoting independence and supporting individuals in )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 419.47 Tm (making informed choices in their daily lives. The involvement of people using services )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 404.89 Tm (in the running of their home is promoted by ensuring their monthly meetings take )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 390.31 Tm (place. The complaint procedure has been reviewed and produced in a more accessible )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 375.73 Tm (format, suited to the communication needs of people using services.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 361.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 346.57 Tm (Observations confirmed a significant amount of hard work and effort by the manager to )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 331.99 Tm (customise the Skills to Care common induction work books, to ensure new staff obtain )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 317.41 Tm (the knowledge and skills they need. The induction package also covers equality and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 302.83 Tm (diversity to promote non discriminatory practice. Changes to the staff induction )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 288.25 Tm (programme ensure new staff have a good knowledge of the home's policies and )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 273.67 Tm (procedures before their induction is signed off. They are closely supervised to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 259.09 Tm (high quality practice.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 244.51 Tm (Boilers have been replaced with modern high efficiency energy saving type.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 459.14 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 224.9 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 221.68 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 31.2 187.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 198.85 Tm (This is an excellent service and no requirements or recommendations have been made )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 184.27 Tm (at this inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 169.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 148.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 128.49 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 128.49 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 128.49 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 110.99 Tm (following this report, you can contact them using the details set out on page 4.)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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 779.1 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 779.1 Tm (www.csci.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 492.84 779.1 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 761.6 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 761.6 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 513.83 761.6 Tm (0870 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 744.11 Tm (240 7535.)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.98431 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 (11)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 (34)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 34 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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 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 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 (Information has been produced to enable an informed choice of home and decisions )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (whether it can meet the expectations and aspirations of prospective people who wish )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (to use its services. Needs are assessed before being offered a place at the home to be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (assured these can be met. Good practice introductory admission procedures are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (demonstrated.)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 home's management understands the importance of having sufficient information )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (to enable an informed choice of home. Feedback in surveys received from people using )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (the home's services confirmed they had sufficient information on which to base an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (informed decision about the home's suitability. Comments included, " My mum and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (dad asked me if I want to live here and we saw nice pictures". " My mum and dad )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (helped me decide it was the right place for me". An up to date statement of purpose is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (available specific to the home's services and facilities, setting out its aims and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (objectives and philosophy of care. A service users guide has been produced detailing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (what prospective users of this service can expect. It provides a clear account of )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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 618.73 w 33.45 502.04 m 563.65 502.04 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 597.36 w 32.32 490.23 m 564.78 490.23 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 31.2 189.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 189.34 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 30.12 190.42 m 566.98 190.42 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 (services provision, the accommodation, qualifications and experience of management )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (and staff and how to make a complaint. It is written in plain English with photographs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (of the home. A record on the care files sampled evidenced copies of the service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (guide and complaint procedure had been given to people using services and explained, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (on admission. Their consent was recorded on their files relating to the management of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (their personal finances and medication. Work was in progress involving people using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (services in making a video and DVD of the home, to help prospective people who wish )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (to move in make an informed choice.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The home has an informative website clearly setting out who the home is for. It states )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (that its service are for people with the a learning disability as their primary condition )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (on admission though some may have secondary mental health conditions. The home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (accepts people who have Autism, Cerebral Palsey, Epilepsy and Schizophrenia. A )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (monthly newsletter is published on the home's website. This includes photographs and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (news of about people using services, describing their social and leisure activities and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (interests and about staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Admission procedures ensure the manager carries out her own needs assessments in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (addition to obtaining copies of community care assessments from care managers, prior )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (to admission. There had been no admissions since the last inspection. At that time )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (three files were sampled and pre-admission assessments found to be comprehensive, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (ensuring the home could meet the needs and choice of lifestyles of individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Significant time and effort is spent planning admissions to ensure these are personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (and well managed. A discussion with two people using services during the inspection )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (visit confirmed their experience of best practice admission procedures. Both had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (received information about the home before they visited to view it. They had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (opportunity to spend time at the home before admission, joining staff and people living )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (at the home for lunch and finding out from them about routines. They had a choice of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (bedrooms and of bedroom colour schemes. Their experience of the assessment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (process confirmed this had been inclusive and they had been actively involved in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (producing their care plans. They had opportunity to stay overnight and experience life )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (at the home before making an informed decision about whether it was right for them.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()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 (34)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 119.98 w 33.45 385.74 m 563.65 385.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 97.48 w 32.32 374.5 m 564.78 374.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 323.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 324.63 m 566.98 324.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (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 who use this service benefit from person centred care involving them in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (decisions about their lives and in planning the care and support they receive.)Tj ET 0.99608 0.9451 0.76078 RG 230.54 w 33.45 183.49 m 563.65 183.49 l S 0.001 w 1 1 1 RG 22.5 w 31.2 289.76 m 565.9 289.76 l S 0.001 w 209.16 w 32.32 171.68 m 564.78 171.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 277.39 m 566.98 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 278.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 278.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 277.39 m 565.9 277.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 286.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.7 Tm (Developments since the last inspection include a daily check of care plans to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (continuity. Also fortnightly in- house training for staff, to ensure they have adequate )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (knowledge and involve users in everything the home does. Work is in progress to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (further enhance communication with people using services through developing records )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (and other documents using signs and symbols. The home has explored ways to further )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (promote independence and for supporting individuals in making informed choices in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (their lives. Also enabling engagement in decisions affecting the day to day operation of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (their home by ensuring monthly meetings for people using services take place. People )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (using services have one to one sessions with staff on a daily basis in which they can )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (bring up an issues they may have.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 636.23 w 33.45 493.29 m 563.65 493.29 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 614.86 w 32.32 481.48 m 564.78 481.48 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 31.2 171.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 171.85 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 30.12 172.92 m 566.98 172.92 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 (The statement of purpose includes the organisation's policy statement on equality and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (diversity. This sets out a commitment to achieving a living and working environment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (providing equality of opportunity and is free from discrimination on the grounds of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (race, religion, gender, class, sexual orientation, age, disability and special needs.The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (care plans and associated care records for two people randomly examined clearly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (demonstrated how the service meets individual diverse needs within this framework.)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 (Care records also detail how individuals' are supported and enabled to have control )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (over their lives, within their levels of capacity. They each have a key worker to )Tj ET /F2 12 Tf BT 1 0 0 1 515.13 639.13 Tm (co-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (ordinate)Tj ET /F2 12 Tf BT 1 0 0 1 83.08 621.63 Tm ( their care and document personal history in a way as to enable a new )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (member of staff or other key workers provide continuity of support.The approach to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (developing care plans is person centred, recognising the individuality, diversity and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (rights of people using services; also ensuring their involvement and control in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (developing personal goal plans.Care plans reflect current needs, risks have been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (assessed and and risk management strategies and behavioural management )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (programmes are in place. Care documents were up to date, well recorded and ensured )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (the health and wellbeing of people using services. The home produces a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (comprehensive report for care managers annual reviews. The home also convenes six )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (monthly review meetings in between for each individual.)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 (Monthly house meetings take place and suggestions from people using services are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (acted upon. They have a say in the range of social activities they enjoy, trips and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (where to go on holidays. Their request for pets was listened to and they have rabbits, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (guinea pigs and a fish tank. They are encouraged to be actively involved in looking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (after their pets, with staff support. The home has introduced various IT software )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (programmes to enable improvement in literacy skills. Some people using services have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (their own e-mail accounts and receive support in using IT equipment including a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (webcam to chat with family and friends. Their wishes for changes to the menu are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (listened to. Photographs of Halloween and birthday parties were seen also the annual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (Christmas party. This year it was held in a community hall to accommodate the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (numbers of people who wish to attend, including families and friends. People using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (services are actively involved in the planning and preparation for these occasions, with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (staff support, sending out invitations, purchasing, and making decorations and fancy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (dress costumes. Their request had been met for a plasma large screen television in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (one of the lounges with free-view music channels.)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 (34)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 154.97 w 33.45 334.25 m 563.65 334.25 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 132.47 w 32.32 323 m 564.78 323 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 31.2 254.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 391.44 m 565.9 254.56 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 30.12 255.64 m 566.98 255.64 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 this service are offered a healthy diet and enjoy their meals. They )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.69 Tm (participate in age, peer and culturally appropriate activities and are part of their local )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 282.2 Tm (community. They are able to make choices about their lifestyle and are supported in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 264.7 Tm (developing life skills.)Tj ET 0.99608 0.9451 0.76078 RG 161.54 w 33.45 149 m 563.65 149 l S 0.001 w 1 1 1 RG 22.5 w 31.2 220.77 m 565.9 220.77 l S 0.001 w 140.17 w 32.32 137.19 m 564.78 137.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 208.4 m 566.98 208.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 209.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 209.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 208.4 m 565.9 208.4 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 31.2 217.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.71 Tm (Survey feedback from people using services confirmed most always make decisions )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 175.22 Tm (about what they do each day and in the evening and at weekends. One person said )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.72 Tm (sometimes, clarifying they did not like his day services. Two people said they liked to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 140.22 Tm (visit their family at weekends. Comments included, "I get to go out where I want at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.73 Tm (weekends". " I have my own room and I like it here, I like going on holiday with The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 105.23 Tm (Grange ".)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.74 Tm ()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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 723.71 w 33.45 449.55 m 563.65 449.55 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 702.34 w 32.32 437.74 m 564.78 437.74 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 84.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 84.37 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 85.44 m 566.98 85.44 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 (Information obtained from records and discussions with people using services during )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (the visit confirmed they engage in a wide range of social and leisure activities. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Photographic evidence was seen of this years Christmas party held in a community hall )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (due to the year on year growth of the popularity of this event which is well attended )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (by families and friends. Birthdays are celebrated with parties, meals out and meeting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (up with friends at the local pub. The home's newsletter includes photographs of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (shopping trips, information about an individual changing the colour scheme of her )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (bedroom then shopping for new bedding and nice things to put in her room. Another )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (newsletter included a photograph of a person using services riding his new bike in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (park last summer. It was evident from all available information that people using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (services have a a high community presence. They attend various day services in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (community, use gyms and go swimming, attend college courses, horse riding and have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (opportunity to go to church. Small group holidays were arranged last year including a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (holiday in Europe enjoyed by four people. The home's on-site activity centre has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (various projects include first aid and gardening. An individual said she had eaten )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (vegetables she had grown, last year. Some individuals had been issued with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (certificates after successfully completing About Us projects in money matters and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (access cafe's projects.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Discussions with management confirmed a lack of suitable employment opportunities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (for people using services. At the time of this inspection one person was in part time )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (employment and six others registered with the Employability scheme. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (said the benefit system penalises users if they work beyond a specified amount of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (hours or earn over a certain amount.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (People using services have a choice of whether or not they attend their day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (services.The home is aware of the potential closure of some day services and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (home manager has not been able to obtain information to allay the anxieties of those )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (affected.)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 (Both kitchens were clean and hygienic and well equipped. People using services are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (supported in shopping for food and in cooking meals as well as making group menu )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (planning decisions. A four weekly menu is displayed in dining rooms, using picture )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (symbols and affording choice of meals. The menus indicated a varied diet and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (accommodated special dietary needs and preferences.People who were at home during )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (the visit were observed making their breakfast, drinks and snacks, with staff support. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (The home has robust risk assessments for activities of daily living including cooking )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (skills and use of kitchen utensils and appliances. People living at the home are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (encouraged to keep their home and bedrooms clean and tidy. An individual was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (observed using the washing machine with staff support.)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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 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 (34)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 and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.69 Tm (medication procedures ensure their safety and welfare. The principles of respect, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.2 Tm (dignity and privacy are put into practice. Individual's limited capacity have some )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.7 Tm (choice restrictions, for their safety.)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 (People using services are registered with a general practitioner \(GP\) and health action )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.22 Tm (plans have been produced. They have access to their GP and NHS services, also )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.72 Tm (dental, podiatry and opthalmic services. The two care plans and associated records )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.22 Tm (sampled demonstrated these individuals are supported in attending health care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.73 Tm (appointments. Record evidence was seen to demonstrate health needs are closely )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.23 Tm (monitored and met and input from relevant health and social care professionals. There )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.74 Tm (is management commitment to working closely with external professionals and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.24 Tm (specialists for advice and support. The manager reported there are barriers to working )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.74 Tm (with some social care teams due to lack of consistency created by the system of locum )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.25 Tm (care managers carrying out reviews who don't know the people using services or the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.75 Tm (home. Care management teams were stated to be sometimes slow in responding to )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 (34)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 (contact from the home for referral for specialist input to meet the needs of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (individuals.The manager stated that review actions for care management , for the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (wellbeing of people using services, were not always met. The manager tries to reduce )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the impact of these barriers to improvement by phoning and writing to care managers )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (in these matters.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The home's management is highly efficient in arranging staff training in health care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (topics relating to the health care needs of people using the home's services. Guidelines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (and protocols are in place for management of individuals' health conditions, including )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (diabetes and epilepsy. Staff have received epilepsy training and the epileptic condition )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (of a person using services is monitored by the district nursing team.A protocol is in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (place instructing staff to call paramedics in the event of needing to administer )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (emergency medication for this individual. District nurses have trained staff in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (administration of insulin using pen injections and assessed their practice, signing off )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (their competence statements. The staff team has undertaken training in diabetes to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (able to recognise indicators of a medical emergency relating to fluctuations of blood )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (glucose levels. A clear care plan is in place in this event with instructions of what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (action to take. The individual with diabetes has no concept of what not to eat and staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (discreetly monitor his dietary intake. Staff promote his independence in monitoring his )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (own blood sugar levels twice daily.)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 (Observations confirmed staff awareness and commitment to the social model of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (disability. It was evident that they see beyond individuals' disabilities and provide )Tj ET /F2 12 Tf BT 1 0 0 1 531.99 394.19 Tm (self-)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (directed)Tj ET /F2 12 Tf BT 1 0 0 1 81.87 376.69 Tm ( support based upon the rights of dignity, equality, fairness, autonomy and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (respect. Personal support is flexible, consistent and meets individual's changing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (needs.The home's management and staff are very alert to changes in mood, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (behaviours and general wellbeing and fully understand how they should respond and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (take action.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (The home has an efficient medication policy supported by procedures and practice )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (guidance, which staff understand and follow. Medication records were fully completed, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (containing required entries and signed by appropriate staff. The home has a good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (record of compliance with the receipt, administration, safekeeping and disposal of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (medication. There is a staff training programme for medication administration though )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (some staff are reticent to assume this responsibility. Regular internal medication )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (audits are carried by the deputy manager and the supplying pharmacist visits on an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (annual basis to offer support and advice. Improvements include regular staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (supervision of medication practice and in-house training, to meet health needs. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (Discussion took place regarding the practice of secondary dispensing in exceptional )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (circumstances, when a person using services goes on leave with her family, at very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (short notice. The deputy manager was advised to ensure a robust risk assessment is )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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 146.34 w 33.45 738.23 m 563.65 738.23 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 124.97 w 32.32 726.42 m 564.78 726.42 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 31.2 661.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 661.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 662.81 m 566.98 662.81 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 (carried out and a written procedure in place. Details should include which staff are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (permitted to do this, what container the medicines are to be put in, how the containers )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (are to be labelled and what other information is to be given. A clear record should be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (kept of all staff involved in each stage of the procedure and the actions taken.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()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 (34)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 are able to express their concerns and have access to a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (complaint procedure. They are protected by the home's policies and procedures.)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 home's culture empowers people using services to express their views and any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (concerns, in a safe and understanding environment. Daily one to one sessions take )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (place with staff in which they are encouraged to raise any issues. Monthly group )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (meetings also take place, affording another forum in which problems can be discussed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (and resolved.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (A new complaint procedure has been produced which is clearly written in a pictorial )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (format, making it easy to understand. The complaint procedure has been supplied to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (everyone living at the home. All of the people using services who responded to our )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (survey told us they knew who to tell if the had a complaint. Some would speak with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (the manager, others with the home's staff and day services staff and others with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (family member. All stated that staff treat them well and they are happy living at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (home. Most told us that staff always listen and act on what they say. We have not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (received any complaints about the home since its last inspection. No complaints were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (recorded in the home's complaint records. Discussions with management confirmed )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (the home's systems ensure any concerns receive an early response and are resolved )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (before becoming a complaint.)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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 706.22 w 33.45 458.3 m 563.65 458.3 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 684.84 w 32.32 446.49 m 564.78 446.49 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 31.2 101.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 101.86 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 30.12 102.94 m 566.98 102.94 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Policies and procedures for safeguarding adults available in the home give clear and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (specific guidance to those using them. There is a system for staff to report concerns )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (about colleagues and managers and staff know that whistle-blowing on bad practice is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (supported by management. Staff have received safeguarding adults training; also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (training enabling them to respond appropriately in the management of physical and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (verbal aggression and other behaviours that challenge services. Since the last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (inspection one referral has been made and looked into under Surrey's multi-agency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (procedures. This was unsubstantiated, however did raise concern regarding )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (behavioural management practice specific to this individual. The outcome has been for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (recent input from a specialist health team to support the home in managing this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (person's challenging behaviours and to review the home's behaviour guidelines. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (relative of this individual raised the issue, at the safeguarding meeting, that an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (agreement at the last care management review for a referral to be made for specialist )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (input for anger management for this individual had not been acted on by care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (management. Observations during the inspection confirmed no change in practice )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (relating to the management of this person's behaviour in the plan viewed. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (manager is transparent in recording time restricted access to a game owned by this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (individual. The limitation of this activity was stated to be necessary to the wellbeing of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (this person and others living at the home.)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 (A positive outcome of this safeguarding referral has been clarity received by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (management that referral of other people using services to the same specialist health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (team can be made direct and does not need to go through care management. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (Discussions with the manager confirmed she positively welcomes the specialist nurse's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (offer to look at the home's behaviour management plans and guidelines.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (The safeguarding incident raised issues of previous incidents involving this individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (not known to either care management or the CSCI. The home manager was clear that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (notifications had been sent to both agency's. The manager understands the procedure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (for safeguarding adults and when incidents should be reported. At the time of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (inspection a concern of a person using services who felt unsafe because of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (behaviour of another person using services was under discussion with the care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (managers of both individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (Guidelines had been produced involving people in decision making processes about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (limitations on their choices based on risk assessments, for example, unsupervised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (visits to town. People using services are protected by the home's policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (procedures for the management of their finances and staff recruitment and vetting.)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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 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 (34)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 137.47 w 33.45 445 m 563.65 445 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 114.98 w 32.32 433.75 m 564.78 433.75 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 31.2 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 374.06 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 30.12 375.14 m 566.98 375.14 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 physical design and layout of the home enables people who use the service to live )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (in a safe, well-maintained and comfortable environment that supports independence.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 281.04 w 33.45 208.74 m 563.65 208.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.27 m 565.9 340.27 l S 0.001 w 259.67 w 32.32 196.93 m 564.78 196.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.89 m 566.98 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.89 m 565.9 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.21 Tm (Both buildings are maintained and decorated to a good standard and tasteful )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (furnishings throughout. The home is domestic in style and character.Bedroom colour )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (schemes are the choices of their occupants and personalised to reflect their many )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (interests and hobbies. There is no lift access in either home and currently people using )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (services are all ambulant. They are afforded choice in moving rooms when vacancies )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (arise and can agree to swap rooms with each other. Kitchens are well equipped, clean )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (and hygienic, as is the whole home. There is a robust infection control policy. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (Bedrooms and communal areas are adequately spacious, comfortable and furnished )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (with sturdy, quality furniture. Dining rooms are arranged with dining tables and chairs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (that enable opportunity to sit in small groups. A number of bedrooms and lounges )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (have plasma televisions and music systems. Sufficient toilets, showers and bath rooms )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (are available and of good quality.The environment promotes the privacy, dignity and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (autonomy of people using services. Some individuals have keys to their bedrooms.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm ()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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 216.33 w 33.45 703.24 m 563.65 703.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 194.96 w 32.32 691.43 m 564.78 691.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 591.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 592.83 m 566.98 592.83 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (Since the last inspection boilers have been replaced with modern high efficiency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (energy saving type. The home was warm, well lit and ventilated at the time of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (visit. Grab rails have been fitted to the outside of Walton Cottage with advice from an )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (occupational therapist, enabling easier access for two people with minor mobility )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (impairments.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The large gardens to the rear of both building are well maintained and fully accessible. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The Day centre building in the grounds is adequately specious, warm and of a good )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (standard. Off street parking is available at the front of both buildings. The home has a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (separate office facility.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 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 (34)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 137.47 w 33.45 445 m 563.65 445 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 114.98 w 32.32 433.75 m 564.78 433.75 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 31.2 374.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 374.06 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 30.12 375.14 m 566.98 375.14 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 are trained, skilled and in sufficient numbers to support the people who use the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (service, in line with their terms and conditions and ensure the smooth running of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (service.)Tj ET 0.99608 0.9451 0.76078 RG 281.04 w 33.45 208.74 m 563.65 208.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 340.27 m 565.9 340.27 l S 0.001 w 259.67 w 32.32 196.93 m 564.78 196.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.89 m 566.98 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.89 m 565.9 327.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 312.21 Tm (Feedback from people using services was positive about staff. We were told staff treat )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (them well. One person said, " They are alright".)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (Whilst there has been some staff turnover since the last inspection, a core group of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (staff have worked at the home for many years. The home manager has been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (employed at the home for ten years and the deputy manager for five, providing good )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (continuity for people using services. The home manager confirmed the recruitment and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (retention of local staff is an ongoing issue. Staff vacancies continue to be advertised )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (locally and incentives are paid to staff to enhance staff retention.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (The home's management demonstrates good understanding of equality and diversity )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (throughout the processes of staff recruitment, induction and training. There is wide )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm (diversity within the team. Regular staff training is provided to ensure equality and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (diversity is promoted within the services and monitored through systems for staff )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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 688.72 w 33.45 467.05 m 563.65 467.05 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 667.35 w 32.32 455.23 m 564.78 455.23 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 31.2 119.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 119.36 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 30.12 120.43 m 566.98 120.43 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 (supervision and appraisal.)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 (Clear policies and procedures are in place to ensure best practice and compliance with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (legislation for staff recruitment. An information checklist is completed by the manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (to ensure all statutory information is received about prospective staff before taking up )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (post. This includes two references, including one from their last employer, a check to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (ensure they are not on the national list of people unsuitable to work with vulnerable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (adults \(Pova List\) and a Criminal Records Bureau disclosure \(CRB\). Commendable )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (good practice was noted of repeating all CRB and Pova checks every three years )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (though there is currently no obligation to do so. All staff have been issued with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (Social Care Code of Practice.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (The manager completed a three- day train the trainer course and provides a range of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (internal training sessions for the team.She was commended for her hard work in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (customising the staff induction programme. This includes service specific training in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (addition to the six Common Induction Standards, promoting development of essential )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (competencies in new staff. The induction package also covers equality and diversity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (promoting awareness and non - discriminatory practice. Observations confirmed staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (receive all statutory training. A workforce development plan is in place to monitor the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (teams training needs.)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 home does not meet the standard for 50% of care staff to achieve a Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (National Vocational Qualification \(NVQ\) at Level 2 or equivalent.The reticence of some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (staff to work towards this qualification continues to be barrier to meeting this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (standard, despite being made aware at interview of the requirement to do so. Whilst )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (the staff induction prepares new staff for entry onto the NVQ programme, they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (sometimes leave before obtaining this qualification. The manager said that it is also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (difficult to keep staff motivated to complete this training, as often they find difficulty in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (understanding the concept of the training programme. Effort is made to overcome this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (problem through mentoring arrangements.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (Staff meetings are regular and two weekly staff training sessions take place. Staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (appraisals are carried out twice a year and monthly supervisions take place in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (between. Discussions with a staff member during the visit confirmed her view that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (staffing levels are adequate to appropriately and safely meet the needs of people using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (services. A management on-call system ensures staff are supported day and night. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (The manager and deputy manager live a short distance from the home, enabling them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (to promptly visit, out of hours if necessary.)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 (34)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 154.97 w 33.45 385.25 m 563.65 385.25 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 132.47 w 32.32 374 m 564.78 374 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 31.2 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 305.56 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 30.12 306.64 m 566.98 306.64 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 (The home's management and administration is efficient and the service is led by a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (qualified, competent manager. The home is run in the best interest of people using )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (services and their welfare,health and safety is promoted.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 212.54 w 33.45 174.5 m 563.65 174.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.77 m 565.9 271.77 l S 0.001 w 191.17 w 32.32 162.69 m 564.78 162.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.4 m 566.98 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.4 m 565.9 259.4 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 31.2 268.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (The responsible individual, on behalf of the organisation, was present at the home at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (the time of the inspection visit. Though the registered manager was off duty she )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (arrived shortly after being informed of the inspection, to facilitate the same. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (responsible individual stated he visits and works at the home at least four times a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (week, sometimes more. He has a clearly designated role dealing with business )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (financial management and also purchases food provisions. He has sound knowledge of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (both strategic and financial planning and of accountancy, enabling effective financial )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (controls. The responsible individual is also the corporate appointee for a small number )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (of people using services who have separate financial accounts from the business. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (Efficient systems are in place to safeguard and support people using services in the )Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 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 (30)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 (34)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 (management of their money.)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 (A barrier to improvement was stated to be the failure of annual fee increases paid by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (local authorities to keep pace with inflation, though service costs increase, year upon )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (year. The home's management works hard to overcome this through savings )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (efficiencies and effective management of resources without impacting on quality of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (services. This has had significant impact on the development of the home's day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (services.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The registered manager has managed the home for the past six years. Since the last )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (inspection she has completed her NVQ Level 4 in management and achieved the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Registered Managers Award. The home's deputy manager was also on duty and has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (attained the NVQ Level 4 qualification in management. The manager and deputy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (manager have clearly defined areas of responsibility. Observations indicated that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (home has a cohesive senior management team supported by effective and efficient )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (management and administration systems.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (Discussions with management confirmed a clear vision of the home's values and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (priorities. A staff member said the management team communicated a clear sense of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (direction and is supportive.)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 (Quality assurance and monitoring processes exist. These include audits and monthly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (statutory inspections by the responsible individual. Also an annual quality survey is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (conducted, consulting people using services and their relatives or representatives )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (about the home. At the time of the inspection the 2009 surveys had recently been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (distributed and those received back were being collated. Observation of the outcomes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (of the 2008 survey demonstrated the overall satisfaction with services of people using )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (services and their representatives.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (The home works to a clear health and safety policy. All staff are aware of the policy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (and are trained to put theory into practice. Health and safety and fire safety risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (assessments and audits take place. A fire safety audit was recently conducted by a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (specialist company and compliance with the fire regulations confirmed. Regular fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (tests and fire drills are carried out. People using services were stated to respond )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (promptly to the fire alarm and evacuate to the assembly point at the front of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (buildings.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (Four senior staff are fully trained first aiders and all other staff have received first aid )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (appointee training. Accident and maintenance records sampled demonstrated due )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (diligence in maintaining a safe environment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 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 (31)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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 93.86 w 33.45 764.48 m 563.65 764.48 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 72.48 w 32.32 752.67 m 564.78 752.67 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 31.2 714.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 714.22 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 30.12 715.3 m 566.98 715.3 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 have not always received statutory notifications of incidents which is a legal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (requirement. This was discussed with management who gave assurances these had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (been sent. The requirement for the home to notify the CSCI of any safeguarding adults )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (referrals was also discussed and for the new notification procedure to be followed.)Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 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 (32)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 (34)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 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 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 (33)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 (34)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. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 477.47 m 566.2 477.47 l S 0.001 w 18.15 w 31.2 432.49 m 91 432.49 l S 0.001 w 18.15 w 93.25 432.49 m 197.4 432.49 l S 0.001 w 18.15 w 199.65 432.49 m 566.2 432.49 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 442.69 m 568.4 442.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 512.26 m 568.4 512.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 442.69 m 568.4 442.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 422.29 m 568.4 422.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 513.34 m 30.07 421.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 443.77 m 92.12 421.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 443.77 m 198.52 421.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 513.34 m 567.32 421.21 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 496.07 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 478.49 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 463.91 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 449.33 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 431.51 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 428.51 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 428.51 Tm (Good Practice Recommendations)Tj ET endstream endobj 82 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 83 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 (34)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 (34)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (0845 015 0120 or )Tj ET /F2 12 Tf BT 1 0 0 1 213.36 759.6 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (0845 015 2255 )Tj ET /F2 12 Tf BT 1 0 0 1 198.12 739.6 Tm (or )Tj ET /F2 12 Tf BT 1 0 0 1 214.75 739.6 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.csci.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 515.15 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 84 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 85 0 obj[6 0 R/XYZ 0 265.42 0] endobj 86 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. 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/eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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!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$]UþCi Rhr+9aa9wuA&DKw^Qe|Z 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000 cleartomark endstream endobj 87 0 obj<> endobj 35 0 obj<> endobj 88 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,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 89 0 obj<> endobj 90 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 91 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 78 0 obj<> endobj 92 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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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 <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 97 0 obj<> endobj 98 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/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 <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 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 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