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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Buxton Street \(131-133\))Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (131-133 Buxton Street )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Whitechapel)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (London)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (E1 5AR)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 400.14 331.89 Tm (two star good service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Robert Cole)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Buxton Street \(131-133\))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 (131-133 Buxton Street)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Whitechapel)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (London)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (E1 5AR)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (02072472004)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (02072472004)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (rtapader@outward.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (Outward)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (5)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 382.81 m 565.6 382.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 567.8 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.4 m 568.1 371.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.57 m 568.1 348.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 347.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 393.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 393.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 347.49 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (learning disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.21 Tm (No persons with wheelchair dependency )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 333.78 m 315.25 333.78 l S 0.001 w 1 1 1 RG 20.58 w 317.5 333.78 m 346.55 333.78 l S 0.001 w 20.58 w 348.8 333.78 m 377.9 333.78 l S 0.001 w 20.58 w 380.15 333.78 m 409.2 333.78 l S 0.001 w 20.58 w 411.45 333.78 m 440.55 333.78 l S 0.001 w 20.58 w 442.8 333.78 m 471.9 333.78 l S 0.001 w 20.58 w 474.15 333.78 m 503.2 333.78 l S 0.001 w 20.58 w 505.45 333.78 m 534.55 333.78 l S 0.001 w 20.58 w 536.8 333.78 m 565.9 333.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 345.19 m 568.1 345.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 322.36 m 568.1 322.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 346.27 m 30.07 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 346.27 m 316.37 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 346.27 m 347.67 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 346.27 m 379.02 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 346.27 m 410.32 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 346.27 m 441.67 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 346.27 m 473.02 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 346.27 m 504.32 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 346.27 m 535.67 321.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 346.27 m 567.02 321.29 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 329.01 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 309.36 m 565.9 309.36 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 299.74 m 568.1 299.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 300.81 m 30.07 109.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 300.81 m 567.02 109.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 318.99 m 568.1 318.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.74 m 568.1 299.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 110.49 m 568.1 110.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 320.06 m 30.07 298.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 320.06 m 567.02 298.66 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 305.8 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 305.8 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 286.55 Tm (131-133 Buxton Street is a 24 hour residential service for 5 people who have learning )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 269.55 Tm (disabilities and complex needs. It is situated in Tower Hamlets in a central location )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 252.55 Tm (close to public transport links and with local shops and a market. The home is located )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 235.55 Tm (in a pair of terraced cottages which have been converted to provide two independent )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 218.55 Tm (flats - 131 and 133. The flats have separate front doors but there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 201.55 Tm (intercommunicating door inside. The upper flat is occupied by three more independent )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 184.55 Tm (service users. The lower flat is occupied by one service users who has rather higher )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 167.55 Tm (needs. The homes share a small but pleasant and private garden. They are run )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 150.55 Tm (separately from one office which is located on the ground floor in number 133. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 133.55 Tm (staff team consists of a manager, and several care staff. The cost of a placement at )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 116.55 Tm (the service is #1320.01 per week. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 96.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.18 Tm ()Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 18 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 553/Matrix [1 0 0 1 0 0]>>stream xMo09> endobj 20 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 (5)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 (28)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 1 411.34 715.45 Tm (two star good 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 (This inspection took place on the 16/06/09 and was unannounced. The inspector had )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (the opportunity of speaking with service users, staff from the home, and the homes )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (manager was present for much of the inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (In addition to these discussions the inspector was able to observe staff interactions )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (with service user. The inspection also included a tour of the premises, and an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (examination of records and other documents.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (Prior to the date of inspection, the home completed an Annual Quality Assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\) at the request of the CQC. Information provided within this )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (document has contributed to the overall inspection process, and to judgements made )Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 22 0 obj <>stream 0 J 1 1 1 RG 17.58 w 32.32 803.74 m 566.72 803.74 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 30.12 793.82 m 568.92 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 792.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 792.75 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (within this report.)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 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 (7)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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 137.22 w 32.32 722.21 m 566.72 722.21 l S 0.001 w 20.58 w 32.7 641.06 m 569.35 641.06 l S 0.001 w 93.48 w 33.82 581.78 m 568.22 581.78 l S 0.001 w 20.58 w 33.45 522.5 m 570.1 522.5 l S 0.001 w 78.9 w 34.57 470.51 m 568.97 470.51 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 652.48 m 568.92 652.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 651.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 652.48 m 569.35 652.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 629.65 m 569.35 629.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 629.65 m 570.42 629.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 533.92 m 570.42 533.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 511.09 m 570.1 511.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 533.92 m 570.1 533.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 511.09 m 571.17 511.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 429.94 m 571.17 429.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 630.73 m 32.7 532.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 512.17 m 33.45 428.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 651.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 630.73 m 569.35 532.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 512.17 m 570.1 428.86 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The home presents as friendly and homely,and service users spoken to expressed )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (satisfaction with the care and support they receive. Service users made positive )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (comments about the home, such as "I like living here, the staff are alright." and "I )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (chose my own paint and carpet in my bedroom.")Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (Care plans in the home were seen to be of a good standard, as was record keeping )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (generally. There was evidence that service users have control over their daily lives, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (and that they are provided with the opportunity of being involved in the day to day )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm (running of the home.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 720.66 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 638.95 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 636.29 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 639.51 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 580.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 613.46 Tm (There have been improvements at the home since the previous inspection, and the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 598.88 Tm (overall number of requirements set has fallen. Pre admission assessments are now )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 584.3 Tm (carried out on prospective service users, and the Service User Guide now contains )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 569.72 Tm (required information. All staff with responsibility for administering medications have )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 555.14 Tm (now received training in this area, and effective systems have been put in place for the )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 540.56 Tm (storage and management of COSHH products. )Tj ET /F2 10 Tf BT 1 0 0 1 570.47 580.23 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 520.95 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 517.73 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 468.96 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 494.9 Tm (Despite these improvements, there are still some areas that must be addressed, and a )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 480.32 Tm (total of four requirements have been made in this report. In particular, the home must )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 465.74 Tm (ensure that staff undertake all necessary statutory health and safety training. There )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 451.16 Tm (are some minor maintenance issues that must be addressed. Regulation 26 visits need )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 436.58 Tm (to be undertaken monthly, and a report produced from these visits.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 414.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 394.26 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 394.26 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 394.26 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 376.76 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.77 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 336.77 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 336.77 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 336.77 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 319.27 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 319.27 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 319.27 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 301.78 Tm (7535.)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 (28)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 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 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 (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 519.07 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 (28)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 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 (It is the judgement of the inspector that service users are provided with sufficient )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (information about the home to enable them to make an informed choice as to move in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (or not. This information is provided through written documentation and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (opportunity of visiting the home.)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 home has both a Statement of Purpose and a Service User Guide in place. Both )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (documents were examined, and found to contain some inaccuracies, for example )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (details of the regulatory authority and of the gender of service users. These )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (inaccuracies were brought to the attention of the homes manager, who was able to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (amend the documents during the course of the inspection, so that they were in line )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (with National Minimum Standards.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (The Guide has been produced in pictorial form to help make it more accessible to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (service users, thus helping to meet needs around equality and diversity issues. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (Guide contained details of the homes physical environment and of its complaints )Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 31 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for 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 1 526.07 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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (procedure. All service users are provided with their own copy.)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 (One service user has moved in to the home since the previous inspection. It was found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (that they moved in in line with the homes policy and procedure on admissions, which )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (states that service users would be given the opportunity of visiting the home before )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (making a decision as to move in or not. There was a detailed transition plan in place, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (which indicated that the service user had been able to visit the home on several )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (occasions. The service user had also been involved in the transition planning process, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (for example they were able to choose new furniture and decor for their bedroom. An )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (assessment of their need had been carried out before they moved in to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (All service users are provided with a written contract/statement of terms and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (conditions. These are signed by the service user and a representative of the home. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Contracts include details of fees payable, and the rights and responsibilities of both )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (parties.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET endstream endobj 32 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for 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 1 526.07 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 (28)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 137.47 w 33.45 377 m 563.65 377 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 114.98 w 32.32 365.75 m 564.78 365.75 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 31.2 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 306.06 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 30.12 307.14 m 566.98 307.14 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 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 (It is the inspectors judgement that service users have control over their daily lives, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (and that they have the opportunity of been involved in the day to day running of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (home.)Tj ET 0.99608 0.9451 0.76078 RG 213.04 w 33.45 174.74 m 563.65 174.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.27 m 565.9 272.27 l S 0.001 w 191.67 w 32.32 162.93 m 564.78 162.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.89 m 566.98 259.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.89 m 565.9 259.89 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 31.2 268.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (Comprehensive care plans are in place for all service users. These are drawn up with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (the involvement of service users, who sign their own care plans to indicate their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (involvement with and agreement to the plan. Plans are subject to regular review.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (The plans consist of a pen picture of the service user, a checklist which indicates what )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (ares service users require support with, and a detailed plan of care for each area )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (identified. These include needs around personal care, social and leisure needs, cultural )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (and religious needs and needs around mobility. Plans are written in the first person, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (for example one plan states "I need to be supported with issues around budgeting and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (I need to be supported by staff to access my money from the bank.")Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (28)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 ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Risk assessments are in place for all service users, and as with care plans these are of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (a satisfactory standard. Assessments identify any particular risk, and include strategies )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (to manage and reduce those risks. Assessments seen by the inspector covered )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (challenging behaviour, accessing the community and falls. There was evidence that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (service users are able to take reasonable risks, for example one assessment indicated )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (that there was a risk presented to the service user whilst cooking, but steps have been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (put in place to support them with this activity in a relatively safe manner.)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 (There was evidence that service users have a large measure of control over their daily )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (lives, for example when to get up and go to bed, what to eat, what to wear etc. When )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the inspector arrived at the home on the day of inspection, one service user was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (waiting to go to a day centre, they informed the inspector that this was what they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (wanted to do. Another service user was still in bed, and was ale to get up at a time of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (their choosing.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The home has systems in place to help involve service users in the day to day running )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (of the home. One service user has been working with a speech and language therapist, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (developing an objects of reference programme to aid their communication skills, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (to enable them to be better able to make choices.)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 (Regular service user meetings are held once a fortnight. Service users are able to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (contribute to the agenda, and minutes are maintained of these meetings. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (meetings include a menu planning session, where visual aids are used to help support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (service users to plan the menu for the coming weeks, which helps to meet needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (around equality and diversity issues. Meetings also discuss activities and issues raised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (in the homes listening book. The listening book provides service users the opportunity )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (to record any issues of concern or interest to them which the would like some further )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (discussions or action on. Recent examples of entries in the listening book include a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (service user requesting that her picture gets a frame, and a service user wanting a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (Christmas tree for their bedroom.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (It was positively noted that service users are involved in choosing any new decor or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (furniture for the home. for example one service user recently bought a new bed, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (informed the inspector that they were able to choose this themselves.)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 (28)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 137.47 w 33.45 343 m 563.65 343 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 114.98 w 32.32 331.75 m 564.78 331.75 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 31.2 272.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 391.44 m 565.9 272.06 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 30.12 273.14 m 566.98 273.14 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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 374.68 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 (It is the judgement of the inspector that service users are supported to live valued and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.69 Tm (fulfilling lives. Service users have access to a variety of activities, and food was of a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 282.2 Tm (good standard.)Tj ET 0.99608 0.9451 0.76078 RG 179.04 w 33.45 157.74 m 563.65 157.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 238.27 m 565.9 238.27 l S 0.001 w 157.67 w 32.32 145.93 m 564.78 145.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 225.89 m 566.98 225.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 226.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 226.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.89 m 565.9 225.89 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 31.2 234.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 210.21 Tm (No service users are currently involved in any employment or educational )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.71 Tm (opportunities. Three of the four current service users regularly attend day services. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 175.22 Tm (These provide opportunities for developing and maintaining friendships, along with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.72 Tm (various activities such as day trips, literacy skills and arts and craft sessions. One )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 140.22 Tm (service user teaches Makaton at a day service they attend. Service users also have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.73 Tm (access to other community based facilities such as shops, banks, parks, hairdressers )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 105.23 Tm (and service users use public transport.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.74 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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.88 m 566.98 347.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (The home arranges various community based activities, service users go swimming, to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (restaurants and pubs and to the cinema. Service users attend a disco on Fridays, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Outward, the organisation that runs the home, holds a monthly social event. The home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (arranges occasional day trips, for example to Southend and Westfield shopping centre. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (All service users are offered a weeks holiday away from the home as part of their basic )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (contract price. At the time of inspection, one service user was on holiday in Portugal, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (another informed the inspector that they were going to Italy soon, which they were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (looking forward to. There was evidence that service users are involved in choosing and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (planing their holidays.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (In house service users have access to a variety of activities, such as television, DVDs, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (music, looking good sessions and one service user plays the guitar. No service users )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (currently visit a place of worship, although a recently deceased service user did visit )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (church regularly. All service users were able to attend the funeral for this person. One )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (service user goes to a Caribbean music night once a month, and also attends a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (Caribbean drop-in centre.)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 (As mentioned, service users are involved in planning menus. Menus indicated that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (service users have a varied, balanced and nutritious diet. The home has two kitchens, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (both of which were clean and tidy, but in need of some maintenance work \(see section )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (on the environment\). Records are maintained of fridge and freezer temperatures. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (home makes traditional British and Caribbean food, thus helping to meet needs around )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (equality and diversity issues. On the day of inspection the one service user at home for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (their lunch was seen to be encouraged to participate in its preparation.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 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 (28)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 (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 442.68 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 (It is the judgement of the inspector that the home is generally meeting the health and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.69 Tm (personal care needs of service users. Service users are supported to manage their own )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.2 Tm (personal care as much as possible, and systems are in place to help ensure the safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.7 Tm (administration of medications.)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 (Care plans indicate that service users are supported to manage their own personal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.22 Tm (care as much as possible. Service users are able to choose their own clothes to wear, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.72 Tm (and all were appropriately dressed on the day of inspection. Each service user has )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.22 Tm (their own designated keyworker.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.23 Tm (All service users are registered with a GP. Records are maintained of medical )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.74 Tm (appointments, including details of any follow up action necessary. These indicate that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.24 Tm (service users have access to various health care professionals, such as psychiatrists, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.74 Tm (chiropodists and opticians. However, records also indicated that none of the four )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.25 Tm (current service users have seen a dentist in the past six months, and for one service )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.75 Tm (user there was no evidence that they have seen a dentist in over two years. The )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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 321.3 w 33.45 650.75 m 563.65 650.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 299.93 w 32.32 638.94 m 564.78 638.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 486.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 486.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 487.85 m 566.98 487.85 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (manager was able to demonstrate that appointments have been made in the near )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (future for two service users. It is required that all service users have routine access to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (dental care as appropriate.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (The home has taken steps to try to promote healthy lifestyles for service users, for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (instance through the provision of healthy food, and encouraging service users to take )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (regular exercise. Service users weight is checked regularly.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (The home has a comprehensive medication policy in place. Medications were stored in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (various locked and suitable medication cabinets situated around the home. No service )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (users currently self medicate or are on any controlled drugs. The manager informed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (the inspector that before staff are able to administer medications, they must first )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (undertake training, which includes an assessment of their competence.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (Records are maintained of medications entering the home and of those returned to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (pharmacist. Medication Administration Records are maintained, those examined by the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (inspector were accurate and up to date.)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 (28)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 (It is the inspectors judgement that the home has taken reasonable steps to help )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (safeguard service users.)Tj ET 0.99608 0.9451 0.76078 RG 307.43 w 33.45 247.04 m 563.65 247.04 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 284.94 w 32.32 235.8 m 564.78 235.8 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 91.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 380.47 m 565.9 91.13 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 92.2 m 566.98 92.2 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 has a complaints procedure in place. This has been produced in pictorial )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (form, and the manager informed the inspector that there are plans to produce a DVD )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (version of the complaints procedure to help make it more accessible to service users. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (All service users are given a copy of the procedure within the Service User Guide. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (procedure includes timescales for responding to any complaints. The home has a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (complaints log, although the manager informed the inspector that no complaints have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (been received since the previous inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (The home has a copy of Tower Hamlets adult protection procedure, and also its own )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (safeguarding adults policy. Staff spoken to demonstrated a good understanding of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (their roles and responsibilities with regard to adult protection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (All services users have their own bank accounts, and they have to be present to draw )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (any monies out. Records and receipts are maintained of financial transactions involving )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (service users money, those checked by the inspector were found to be satisfactory. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (Monies held by the home on behalf of service users are kept in a locked safe.)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 (28)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 (28)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 (It is the view of the inspector that the home is suitable to meet its stated purpose with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (regard to the physical environment. Service users have access to adequate communal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (and private space, and the home was generally well maintained.)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 (The home is located in the Whitechappel area of the London Borough of Tower )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (Hamlets, close to shops, transport networks and other local amenities. The home is in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (keeping with other homes in the vicinity, and externally was well maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm (The home consists of two terraced houses converted in to one, over two floors. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (Communal space includes a kitchen on both floors, and a sitting room/dining room on )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (each floor, along with a rear garden. Although communal areas were generally well )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (maintained, there were some minor maintenance issues that need to be addressed, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (i.e. scuffed paintwork around the door frames, broken worktop surfaces in the upstairs )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (kitchen, missing skirting in the downstairs kitchen underneath cupboards, and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (upstairs carpet was badly stained and threadbare. Furniture in communal areas was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (generally well maintained.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (All service users have their own bedrooms, which have a hand basin fitted. Service )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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 504.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 505.35 m 566.98 505.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (users have been able to personalise their rooms to their own tastes, for example with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (televisions and family photographs. Service users have been able to choose the decor )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (and the furniture for their bedrooms. Bedrooms contained adequate furniture, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (bedding, curtains and carpets were well maintained and homely. Bedrooms had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (adequate natural light and ventilation. All bedrooms were centrally heated, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (radiators were boxed in for safety reasons.)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 (The home has adequate numbers of toilets and bathrooms situated around the home. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (These were found to be clean, tidy and free from offensive odours. Bathrooms had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (working locks fitted which included an emergency override device. Bathrooms had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (grabrails fitted to help make them more accessible to service users.)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 home has taken reasonable steps to help prevent the spread of infection. Laundry )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (facilities are appropriate in scale to the size of the home, and hand washing facilities )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (were situated around the home. Protective clothing was available to staff, and COSHH )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (products were stored securely.)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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 0.001 w 1 1 1 RG 34 w 31.2 593.29 m 563.65 593.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.17 m 565.85 575.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 574.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 574.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (they need from their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 534.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 534.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 517.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 436.25 m 563.65 436.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 0.001 w 132.47 w 32.32 425 m 564.78 425 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 492.36 m 566.98 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 493.44 m 31.2 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 493.44 m 565.9 356.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.36 m 565.9 492.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 357.64 m 566.98 357.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 439.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 419.19 Tm (It is the judgement of the inspector that the home is staffed in sufficient numbers to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.69 Tm (meet the needs of service users, and that staff have built up good relations with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.2 Tm (service users. However, it is required that staff have access to statutory health and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.7 Tm (safety training as appropriate.)Tj ET 0.99608 0.9451 0.76078 RG 263.54 w 33.45 200 m 563.65 200 l S 0.001 w 1 1 1 RG 22.5 w 31.2 322.77 m 565.9 322.77 l S 0.001 w 242.17 w 32.32 188.19 m 564.78 188.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.4 m 566.98 310.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.4 m 565.9 310.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 319.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.71 Tm (The home provides 24-hour staff support, including waking night staff and an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.22 Tm (emergency on-call procedure. There was a staffing rota on display on the day of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.72 Tm (inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.73 Tm (Through observation and discussion there was evidence that staff have a good )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.23 Tm (understanding of the collective and individual needs of service users, staff were seen )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.74 Tm (to interact with service users in a friendly and respectful manner. Service users spoken )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.24 Tm (to expressed satisfaction with the staff, one commented "I like my keyworker." All )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.74 Tm (staff are given a copy of their job description, and regular staff meetings are held. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.25 Tm (Examples of positive staff interaction with service users were seen, for example )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.75 Tm (supporting a service user to make their own lunch.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.76 Tm (The AQAA supplied by the home indicates that they have all necessary employment )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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 478.77 w 33.45 572.02 m 563.65 572.02 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 457.4 w 32.32 560.21 m 564.78 560.21 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 31.2 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 329.31 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 30.12 330.39 m 566.98 330.39 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 (related policies and procedures in place in line with National Minimum Standards, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (including on recruitment and selection and equal opportunities. Service users are given )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (the opportunity of being involved in the staff recruitment and selection process. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Outward, the organisation that runs the home, holds staff employment records )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (centrally at their head offices. This is with the agreement of the CQC.)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 (All but two of the care staff have achieved an NVQ Level 2 in Care or equivalent )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (qualification. The manager informed the inspector that it is planned that in time all )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (staff will have such a qualification.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (During the course of the inspection, the inspector examined staff training records. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (There was a matrix produced, indicating what training staff have had. This matrix gave )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (several examples of staff having had training, when their was no certificate in place to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (evidence this. Further, the matrix also highlighted that a lot of staff were not up to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (date with statutory health and safety related training, for example there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (indication that any of the staff working at the home had received training on fire )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (safety. Subsequent to the inspection, the homes manager provided a more detailed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (picture of what health and safety training staff have had. The inspector was pleased to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (note that fire safety training was arranged for all but one staff \(who was off sick\) the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (week after the date of inspection, and that plans are in place for all staff to receive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (first aid training. Whilst it is positively noted that the home has taken steps to address )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (this issue, there are still several gaps in staff health and safety training, for example )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (only two of the eight care staff have received training on infection control. Therefore, a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (requirement has been made in this report that the home ensures that all staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (undertake all statutory health and safety training as appropriate. The home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (provided other training for staff, for instance on epilepsy and bereavement.)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 (28)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 119.98 w 33.45 402.74 m 563.65 402.74 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 97.48 w 32.32 391.5 m 564.78 391.5 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 31.2 340.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 340.55 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 30.12 341.63 m 566.98 341.63 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 (It is the view of the inspector that this is a generally well run home, with appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (health and safety systems in place.)Tj ET 0.99608 0.9451 0.76078 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 0.001 w 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 294.39 m 566.98 294.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 295.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 295.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.39 m 565.9 294.39 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 31.2 303.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 278.7 Tm (The home has a registered manager in place, who has an NVQ Level 4 in Care and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 261.21 Tm (Registered Managers Award. They have fourteen years experience of working in social )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (care, including eight years in a managerial capacity. The manager is also the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (registered manager of another residential care home run by Outward, which is in close )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (proximity to Buxton Street, and they spend their time working between the two )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (projects. They are supported by a deputy manager in the running of the home in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (Buxton Street.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (Service user and staff meetings, and care plan reviews all contribute to the quality )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (assurance procedures within the home. Copies of previous inspection reports are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (available to view. The visitors book indicated that Regulation 26 visits had taken place )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (on a monthly basis. However, reports of these visits are generally not produced. There )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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 338.8 w 33.45 642.01 m 563.65 642.01 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 317.43 w 32.32 630.19 m 564.78 630.19 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 31.2 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.28 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 30.12 470.36 m 566.98 470.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (was one report in the home from a visit on the 26/05/09, and the most recent report )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (available prior to that was from a visit on the 25/11/08. If Regulation 26 visits are to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (be meaningful, it is essential that staff, service users and management in the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (are able to view the findings of the visit, in order to take action where appropriate. It )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (is required that monthly unannounced Regulation 26 visits take place, and that a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (report of these visits is made, and is available to view within the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (The AQAA supplied by the home indicates that they have all necessary policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (procedures in line with National Minimum Standards. Those checked by the inspector, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (including admissions and adult protection, were of a satisfactory standard. Record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (keeping in the home was generally of a good standard, and confidential records are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (stored securely. Service users and staff have access to their records upon request.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Fire extinguishers were situated around the home, these were last serviced in July )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (2008. Fire alarms are tested weekly, and were last serviced on the 23/12/08. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (home had in date safety certificates for gas safety, PAT testing and electrical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (appliances. Hot water and fridge/freezer temperatures are checked. COSHH products )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (are stored securely. The home had in date employers liability insurance cover. )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.98431 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 (25)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 (28)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 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> 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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 31.2 617.8 m 566.2 617.8 l S 0.001 w 30.3 w 31.2 567.03 m 91 567.03 l S 0.001 w 30.3 w 93.25 567.03 m 197.4 567.03 l S 0.001 w 30.3 w 199.65 567.03 m 289.5 567.03 l S 0.001 w 30.3 w 291.75 567.03 m 473.9 567.03 l S 0.001 w 30.3 w 476.15 567.03 m 566.2 567.03 l S 0.001 w 1 1 1 RG 136 w 31.2 481.63 m 91.05 481.63 l S 0.001 w 136 w 93.3 481.63 m 197.4 481.63 l S 0.001 w 136 w 199.65 481.63 m 289.45 481.63 l S 0.001 w 136 w 291.7 481.63 m 473.8 481.63 l S 0.001 w 136 w 476.05 481.63 m 566.1 481.63 l S 0.001 w 136 w 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (23)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (ensure that maintenance )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (issues in need of attention )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (highlighted within this report )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (are addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm (To help improve the homes 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/F2 12 Tf BT 1 0 0 1 99.3 261.07 Tm (35)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 261.07 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 261.07 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 244.07 Tm (ensure that all staff working )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 227.07 Tm (at the home undertake all )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 210.07 Tm (required statutory health )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 193.07 Tm (and safety training as )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 176.07 Tm (appropriate.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 159.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 142.07 Tm (To help ensure the health, )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 125.07 Tm (safety and welfare of service )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 108.07 Tm (users and others.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 261.07 Tm (31/10/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 261.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 88.82 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 88.82 Tm (39)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 88.82 Tm (26)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 88.82 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 71.82 Tm (ensure that monthly )Tj ET /F2 12 Tf BT 1 0 0 1 482.1 88.82 Tm (31/07/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 88.82 Tm ()Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for 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 (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 153 w 31.2 736.03 m 91.05 736.03 l S 0.001 w 153 w 93.3 736.03 m 197.4 736.03 l S 0.001 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within the home.)Tj ET /F2 12 Tf BT 1 0 0 1 295.8 717.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 295.8 700.72 Tm (To help monitor the quality )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 683.72 Tm (of care and support provided )Tj ET /F2 12 Tf BT 1 0 0 1 295.8 666.72 Tm (in the home.)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 588.49 m 566.2 588.49 l S 0.001 w 18.15 w 31.2 543.51 m 91 543.51 l S 0.001 w 18.15 w 93.25 543.51 m 197.4 543.51 l S 0.001 w 18.15 w 199.65 543.51 m 566.2 543.51 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 553.71 m 568.4 553.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.28 m 568.4 623.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 553.71 m 568.4 553.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 533.31 m 568.4 533.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 624.36 m 30.07 532.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 554.79 m 92.12 532.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 554.79 m 198.52 532.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 624.36 m 567.32 532.23 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 607.09 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 589.51 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 574.93 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 34.05 560.35 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 542.53 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 539.53 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 539.53 Tm (Good Practice Recommendations)Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for 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 (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj[6 0 R/XYZ 0 272 0] endobj 73 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X^l. f}}}]*L]BBB???^^^^^^^!^^V^$2uMCy<14^9l^"WBl;]uMCB;B;;^3:3:m;}6;}6;rWvWvBX96uMC?v?vy<1y<1BBp;X9<99^x}] !Zfp3:B;B;}6;}6;}6;WBl;WBl;WBl;gv  7T]_U AWvWvBX9BX9uMC?v?v?v?v73:N :BX)777^^YYa^!^^mWgf}y<g]*WCBgisAY+Lp;<vqtq!;vpXw7X9j~q:t@tX9t@}BuM]LU gx}'C\\l*gBgiBB{]O+3:fC2Rw6; qX9l;> X`:R*96; R=CA RFn ^AB9^^^^^^^^^^^^^^^3:3:3:33:3:3:3:3:3:3:3:}6;}6;}6;}6;}6}6;}6;}6;]h])v,,,-,-,,n,x,,u,,,,},,,b<z1~;z1=HzzV5202Li7i(Fkbbba6k102bbb<z11=HzV52Li7iFk1<=7iv)%QTj =b===1yP;B%H\-+{J^?H\BHnngnYnY=j?\HX\?\u\\=\\u\\PPFqVd\\Bd\\B\\ejfffBX9BX9BX9AXBX9BX9BX9B9B9B9B9B9?v?v;3lJRj^O^wVR^\\=^u\\=\Ru\\=u\\=PPFqPPFqPPFq\^F\^FVV \ \\} \ \\} =\ P\# =\ P\#ddddR\R\\?\H\\H\f\B-\\?b`L\\=\R`fV\\\\=%!5555XXR)fu +cC&4Nx `f[lpkCU!HuMC6;}\Zb===b?sdRRR{R=sVyRRRV= R R==R=o){R7R\==;=\;7dZ/==#7=Nduu{+ 11=RBBBBO7 /N{wXrZ/k=]U A#R.j/ ]X`vB66BX9 f,u\\=\^FVL\\*d=*d*dPPPP (\1si2BBW 7) nng\d2XX ^ ^^^VV\\u\\=u\\=u\\=u\\=u\\=u\\=PPFqPPFqPPFqPPFqPPFqPPFq\^F\^F\^F\^F\^F\^F\^FVVVVVVV \ \\} \ \\} \ \\} =\ P\# =\ P\#dR\\?\H\?\H\?\H\?\H\\\\\\d\\B\f\B\f\B\f\Bd\\Bd\\Bd\\Bd\\Bd\\B-\\?-\\?-\\?-\\?L\\=L\\L\\=L\\PPFqVttVVVVVVVdd\\=V\\\\?0"22"2S( 2XX \ \\} =\ P\#R\jb\^F^^^^^^^^^^^^^^^^}6;^z3:lllB;ml;ml;ml;ml;ml;}6;}6;}6;}6;}6;,WBl;gvgvgvgvgvWLzvv***WvWvWvWvBX9BX9BX9BX9ilil44uMCuMCuMCuMCuMC?v?v?v?v?v77  y<1y<1y<1v3:p;p;p;p;p;p;p;p;..XX<<<<<<==vvvvvvvv''aaX9X9X9X9X9X9 iitttttttt@@@@@@@@^^AAp;p;<<vvX9X9tt@@p;p;p;p;p;p;p;p;88XXvvvvvvvv''@@@@@@@@^^AAp;p;p;p;p;p;p;^^^vvvvvp Z g\\^lddWW2+\\^ttttj~j~tt^^^y@@@@@ti+^p=pd--DDDDDG$qqD#q~=DpqlDSSSWBl2WBl;BX9C C >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>d@U6<T@o(-6@o6q:!Aq0qPqpqqqqq?q_qqS6c6N346N$&6N<[[@Z6@Z6@Z6Y 6@p(-6@p6]6b6b6R6g/66g&6f 6a 6e366e(*6e 6eaOQ6a>?6a6a6@a 6@_(26OVZ6O9;60AO@OPOpOOdddddpdF6F6F 6B6B 6>6= 60/@ 2d0 9099A ;272 52/A 2634313@88@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! 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 80 0 obj<> endobj 81 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 82 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 83 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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399.32 Tm (13)Tj 1 0 0 1 298.05 399.32 Tm (The registered person must )Tj 1 0 0 1 298.05 382.32 Tm (ensure that all service users )Tj 1 0 0 1 298.05 365.32 Tm (have routine access to )Tj 1 0 0 1 298.05 348.32 Tm (dental care as appropriate.)Tj 1 0 0 1 298.05 331.32 Tm (\240)Tj 1 0 0 1 298.05 314.32 Tm (To help ensure that service )Tj 1 0 0 1 298.05 297.32 Tm (users health care needs are )Tj 1 0 0 1 298.05 280.32 Tm (being met.)Tj 1 0 0 1 482.1 399.32 Tm (31/08/2009)Tj 1 0 0 1 554.05 399.32 Tm (\240)Tj 1 0 0 1 35.5 261.07 Tm (3)Tj 1 0 0 1 99.3 261.07 Tm (35)Tj 1 0 0 1 201.55 261.07 Tm (18)Tj 1 0 0 1 298.05 261.07 Tm (The registered person must )Tj 1 0 0 1 298.05 244.07 Tm (ensure that all staff working )Tj 1 0 0 1 298.05 227.07 Tm (at the home undertake all )Tj 1 0 0 1 298.05 210.07 Tm (required statutory health )Tj 1 0 0 1 298.05 193.07 Tm (and safety training as )Tj 1 0 0 1 298.05 176.07 Tm (appropriate.)Tj 1 0 0 1 298.05 159.07 Tm (\240)Tj 1 0 0 1 298.05 142.07 Tm (To help ensure the 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Tm (Name:)Tj 0 Tr 1 0 0 1 165.48 467.67 Tm (Buxton Street \(131-133\))Tj 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj 0 Tr 1 0 0 1 165.48 444.84 Tm (131-133 Buxton Street )Tj 1 0 0 1 165.48 427.26 Tm (Whitechapel)Tj 1 0 0 1 165.48 409.68 Tm (London)Tj 1 0 0 1 165.48 392.1 Tm (E1 5AR)Tj /C2_1 10 Tf 1 0 0 1 28.35 373.2 Tm <0003>Tj 1 0 0 1 28.35 356.2 Tm <0003>Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 1 1 1 RG 361.2 336.66 m 565.9 336.66 l S 0.992 0.898 0.545 RG 2.25 w 28.99 348.08 m 568.1 348.08 l S 28.99 325.25 m 568.1 325.25 l S 30.07 349.15 m 30.07 324.17 l S 360.07 349.15 m 360.07 324.17 l S 567.02 349.15 m 567.02 324.17 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj 1 0 0 1 191.92 331.89 Tm (care home)Tj 1 0 0 1 255.59 331.89 Tm ( is:)Tj 0 Tr 1 0 0 1 400.14 331.89 Tm (two star good service)Tj /C2_1 10 Tf 1 0 0 1 28.35 312.99 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of 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S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj /C2_0 10 Tf 0 Tr 1 0 0 1 297.64 803.65 Tm <0003>Tj /T1_0 12 Tf 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need t\ o do better.)Tj 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that peop\ le should )Tj 1 0 0 1 28.35 717.04 Tm (experience.)Tj 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following\ table explains )Tj 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET 22.69 653.87 m 572.15 653.87 l S 22.69 320.23 m 572.15 320.23 l S 22.7 653.87 m 22.7 320.23 l S 572.15 653.87 m 572.15 320.23 l S BT /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 1 0.945 0.761 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.992 0.898 0.545 RG 2.25 w 27.27 534.5 m 565.77 534.5 l S 27.27 576.74 m 565.77 576.74 l S 27.27 534.5 m 565.77 534.5 l S 27.27 492.26 m 565.77 492.26 l S 28.35 577.82 m 28.35 491.18 l S 564.7 577.82 m 564.7 491.18 l S BT /T1_0 12 Tf 0 Tr 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 1 0 0 1 34.87 543.56 Tm (inspection)Tj /T1_0 10 Tf 1 0 0 1 95.78 543.56 Tm (.)Tj /T1_0 12 Tf 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against w\ hen we do a )Tj 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj 0 0 0 RG 0.5 w /T1_0 10 Tf 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.945 0.761 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 1 1 1 RG 29.47 394.47 m 563.57 394.47 l S 0.992 0.898 0.545 RG 2.25 w 27.27 415.59 m 565.77 415.59 l S 27.27 373.35 m 565.77 373.35 l S 28.35 416.67 m 28.35 372.27 l S 564.7 416.67 m 564.7 372.27 l S BT /T1_0 12 Tf 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 1 0 0 1 517.79 399.91 Tm (We )Tj 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.945 0.761 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 1 1 1 RG 29.47 335.11 m 563.57 335.11 l S 0.992 0.898 0.545 RG 2.25 w 27.27 347.48 m 565.77 347.48 l S 27.27 322.73 m 565.77 322.73 l S 28.35 348.55 m 28.35 321.65 l S 564.7 348.55 m 564.7 321.65 l S BT /T1_0 12 Tf 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj 1 0 0 1 290.49 285.18 Tm (\226 )Tj 1 0 0 1 302.34 285.18 Tm (Care Homes for Adults \(18-65 years\))Tj 1 0 0 1 526.6 285.18 Tm ( can )Tj 1 0 0 1 28.35 267.68 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) P\ O Box 29, St )Tj 1 0 0 1 28.35 250.18 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online orde\ ring from the )Tj 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj 0 0 1 rg 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj 0 0 0 rg 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj /T1_1 12 Tf 1 0 0 1 46.35 172.7 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj /T1_1 12 Tf 1 0 0 1 46.35 155.06 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj /T1_1 12 Tf 1 0 0 1 46.35 137.42 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj /T1_1 12 Tf 1 0 0 1 46.35 119.78 Tm (\267)Tj /T1_0 12 Tf 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standar\ ds Act 2000.)Tj ET endstream endobj 196 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm <0035004800440047004800550003002C0051004900520055005000440057004C00520051>Tj ET 0.996 0.945 0.761 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 1 1 1 RG 226.3 774.22 m 567 774.22 l S 0.996 0.945 0.761 RG 28.35 751.39 m 224.05 751.39 l S 1 1 1 RG 226.3 751.39 m 567 751.39 l S 0.996 0.945 0.761 RG 28.35 728.56 m 224.05 728.56 l S 1 1 1 RG 226.3 728.56 m 567 728.56 l S 0.996 0.945 0.761 RG 28.35 705.73 m 224.05 705.73 l S 1 1 1 RG 226.3 705.73 m 567 705.73 l S 0.996 0.945 0.761 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 1 1 1 RG 226.3 617.29 m 567 617.29 l S 0.996 0.945 0.761 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 1 1 1 RG 226.3 528.85 m 567 528.85 l S 0.992 0.898 0.545 RG 2.25 w 26.14 762.8 m 569.2 762.8 l S 26.14 739.97 m 569.2 739.97 l S 26.14 717.14 m 569.2 717.14 l S 26.14 694.31 m 569.2 694.31 l S 26.14 540.26 m 569.2 540.26 l S 26.14 785.63 m 569.2 785.63 l S 26.14 762.8 m 569.2 762.8 l S 26.14 739.97 m 569.2 739.97 l S 26.14 717.14 m 569.2 717.14 l S 26.14 694.31 m 569.2 694.31 l S 26.14 540.26 m 569.2 540.26 l S 26.14 517.43 m 569.2 517.43 l S 27.22 786.71 m 27.22 516.35 l S 225.17 786.71 m 225.17 516.35 l S 568.12 786.71 m 568.12 516.35 l S BT /T1_0 12 Tf 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj 1 0 0 1 31.2 746.62 Tm (Author)Tj 1 0 0 1 229.15 746.62 Tm (CSCI)Tj 1 0 0 1 31.2 723.79 Tm (Audience)Tj 1 0 0 1 229.15 723.79 Tm (General public)Tj 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj 1 0 0 1 31.2 678.13 Tm (Copyright)Tj 1 0 0 1 229.15 678.13 Tm (Copyright \251 \()Tj 1 0 0 1 313.49 678.13 Tm (2009)Tj 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj 1 0 0 1 229.15 546.91 Tm (document specified.)Tj 1 0 0 1 31.2 524.08 Tm (Internet address)Tj 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 197 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 485.42 30.79 Tm (Page)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj /T1_0 11 Tf 0 Tr 1 0 0 1 523.58 30.79 Tm ( of )Tj /T1_0 12 Tf 2 Tr 1 0 0 1 541.88 30.79 Tm (28)Tj /C2_0 14 Tf 0 Tr 1 0 0 1 28.35 795.65 Tm <002C0051004900520055005000440057004C0052005100030044004500520058005700030057004B0048000300460044005500480003004B005200500048>Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 1 1 1 RG 270.2 774.22 m 565.65 774.22 l S 0.996 0.945 0.761 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 1 1 1 RG 270.2 725.02 m 565.65 725.02 l S 0.996 0.945 0.761 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 1 1 1 RG 270.2 675.82 m 565.65 675.82 l S 0.996 0.945 0.761 RG 31.2 652.99 m 267.95 652.99 l S 1 1 1 RG 270.2 652.99 m 565.65 652.99 l S 0.996 0.945 0.761 RG 31.2 630.16 m 267.95 630.16 l S 1 1 1 RG 270.2 630.16 m 565.65 630.16 l S 0.996 0.945 0.761 RG 31.2 607.33 m 267.95 607.33 l S 1 1 1 RG 270.2 607.33 m 565.65 607.33 l S 0.992 0.898 0.545 RG 2.25 w 28.99 762.8 m 567.85 762.8 l S 28.99 687.23 m 567.85 687.23 l S 28.99 664.4 m 567.85 664.4 l S 28.99 641.57 m 567.85 641.57 l S 28.99 618.74 m 567.85 618.74 l S 28.99 785.63 m 567.85 785.63 l S 28.99 762.8 m 567.85 762.8 l S 28.99 687.23 m 567.85 687.23 l S 28.99 664.4 m 567.85 664.4 l S 28.99 641.57 m 567.85 641.57 l S 28.99 618.74 m 567.85 618.74 l S 28.99 595.91 m 567.85 595.91 l S 30.07 786.71 m 30.07 594.84 l S 269.07 786.71 m 269.07 594.84 l S 566.77 786.71 m 566.77 594.84 l S BT /T1_0 12 Tf 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj 1 0 0 1 273.05 769.45 Tm (Buxton Street \(131-133\))Tj 1 0 0 1 34.05 746.62 Tm (Address:)Tj 1 0 0 1 273.05 746.62 Tm (131-133 Buxton Street)Tj 1 0 0 1 273.05 729.04 Tm (Whitechapel)Tj 1 0 0 1 273.05 711.46 Tm (London)Tj 1 0 0 1 273.05 693.88 Tm (E1 5AR)Tj 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj 1 0 0 1 273.05 671.05 Tm (02072472004)Tj 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj 1 0 0 1 273.05 648.22 Tm (02072472004)Tj 1 0 0 1 34.05 625.39 Tm (Email address:)Tj 1 0 0 1 273.05 625.39 Tm (rtapader@outward.org.uk)Tj 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 1 1 1 RG 355.5 564.12 m 565.9 564.12 l S 0.996 0.945 0.761 RG 31.2 541.29 m 353.25 541.29 l S 1 1 1 RG 355.5 541.29 m 565.9 541.29 l S 0.996 0.945 0.761 RG 31.2 518.46 m 353.25 518.46 l S 1 1 1 RG 355.5 518.46 m 565.9 518.46 l S 0.992 0.898 0.545 RG 2.25 w 28.99 552.71 m 568.1 552.71 l S 28.99 529.88 m 568.1 529.88 l S 28.99 575.54 m 568.1 575.54 l S 28.99 552.71 m 568.1 552.71 l S 28.99 529.88 m 568.1 529.88 l S 28.99 507.05 m 568.1 507.05 l S 30.07 576.61 m 30.07 505.97 l S 354.37 576.61 m 354.37 505.97 l S 567.02 576.61 m 567.02 505.97 l S BT /T1_0 12 Tf 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj 1 0 0 1 358.35 559.35 Tm (Outward)Tj 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj 1 0 0 1 358.35 536.52 Tm (care home)Tj 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj 1 0 0 1 358.35 513.69 Tm (5)Tj /T1_0 10 Tf 1 0 0 1 28.35 494.75 Tm (\240)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 41.16 w 31.2 442.14 m 297.2 442.14 l S 20.58 w 299.45 452.43 m 565.6 452.43 l S 299.45 431.85 m 432.52 431.85 l S 432.52 431.85 m 565.6 431.85 l S 0.992 0.898 0.545 RG 2.25 w 28.99 463.84 m 567.8 463.84 l S 28.99 486.67 m 567.8 486.67 l S 28.99 463.84 m 567.8 463.84 l S 28.99 420.43 m 567.8 420.43 l S 30.07 487.75 m 30.07 419.36 l S 298.32 464.92 m 298.32 419.36 l S 566.72 487.75 m 566.72 419.36 l S BT /T1_0 12 Tf 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj 1 0 0 1 302.3 427.08 Tm (Under 65)Tj 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 299.55 405.64 m 431.45 405.64 l S 433.7 405.64 m 565.6 405.64 l S 0.996 0.945 0.761 RG 31.2 382.81 m 565.6 382.81 l S 0.992 0.898 0.545 RG 2.25 w 28.99 394.23 m 567.8 394.23 l S 28.99 371.4 m 567.8 371.4 l S 28.99 417.06 m 567.8 417.06 l S 28.99 394.23 m 567.8 394.23 l S 28.99 371.4 m 568.1 371.4 l S 28.99 348.57 m 568.1 348.57 l S 30.07 418.13 m 30.07 347.49 l S 298.42 418.13 m 298.42 393.15 l S 432.57 418.13 m 432.57 393.15 l S 566.72 418.13 m 566.72 347.49 l S BT /T1_0 12 Tf 1 0 0 1 34.05 400.87 Tm (learning disability)Tj 1 0 0 1 302.4 400.87 Tm (5)Tj 1 0 0 1 436.55 400.87 Tm (0)Tj 1 0 0 1 34.05 378.04 Tm (Additional conditions: )Tj 1 0 0 1 34.05 355.21 Tm (No persons with wheelchair dependency )Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 333.78 m 315.25 333.78 l S 1 1 1 RG 317.5 333.78 m 346.55 333.78 l S 348.8 333.78 m 377.9 333.78 l S 380.15 333.78 m 409.2 333.78 l S 411.45 333.78 m 440.55 333.78 l S 442.8 333.78 m 471.9 333.78 l S 474.15 333.78 m 503.2 333.78 l S 505.45 333.78 m 534.55 333.78 l S 536.8 333.78 m 565.9 333.78 l S 0.992 0.898 0.545 RG 2.25 w 28.99 345.19 m 568.1 345.19 l S 28.99 322.36 m 568.1 322.36 l S 30.07 346.27 m 30.07 321.29 l S 316.37 346.27 m 316.37 321.29 l S 347.67 346.27 m 347.67 321.29 l S 379.02 346.27 m 379.02 321.29 l S 410.32 346.27 m 410.32 321.29 l S 441.67 346.27 m 441.67 321.29 l S 473.02 346.27 m 473.02 321.29 l S 504.32 346.27 m 504.32 321.29 l S 535.67 346.27 m 535.67 321.29 l S 567.02 346.27 m 567.02 321.29 l S BT /T1_0 12 Tf 1 0 0 1 34.05 329.01 Tm (\240Date of last inspection)Tj ET 0.996 0.945 0.761 RG 17 w 31.2 309.36 m 565.9 309.36 l S 0.992 0.898 0.545 RG 2.25 w 28.99 299.74 m 568.1 299.74 l S 30.07 300.81 m 30.07 109.41 l S 567.02 300.81 m 567.02 109.41 l S 28.99 318.99 m 568.1 318.99 l S 28.99 299.74 m 568.1 299.74 l S 28.99 110.49 m 568.1 110.49 l S 30.07 320.06 m 30.07 298.66 l S 567.02 320.06 m 567.02 298.66 l S BT /T1_0 12 Tf 1 0 0 1 35.5 305.8 Tm (Brief description of the )Tj 1 0 0 1 177.31 305.8 Tm (care home)Tj 1 0 0 1 35.5 286.55 Tm (131-133 Buxton Street is a 24 hour residential service for 5 people who \ have learning )Tj 1 0 0 1 35.5 269.55 Tm (disabilities and complex needs. It is situated in Tower Hamlets in a cen\ tral location )Tj 1 0 0 1 35.5 252.55 Tm (close to public transport links and with local shops and a market. The h\ ome is located )Tj 1 0 0 1 35.5 235.55 Tm (in a pair of terraced cottages which have been converted to provide two \ independent )Tj 1 0 0 1 35.5 218.55 Tm (flats - 131 and 133. The flats have separate front doors but there is an\ )Tj 1 0 0 1 35.5 201.55 Tm (intercommunicating door inside. The upper flat is occupied by three more\ independent )Tj 1 0 0 1 35.5 184.55 Tm (service users. The lower flat is occupied by one service users who has r\ ather higher )Tj 1 0 0 1 35.5 167.55 Tm (needs. The homes share a small but pleasant and private garden. They are\ run )Tj 1 0 0 1 35.5 150.55 Tm (separately from one office which is located on the ground floor in numbe\ r 133. The )Tj 1 0 0 1 35.5 133.55 Tm (staff team consists of a manager, and several care staff. The cost of a \ placement at )Tj 1 0 0 1 35.5 116.55 Tm (the service is #1320.01 per week. )Tj 1 0 0 1 28.35 96.18 Tm (\240)Tj 1 0 0 1 28.35 79.18 Tm (\240)Tj ET endstream endobj 198 0 obj<>stream 0.984 0.788 0.086 RG 1 i 17.5 w 10 M 0 j 0 J []0 d 28.35 55.27 m 568.35 55.27 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 483.75 52.97 Tm (Page )Tj 2 Tr 1 0 0 1 514.27 52.97 Tm (5)Tj 0 Tr 1 0 0 1 521.27 52.97 Tm ( of )Tj 2 Tr 1 0 0 1 539.56 52.97 Tm (28)Tj /T1_1 10 Tf 0 Tr 1 0 0 1 28.35 37.61 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 28.35 801.59 Tm (\240)Tj /T1_0 10 Tf 1 0 0 1 28.35 786.6 Tm (\240)Tj /C2_0 14 Tf 1 0 0 1 28.35 761.65 Tm <003600580050005000440055005C>Tj /T1_0 12 Tf 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.996 0.945 0.761 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 1 1 1 RG 383.3 720.22 m 566.2 720.22 l S 0.992 0.898 0.545 RG 2.25 w 28.99 731.64 m 568.4 731.64 l S 28.99 708.81 m 568.4 708.81 l S 30.07 732.71 m 30.07 707.73 l S 382.17 732.71 m 382.17 707.73 l S 567.32 732.71 m 567.32 707.73 l S BT /T1_0 12 Tf 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj 1 0 0 1 191.92 715.45 Tm (care home)Tj 1 0 0 1 255.59 715.45 Tm ( is:)Tj 1 0 0 1 411.34 715.45 Tm (two star good service)Tj /C2_0 12 Tf 1 0 0 1 28.35 683.31 Tm <0032005800550003004D00580047004A0048005000480051005700030049005200550003004800440046004B00030052005800570046005200500048001D>Tj /T1_0 10 Tf 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj 1 0 0 1 145.27 572.82 Tm (Individual needs and choices)Tj 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj 1 0 0 1 127.51 503.92 Tm (Personal and healthcare support)Tj 1 0 0 1 106.2 469.46 Tm (Concerns, complaints and protection)Tj 1 0 0 1 226.36 435.02 Tm (Environment)Tj 1 0 0 1 251.17 400.57 Tm (Staffing)Tj 1 0 0 1 92.9 366.11 Tm (Conduct and management of the home)Tj ET q 0.7522736 0 0 0.7516174 305.0500031 300.3200073 cm /Fm0 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.992 0.898 0.545 RG 2.25 w 31.2 237.66 m 567.85 237.66 l S 30.12 237.66 m 568.92 237.66 l S 30.12 64.02 m 568.92 64.02 l S 31.2 238.74 m 31.2 62.94 l S 567.85 238.74 m 567.85 62.94 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj 0 Tr 1 0 0 1 35.17 221.48 Tm (This inspection took place on the 16/06/09 and was unannounced. The insp\ ector had )Tj 1 0 0 1 35.17 206.9 Tm (the opportunity of speaking with service users, staff from the home, and\ the homes )Tj 1 0 0 1 35.17 192.32 Tm (manager was present for much of the inspection.)Tj 1 0 0 1 35.17 177.74 Tm (\240)Tj 1 0 0 1 35.17 163.15 Tm (In addition to these discussions the inspector was able to observe staff\ interactions )Tj 1 0 0 1 35.17 148.57 Tm (with service user. The inspection also included a tour of the premises, \ and an )Tj 1 0 0 1 35.17 133.99 Tm (examination of records and other documents.)Tj 1 0 0 1 35.17 119.42 Tm (\240)Tj 1 0 0 1 35.17 104.83 Tm (Prior to the date of inspection, the home completed an Annual Quality As\ surance )Tj 1 0 0 1 35.17 90.25 Tm (Assessment \(AQAA\) at the request of the CQC. Information provided with\ in this )Tj 1 0 0 1 35.17 75.68 Tm (document has contributed to the overall inspection process, and to judge\ ments made )Tj ET endstream endobj 199 0 obj<>stream 1 1 1 RG 1 i 17.58 w 10 M 0 j 0 J []0 d 32.32 803.74 m 566.72 803.74 l S 0.992 0.898 0.545 RG 2.25 w 30.12 813.65 m 568.92 813.65 l S 30.12 793.82 m 568.92 793.82 l S 31.2 814.73 m 31.2 792.75 l S 567.85 814.73 m 567.85 792.75 l S 0 0 0 rg BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 1 0 0 1 32.92 802.72 Tm (within this report.)Tj ET endstream endobj 200 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (7)Tj 0 Tr 1 0 0 1 515.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (28)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 137.22 w 32.32 722.21 m 566.72 722.21 l S 20.58 w 32.7 641.06 m 569.35 641.06 l S 93.48 w 33.82 581.78 m 568.22 581.78 l S 20.58 w 33.45 522.5 m 570.1 522.5 l S 78.9 w 34.57 470.51 m 568.97 470.51 l S 0.992 0.898 0.545 RG 2.25 w 31.2 791.95 m 567.85 791.95 l S 30.12 791.95 m 568.92 791.95 l S 30.12 652.48 m 568.92 652.48 l S 31.2 793.03 m 31.2 651.4 l S 31.2 652.48 m 569.35 652.48 l S 32.7 629.65 m 569.35 629.65 l S 31.62 629.65 m 570.42 629.65 l S 31.62 533.92 m 570.42 533.92 l S 33.45 511.09 m 570.1 511.09 l S 33.45 533.92 m 570.1 533.92 l S 32.37 511.09 m 571.17 511.09 l S 32.37 429.94 m 571.17 429.94 l S 32.7 630.73 m 32.7 532.84 l S 33.45 512.17 m 33.45 428.86 l S 567.85 793.03 m 567.85 651.4 l S 569.35 630.73 m 569.35 532.84 l S 570.1 512.17 m 570.1 428.86 l S 0 0 0 RG 0.5 w BT /T1_0 12 Tf 1 0 0 1 31.2 798.59 Tm (What the )Tj 1 0 0 1 90.52 798.59 Tm (care home)Tj 1 0 0 1 154.2 798.59 Tm ( does well:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 567.85 801.25 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 35.17 775.76 Tm (The home presents as friendly and homely,and service users spoken to exp\ ressed )Tj 1 0 0 1 35.17 761.18 Tm (satisfaction with the care and support they receive. Service users made \ positive )Tj 1 0 0 1 35.17 746.6 Tm (comments about the home, such as "I like living here, the staff are alri\ ght." and "I )Tj 1 0 0 1 35.17 732.02 Tm (chose my own paint and carpet in my bedroom.")Tj 1 0 0 1 35.17 717.44 Tm (\240)Tj 1 0 0 1 35.17 702.86 Tm (Care plans in the home were seen to be of a good standard, as was record\ keeping )Tj 1 0 0 1 35.17 688.28 Tm (generally. There was evidence that service users have control over their\ daily lives, )Tj 1 0 0 1 35.17 673.7 Tm (and that they are provided with the opportunity of being involved in the\ day to day )Tj 1 0 0 1 35.17 659.12 Tm (running of the home.)Tj /T1_0 10 Tf 1 0 0 1 568.97 720.66 Tm (\240)Tj 1 0 0 1 31.2 638.95 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 32.7 636.29 Tm (What has improved since the last inspection?)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 569.35 639.51 Tm (\240)Tj 1 0 0 1 31.2 580.23 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 36.67 613.46 Tm (There have been improvements at the home since the previous inspection, \ and the )Tj 1 0 0 1 36.67 598.88 Tm (overall number of requirements set has fallen. Pre admission assessments\ are now )Tj 1 0 0 1 36.67 584.3 Tm (carried out on prospective service users, and the Service User Guide now\ contains )Tj 1 0 0 1 36.67 569.72 Tm (required information. All staff with responsibility for administering me\ dications have )Tj 1 0 0 1 36.67 555.14 Tm (now received training in this area, and effective systems have been put \ in place for the )Tj 1 0 0 1 36.67 540.56 Tm (storage and management of COSHH products. )Tj /T1_0 10 Tf 1 0 0 1 570.47 580.23 Tm (\240)Tj 1 0 0 1 31.2 520.95 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 33.45 517.73 Tm (What they could do better:)Tj /T1_0 10 Tf 0 Tr 1 0 0 1 31.2 468.96 Tm (\240)Tj /T1_0 12 Tf 1 0 0 1 37.42 494.9 Tm (Despite these improvements, there are still some areas that must be addr\ essed, and a )Tj 1 0 0 1 37.42 480.32 Tm (total of four requirements have been made in this report. In particular,\ the home must )Tj 1 0 0 1 37.42 465.74 Tm (ensure that staff undertake all necessary statutory health and safety tr\ aining. There )Tj 1 0 0 1 37.42 451.16 Tm (are some minor maintenance issues that must be addressed. Regulation 26 \ visits need )Tj 1 0 0 1 37.42 436.58 Tm (to be undertaken monthly, and a report produced from these visits.)Tj 1 0 0 1 28.35 414.25 Tm (\240)Tj 1 0 0 1 28.35 394.26 Tm (If you want to know what action the person responsible for this )Tj 1 0 0 1 416.37 394.26 Tm (care home)Tj 1 0 0 1 480.04 394.26 Tm ( is taking )Tj 1 0 0 1 28.35 376.76 Tm (following this report, you can contact them using the details set out on\ page 4.)Tj 1 0 0 1 28.35 356.77 Tm (\240)Tj 1 0 0 1 28.35 336.77 Tm (The report of this inspection is available from our website )Tj 1 0 0 1 380.85 336.77 Tm (www.cqc.org.uk.)Tj 1 0 0 1 490.78 336.77 Tm (You can get )Tj 1 0 0 1 28.35 319.27 Tm (printed copies from )Tj 1 0 0 1 149.87 319.27 Tm (enquiries@cqc.org.uk or by telephoning our order line \226)Tj 1 0 0 1 488.4 319.27 Tm (0870 240 )Tj 1 0 0 1 28.35 301.78 Tm (7535.)Tj ET endstream endobj 201 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj 0 Tr 1 0 0 1 515.2 53.04 Tm ( of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (28)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 28.35 801.59 Tm (\240)Tj /T1_0 14 Tf 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.984 0.788 0.086 RG 26 w 32.32 746.27 m 562.53 746.27 l S 0.992 0.898 0.545 RG 2.25 w 28.99 761.52 m 565.85 761.52 l S 28.99 733.27 m 565.85 733.27 l S 30.07 762.6 m 30.07 732.19 l S 564.78 762.6 m 564.78 732.19 l S BT /C2_0 12 Tf 0 Tr 1 0 0 1 34.05 744.39 Tm <00260052005100570048005100570056>Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 695.96 Tm (Choice of home\240 \(standards 1 - 5\))Tj ET 28.35 678.02 m 566.93 678.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 673.96 Tm (Individual needs and choices\240 \(standards 6-10\))Tj ET 28.35 656.02 m 566.93 656.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 651.96 Tm (Lifestyle\240 \(standards 11 - 17\))Tj ET 28.35 634.02 m 566.93 634.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 629.96 Tm (Personal and healthcare support\240 \(standards 18 - 21\))Tj ET 28.35 612.02 m 566.93 612.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 607.96 Tm (Concerns, complaints and protection\240 \(standards 22 - 23\))Tj ET 28.35 590.02 m 566.93 590.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 585.96 Tm (Environment\240 \(standards 24 - 30\))Tj ET 28.35 568.02 m 566.93 568.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 563.96 Tm (Staffing\240 \(standards 31 - 36\))Tj ET 28.35 546.02 m 566.93 546.02 l S BT /T1_0 12 Tf 1 0 0 1 28.35 541.96 Tm (Conduct and management of the home\240 \(standards 37 - 43\))Tj 1 0 0 1 28.35 521.96 Tm (Outstanding statutory requirements)Tj 1 0 0 1 28.35 500.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 202 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj 0 Tr 1 0 0 1 519.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 533.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 1 1 1 RG 102 w 31.2 576.29 m 563.65 576.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 628.42 m 565.85 628.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 628.42 m 565.85 628.42 l S 28.99 524.17 m 565.85 524.17 l S 30.07 699.74 m 30.07 523.09 l S 564.78 699.74 m 564.78 523.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is becaus\ e there is an )Tj 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, h\ ave been )Tj 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 1 0 0 1 35.5 634.48 Tm (achieve, and the support they need.)Tj 1 0 0 1 35.5 615.23 Tm (People can decide whether the care home can meet their support and accom\ modation )Tj 1 0 0 1 35.5 598.23 Tm (needs. This is because they, and people close to them, can visit the hom\ e and get full, )Tj 1 0 0 1 35.5 581.23 Tm (clear, accurate and up to date information. If they decide to stay in th\ e home they )Tj 1 0 0 1 35.5 564.23 Tm (know about their rights and responsibilities because there is an easy to\ understand )Tj 1 0 0 1 35.5 547.23 Tm (contract or statement of terms and conditions between the person and the\ care home )Tj 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 /C2_0 12 Tf 1 0 0 1 28.35 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 483.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 466.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 385.25 m 563.65 385.25 l S 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 132.47 w 32.32 374 m 564.78 374 l S 0.992 0.898 0.545 RG 2.25 w 30.12 441.36 m 566.98 441.36 l S 31.2 442.44 m 31.2 305.56 l S 565.9 442.44 m 565.9 305.56 l S 31.2 441.36 m 565.9 441.36 l S 30.12 306.64 m 566.98 306.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.18 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (It is the judgement of the inspector that service users are provided wit\ h sufficient )Tj 1 0 0 1 35.47 350.69 Tm (information about the home to enable them to make an informed choice as \ to move in )Tj 1 0 0 1 35.47 333.2 Tm (or not. This information is provided through written documentation and t\ he )Tj 1 0 0 1 35.47 315.7 Tm (opportunity of visiting the home.)Tj ET 0.996 0.945 0.761 RG 212.54 w 33.45 174.5 m 563.65 174.5 l S 1 1 1 RG 22.5 w 31.2 271.77 m 565.9 271.77 l S 191.17 w 32.32 162.69 m 564.78 162.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 259.4 m 566.98 259.4 l S 31.2 260.47 m 31.2 64.9 l S 565.9 260.47 m 565.9 64.9 l S 31.2 259.4 m 565.9 259.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.46 Tm (Evidence:)Tj 1 0 0 1 35.47 243.71 Tm (The home has both a Statement of Purpose and a Service User Guide in pla\ ce. Both )Tj 1 0 0 1 35.47 226.22 Tm (documents were examined, and found to contain some inaccuracies, for exa\ mple )Tj 1 0 0 1 35.47 208.72 Tm (details of the regulatory authority and of the gender of service users. \ These )Tj 1 0 0 1 35.47 191.22 Tm (inaccuracies were brought to the attention of the homes manager, who was\ able to )Tj 1 0 0 1 35.47 173.73 Tm (amend the documents during the course of the inspection, so that they we\ re in line )Tj 1 0 0 1 35.47 156.23 Tm (with National Minimum Standards.)Tj 1 0 0 1 35.47 138.74 Tm (\240)Tj 1 0 0 1 35.47 121.24 Tm (The Guide has been produced in pictorial form to help make it more acces\ sible to )Tj 1 0 0 1 35.47 103.74 Tm (service users, thus helping to meet needs around equality and diversity \ issues. The )Tj 1 0 0 1 35.47 86.25 Tm (Guide contained details of the homes physical environment and of its com\ plaints )Tj ET endstream endobj 203 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 504.27 l S 565.9 791.11 m 565.9 504.27 l S 31.2 790.03 m 565.9 790.03 l S 30.12 505.35 m 566.98 505.35 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (procedure. All service users are provided with their own copy.)Tj 1 0 0 1 33.22 761.6 Tm (\240)Tj 1 0 0 1 33.22 744.11 Tm (One service user has moved in to the home since the previous inspection.\ It was found )Tj 1 0 0 1 33.22 726.61 Tm (that they moved in in line with the homes policy and procedure on admiss\ ions, which )Tj 1 0 0 1 33.22 709.11 Tm (states that service users would be given the opportunity of visiting the\ home before )Tj 1 0 0 1 33.22 691.62 Tm (making a decision as to move in or not. There was a detailed transition \ plan in place, )Tj 1 0 0 1 33.22 674.12 Tm (which indicated that the service user had been able to visit the home on\ several )Tj 1 0 0 1 33.22 656.63 Tm (occasions. The service user had also been involved in the transition pla\ nning process, )Tj 1 0 0 1 33.22 639.13 Tm (for example they were able to choose new furniture and decor for their b\ edroom. An )Tj 1 0 0 1 33.22 621.63 Tm (assessment of their need had been carried out before they moved in to th\ e home.)Tj 1 0 0 1 33.22 604.14 Tm (\240)Tj 1 0 0 1 33.22 586.64 Tm (All service users are provided with a written contract/statement of term\ s and )Tj 1 0 0 1 33.22 569.15 Tm (conditions. These are signed by the service user and a representative of\ the home. )Tj 1 0 0 1 33.22 551.65 Tm (Contracts include details of fees payable, and the rights and responsibi\ lities of both )Tj 1 0 0 1 33.22 534.15 Tm (parties.)Tj 1 0 0 1 33.22 516.66 Tm (\240)Tj ET endstream endobj 204 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Individual needs and choices)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 1 1 1 RG 85 w 31.2 550.79 m 563.65 550.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 594.42 m 565.85 594.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 594.42 m 565.85 594.42 l S 28.99 507.17 m 565.85 507.17 l S 30.07 699.74 m 30.07 506.09 l S 564.78 699.74 m 564.78 506.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People\222s needs and goals are met. The home has a plan of care that th\ e person, or )Tj 1 0 0 1 35.5 668.48 Tm (someone close to them, has been involved in making. People are able to m\ ake )Tj 1 0 0 1 35.5 651.48 Tm (decisions about their life, including their finances, with support if th\ ey need it. This is )Tj 1 0 0 1 35.5 634.48 Tm (because the staff promote their rights and choices. People are supported\ to take risks )Tj 1 0 0 1 35.5 617.48 Tm (to enable them to stay independent. This is because the staff have appro\ priate )Tj 1 0 0 1 35.5 600.48 Tm (information on which to base decisions.)Tj 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 1 0 0 1 35.5 564.23 Tm (because the manager and staff offer them opportunities to participate in\ the day to )Tj 1 0 0 1 35.5 547.23 Tm (day running of the home and enable them to influence key decisions. Peop\ le are )Tj 1 0 0 1 35.5 530.23 Tm (confident that the home handles information about them appropriately. Th\ is is )Tj 1 0 0 1 35.5 513.23 Tm (because the home has clear policies and procedures that staff follow.)Tj /C2_0 12 Tf 1 0 0 1 28.35 488.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 466.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 466.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 449.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 377 m 563.65 377 l S 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 114.98 w 32.32 365.75 m 564.78 365.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 424.36 m 566.98 424.36 l S 31.2 425.44 m 31.2 306.06 l S 565.9 425.44 m 565.9 306.06 l S 31.2 424.36 m 565.9 424.36 l S 30.12 307.14 m 566.98 307.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 371.18 Tm (\240)Tj 1 0 0 1 35.47 351.19 Tm (It is the inspectors judgement that service users have control over thei\ r daily lives, )Tj 1 0 0 1 35.47 333.69 Tm (and that they have the opportunity of been involved in the day to day ru\ nning of the )Tj 1 0 0 1 35.47 316.2 Tm (home.)Tj ET 0.996 0.945 0.761 RG 213.04 w 33.45 174.74 m 563.65 174.74 l S 1 1 1 RG 22.5 w 31.2 272.27 m 565.9 272.27 l S 191.67 w 32.32 162.93 m 564.78 162.93 l S 0.992 0.898 0.545 RG 2.25 w 30.12 259.89 m 566.98 259.89 l S 31.2 260.97 m 31.2 64.9 l S 565.9 260.97 m 565.9 64.9 l S 31.2 259.89 m 565.9 259.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 268.95 Tm (Evidence:)Tj 1 0 0 1 35.47 244.21 Tm (Comprehensive care plans are in place for all service users. These are d\ rawn up with )Tj 1 0 0 1 35.47 226.71 Tm (the involvement of service users, who sign their own care plans to indic\ ate their )Tj 1 0 0 1 35.47 209.22 Tm (involvement with and agreement to the plan. Plans are subject to regular\ review.)Tj 1 0 0 1 35.47 191.72 Tm (\240)Tj 1 0 0 1 35.47 174.22 Tm (The plans consist of a pen picture of the service user, a checklist whic\ h indicates what )Tj 1 0 0 1 35.47 156.73 Tm (ares service users require support with, and a detailed plan of care for\ each area )Tj 1 0 0 1 35.47 139.23 Tm (identified. These include needs around personal care, social and leisure\ needs, cultural )Tj 1 0 0 1 35.47 121.74 Tm (and religious needs and needs around mobility. Plans are written in the \ first person, )Tj 1 0 0 1 35.47 104.24 Tm (for example one plan states "I need to be supported with issues around b\ udgeting and )Tj 1 0 0 1 35.47 86.74 Tm (I need to be supported by staff to access my money from the bank.")Tj ET endstream endobj 205 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 636.23 w 33.45 493.29 m 563.65 493.29 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 614.86 w 32.32 481.48 m 564.78 481.48 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 171.85 l S 565.9 791.11 m 565.9 171.85 l S 31.2 790.03 m 565.9 790.03 l S 30.12 172.92 m 566.98 172.92 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (\240)Tj 1 0 0 1 33.22 761.6 Tm (Risk assessments are in place for all service users, and as with care pl\ ans these are of )Tj 1 0 0 1 33.22 744.11 Tm (a satisfactory standard. Assessments identify any particular risk, and i\ nclude strategies )Tj 1 0 0 1 33.22 726.61 Tm (to manage and reduce those risks. Assessments seen by the inspector cove\ red )Tj 1 0 0 1 33.22 709.11 Tm (challenging behaviour, accessing the community and falls. There was evid\ ence that )Tj 1 0 0 1 33.22 691.62 Tm (service users are able to take reasonable risks, for example one assessm\ ent indicated )Tj 1 0 0 1 33.22 674.12 Tm (that there was a risk presented to the service user whilst cooking, but \ steps have been )Tj 1 0 0 1 33.22 656.63 Tm (put in place to support them with this activity in a relatively safe man\ ner.)Tj 1 0 0 1 33.22 639.13 Tm (\240)Tj 1 0 0 1 33.22 621.63 Tm (There was evidence that service users have a large measure of control ov\ er their daily )Tj 1 0 0 1 33.22 604.14 Tm (lives, for example when to get up and go to bed, what to eat, what to we\ ar etc. When )Tj 1 0 0 1 33.22 586.64 Tm (the inspector arrived at the home on the day of inspection, one service \ user was )Tj 1 0 0 1 33.22 569.15 Tm (waiting to go to a day centre, they informed the inspector that this was\ what they )Tj 1 0 0 1 33.22 551.65 Tm (wanted to do. Another service user was still in bed, and was ale to get \ up at a time of )Tj 1 0 0 1 33.22 534.15 Tm (their choosing.)Tj 1 0 0 1 33.22 516.66 Tm (\240)Tj 1 0 0 1 33.22 499.16 Tm (The home has systems in place to help involve service users in the day t\ o day running )Tj 1 0 0 1 33.22 481.67 Tm (of the home. One service user has been working with a speech and languag\ e therapist, )Tj 1 0 0 1 33.22 464.17 Tm (developing an objects of reference programme to aid their communication \ skills, and )Tj 1 0 0 1 33.22 446.67 Tm (to enable them to be better able to make choices.)Tj 1 0 0 1 33.22 429.18 Tm (\240)Tj 1 0 0 1 33.22 411.68 Tm (Regular service user meetings are held once a fortnight. Service users a\ re able to )Tj 1 0 0 1 33.22 394.19 Tm (contribute to the agenda, and minutes are maintained of these meetings. \ The )Tj 1 0 0 1 33.22 376.69 Tm (meetings include a menu planning session, where visual aids are used to \ help support )Tj 1 0 0 1 33.22 359.19 Tm (service users to plan the menu for the coming weeks, which helps to meet\ needs )Tj 1 0 0 1 33.22 341.7 Tm (around equality and diversity issues. Meetings also discuss activities a\ nd issues raised )Tj 1 0 0 1 33.22 324.2 Tm (in the homes listening book. The listening book provides service users t\ he opportunity )Tj 1 0 0 1 33.22 306.71 Tm (to record any issues of concern or interest to them which the would like\ some further )Tj 1 0 0 1 33.22 289.21 Tm (discussions or action on. Recent examples of entries in the listening bo\ ok include a )Tj 1 0 0 1 33.22 271.71 Tm (service user requesting that her picture gets a frame, and a service use\ r wanting a )Tj 1 0 0 1 33.22 254.22 Tm (Christmas tree for their bedroom.)Tj 1 0 0 1 33.22 236.72 Tm (\240)Tj 1 0 0 1 33.22 219.23 Tm (It was positively noted that service users are involved in choosing any \ new decor or )Tj 1 0 0 1 33.22 201.73 Tm (furniture for the home. for example one service user recently bought a n\ ew bed, and )Tj 1 0 0 1 33.22 184.23 Tm (informed the inspector that they were able to choose this themselves.)Tj ET endstream endobj 206 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Lifestyle)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 223.25 w 32.32 584.79 m 562.53 584.79 l S 1 1 1 RG 51 w 31.2 499.79 m 563.65 499.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 526.42 m 565.85 526.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 526.42 m 565.85 526.42 l S 28.99 473.17 m 565.85 473.17 l S 30.07 699.74 m 30.07 472.09 l S 564.78 699.74 m 564.78 472.09 l S BT /T1_0 12 Tf 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 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation.\ They can take )Tj 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 1 0 0 1 35.5 634.48 Tm (local community. The care home supports people to follow personal intere\ sts and )Tj 1 0 0 1 35.5 617.48 Tm (activities. People are able to keep in touch with family, friends and re\ presentatives and )Tj 1 0 0 1 35.5 600.48 Tm (the home supports them to have appropriate personal, family and sexual r\ elationships. )Tj 1 0 0 1 35.5 583.48 Tm (People are as independent as they can be, lead their chosen lifestyle an\ d have the )Tj 1 0 0 1 35.5 566.48 Tm (opportunity to make the most of their abilities. Their dignity and right\ s are respected )Tj 1 0 0 1 35.5 549.48 Tm (in their daily life. People have healthy, well-presented meals and snack\ s, at a time and )Tj 1 0 0 1 35.5 532.48 Tm (place to suit them.)Tj 1 0 0 1 35.5 513.23 Tm (People have opportunities to develop their social, emotional, communicat\ ion and )Tj 1 0 0 1 35.5 496.23 Tm (independent living skills. This is because the staff support their perso\ nal development. )Tj 1 0 0 1 35.5 479.23 Tm (People choose and participate in suitable leisure activities.)Tj /C2_0 12 Tf 1 0 0 1 28.35 454.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 432.86 Tm (This is what people )Tj 1 0 0 1 148.49 432.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 432.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 432.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 415.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 343 m 563.65 343 l S 1 1 1 RG 22.5 w 31.2 402.73 m 565.9 402.73 l S 114.98 w 32.32 331.75 m 564.78 331.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 390.36 m 566.98 390.36 l S 31.2 391.44 m 31.2 272.06 l S 565.9 391.44 m 565.9 272.06 l S 31.2 390.36 m 565.9 390.36 l S 30.12 273.14 m 566.98 273.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 399.42 Tm (Judgement:)Tj 1 0 0 1 35.47 374.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 374.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 374.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 357.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 337.18 Tm (\240)Tj 1 0 0 1 35.47 317.19 Tm (It is the judgement of the inspector that service users are supported to\ live valued and )Tj 1 0 0 1 35.47 299.69 Tm (fulfilling lives. Service users have access to a variety of activities, \ and food was of a )Tj 1 0 0 1 35.47 282.2 Tm (good standard.)Tj ET 0.996 0.945 0.761 RG 179.04 w 33.45 157.74 m 563.65 157.74 l S 1 1 1 RG 22.5 w 31.2 238.27 m 565.9 238.27 l S 157.67 w 32.32 145.93 m 564.78 145.93 l S 0.992 0.898 0.545 RG 2.25 w 30.12 225.89 m 566.98 225.89 l S 31.2 226.97 m 31.2 64.9 l S 565.9 226.97 m 565.9 64.9 l S 31.2 225.89 m 565.9 225.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 234.95 Tm (Evidence:)Tj 1 0 0 1 35.47 210.21 Tm (No service users are currently involved in any employment or educational\ )Tj 1 0 0 1 35.47 192.71 Tm (opportunities. Three of the four current service users regularly attend \ day services. )Tj 1 0 0 1 35.47 175.22 Tm (These provide opportunities for developing and maintaining friendships, \ along with )Tj 1 0 0 1 35.47 157.72 Tm (various activities such as day trips, literacy skills and arts and craft\ sessions. One )Tj 1 0 0 1 35.47 140.22 Tm (service user teaches Makaton at a day service they attend. Service users\ also have )Tj 1 0 0 1 35.47 122.73 Tm (access to other community based facilities such as shops, banks, parks, \ hairdressers )Tj 1 0 0 1 35.47 105.23 Tm (and service users use public transport.)Tj 1 0 0 1 35.47 87.74 Tm (\240)Tj ET endstream endobj 207 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 346.81 l S 565.9 791.11 m 565.9 346.81 l S 31.2 790.03 m 565.9 790.03 l S 30.12 347.88 m 566.98 347.88 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (The home arranges various community based activities, service users go s\ wimming, to )Tj 1 0 0 1 33.22 761.6 Tm (restaurants and pubs and to the cinema. Service users attend a disco on \ Fridays, and )Tj 1 0 0 1 33.22 744.11 Tm (Outward, the organisation that runs the home, holds a monthly social eve\ nt. The home )Tj 1 0 0 1 33.22 726.61 Tm (arranges occasional day trips, for example to Southend and Westfield sho\ pping centre. )Tj 1 0 0 1 33.22 709.11 Tm (All service users are offered a weeks holiday away from the home as part\ of their basic )Tj 1 0 0 1 33.22 691.62 Tm (contract price. At the time of inspection, one service user was on holid\ ay in Portugal, )Tj 1 0 0 1 33.22 674.12 Tm (another informed the inspector that they were going to Italy soon, which\ they were )Tj 1 0 0 1 33.22 656.63 Tm (looking forward to. There was evidence that service users are involved i\ n choosing and )Tj 1 0 0 1 33.22 639.13 Tm (planing their holidays.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14 Tm (In house service users have access to a variety of activities, such as t\ elevision, DVDs, )Tj 1 0 0 1 33.22 586.64 Tm (music, looking good sessions and one service user plays the guitar. No s\ ervice users )Tj 1 0 0 1 33.22 569.15 Tm (currently visit a place of worship, although a recently deceased service\ user did visit )Tj 1 0 0 1 33.22 551.65 Tm (church regularly. All service users were able to attend the funeral for \ this person. One )Tj 1 0 0 1 33.22 534.15 Tm (service user goes to a Caribbean music night once a month, and also atte\ nds a )Tj 1 0 0 1 33.22 516.66 Tm (Caribbean drop-in centre.)Tj 1 0 0 1 33.22 499.16 Tm (\240)Tj 1 0 0 1 33.22 481.67 Tm (As mentioned, service users are involved in planning menus. Menus indica\ ted that )Tj 1 0 0 1 33.22 464.17 Tm (service users have a varied, balanced and nutritious diet. The home has \ two kitchens, )Tj 1 0 0 1 33.22 446.67 Tm (both of which were clean and tidy, but in need of some maintenance work \ \(see section )Tj 1 0 0 1 33.22 429.18 Tm (on the environment\). Records are maintained of fridge and freezer tempe\ ratures. The )Tj 1 0 0 1 33.22 411.68 Tm (home makes traditional British and Caribbean food, thus helping to meet \ needs around )Tj 1 0 0 1 33.22 394.19 Tm (equality and diversity issues. On the day of inspection the one service \ user at home for )Tj 1 0 0 1 33.22 376.69 Tm (their lunch was seen to be encouraged to participate in its preparation.\ )Tj 1 0 0 1 33.22 359.19 Tm (\240)Tj ET endstream endobj 208 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Personal and healthcare support)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 155.25 w 32.32 618.79 m 562.53 618.79 l S 1 1 1 RG 68 w 31.2 576.29 m 563.65 576.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 541.17 m 565.85 541.17 l S 30.07 699.74 m 30.07 540.09 l S 564.78 699.74 m 564.78 540.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People receive personal support from staff in the way they prefer and wa\ nt. Their )Tj 1 0 0 1 35.5 668.48 Tm (physical and emotional health needs are met because the home has procedu\ res in )Tj 1 0 0 1 35.5 651.48 Tm (place that staff follow. If people take medicine, they manage it themsel\ ves if they can. )Tj 1 0 0 1 35.5 634.48 Tm (If they cannot manage their medicine, the care home supports them with i\ t in a safe )Tj 1 0 0 1 35.5 617.48 Tm (way.)Tj 1 0 0 1 35.5 598.23 Tm (If people are approaching the end of their life, the care home will resp\ ect their choices )Tj 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 1 0 0 1 35.5 564.23 Tm (reassured that their death will be handled with sensitivity, dignity and\ respect, and )Tj 1 0 0 1 35.5 547.23 Tm (take account of their spiritual and cultural wishes. )Tj /C2_0 12 Tf 1 0 0 1 28.35 522.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 500.86 Tm (This is what people )Tj 1 0 0 1 148.49 500.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 500.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 500.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 483.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 402.25 m 563.65 402.25 l S 1 1 1 RG 22.5 w 31.2 470.73 m 565.9 470.73 l S 132.47 w 32.32 391 m 564.78 391 l S 0.992 0.898 0.545 RG 2.25 w 30.12 458.36 m 566.98 458.36 l S 31.2 459.44 m 31.2 322.56 l S 565.9 459.44 m 565.9 322.56 l S 31.2 458.36 m 565.9 458.36 l S 30.12 323.64 m 566.98 323.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 467.42 Tm (Judgement:)Tj 1 0 0 1 35.47 442.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 442.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 442.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 425.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 405.18 Tm (\240)Tj 1 0 0 1 35.47 385.19 Tm (It is the judgement of the inspector that the home is generally meeting \ the health and )Tj 1 0 0 1 35.47 367.69 Tm (personal care needs of service users. Service users are supported to man\ age their own )Tj 1 0 0 1 35.47 350.2 Tm (personal care as much as possible, and systems are in place to help ensu\ re the safe )Tj 1 0 0 1 35.47 332.7 Tm (administration of medications.)Tj ET 0.996 0.945 0.761 RG 229.54 w 33.45 183 m 563.65 183 l S 1 1 1 RG 22.5 w 31.2 288.77 m 565.9 288.77 l S 208.17 w 32.32 171.19 m 564.78 171.19 l S 0.992 0.898 0.545 RG 2.25 w 30.12 276.4 m 566.98 276.4 l S 31.2 277.47 m 31.2 64.9 l S 565.9 277.47 m 565.9 64.9 l S 31.2 276.4 m 565.9 276.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 285.46 Tm (Evidence:)Tj 1 0 0 1 35.47 260.71 Tm (Care plans indicate that service users are supported to manage their own\ personal )Tj 1 0 0 1 35.47 243.22 Tm (care as much as possible. Service users are able to choose their own clo\ thes to wear, )Tj 1 0 0 1 35.47 225.72 Tm (and all were appropriately dressed on the day of inspection. Each servic\ e user has )Tj 1 0 0 1 35.47 208.22 Tm (their own designated keyworker.)Tj 1 0 0 1 35.47 190.73 Tm (\240)Tj 1 0 0 1 35.47 173.23 Tm (All service users are registered with a GP. Records are maintained of me\ dical )Tj 1 0 0 1 35.47 155.74 Tm (appointments, including details of any follow up action necessary. These\ indicate that )Tj 1 0 0 1 35.47 138.24 Tm (service users have access to various health care professionals, such as \ psychiatrists, )Tj 1 0 0 1 35.47 120.74 Tm (chiropodists and opticians. However, records also indicated that none of\ the four )Tj 1 0 0 1 35.47 103.25 Tm (current service users have seen a dentist in the past six months, and fo\ r one service )Tj 1 0 0 1 35.47 85.75 Tm (user there was no evidence that they have seen a dentist in over two yea\ rs. The )Tj ET endstream endobj 209 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 321.3 w 33.45 650.75 m 563.65 650.75 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 299.93 w 32.32 638.94 m 564.78 638.94 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 486.77 l S 565.9 791.11 m 565.9 486.77 l S 31.2 790.03 m 565.9 790.03 l S 30.12 487.85 m 566.98 487.85 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (manager was able to demonstrate that appointments have been made in the \ near )Tj 1 0 0 1 33.22 761.6 Tm (future for two service users. It is required that all service users have\ routine access to )Tj 1 0 0 1 33.22 744.11 Tm (dental care as appropriate.)Tj 1 0 0 1 33.22 726.61 Tm (\240)Tj 1 0 0 1 33.22 709.11 Tm (The home has taken steps to try to promote healthy lifestyles for servic\ e users, for )Tj 1 0 0 1 33.22 691.62 Tm (instance through the provision of healthy food, and encouraging service \ users to take )Tj 1 0 0 1 33.22 674.12 Tm (regular exercise. Service users weight is checked regularly.)Tj 1 0 0 1 33.22 656.63 Tm (\240)Tj 1 0 0 1 33.22 639.13 Tm (The home has a comprehensive medication policy in place. Medications wer\ e stored in )Tj 1 0 0 1 33.22 621.63 Tm (various locked and suitable medication cabinets situated around the home\ . No service )Tj 1 0 0 1 33.22 604.14 Tm (users currently self medicate or are on any controlled drugs. The manage\ r informed )Tj 1 0 0 1 33.22 586.64 Tm (the inspector that before staff are able to administer medications, they\ must first )Tj 1 0 0 1 33.22 569.15 Tm (undertake training, which includes an assessment of their competence.)Tj 1 0 0 1 33.22 551.65 Tm (\240)Tj 1 0 0 1 33.22 534.15 Tm (Records are maintained of medications entering the home and of those ret\ urned to the )Tj 1 0 0 1 33.22 516.66 Tm (pharmacist. Medication Administration Records are maintained, those exam\ ined by the )Tj 1 0 0 1 33.22 499.16 Tm (inspector were accurate and up to date.)Tj ET endstream endobj 210 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Concerns, complaints and protection)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 628.42 m 565.85 628.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 628.42 m 565.85 628.42 l S 28.99 609.17 m 565.85 609.17 l S 30.07 699.74 m 30.07 608.09 l S 564.78 699.74 m 564.78 608.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them, k\ now how to )Tj 1 0 0 1 35.5 668.48 Tm (complain. Their concern is looked into and action taken to put things ri\ ght. The care )Tj 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse, neglect and self-harm and takes actio\ n to follow )Tj 1 0 0 1 35.5 634.48 Tm (up any allegations.)Tj 1 0 0 1 35.5 615.23 Tm (There are no additional outcomes.)Tj /C2_0 12 Tf 1 0 0 1 28.35 590.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 568.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 568.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 551.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 119.98 w 33.45 487.74 m 563.65 487.74 l S 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 97.48 w 32.32 476.5 m 564.78 476.5 l S 0.992 0.898 0.545 RG 2.25 w 30.12 526.36 m 566.98 526.36 l S 31.2 527.44 m 31.2 425.55 l S 565.9 527.44 m 565.9 425.55 l S 31.2 526.36 m 565.9 526.36 l S 30.12 426.63 m 566.98 426.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 510.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 473.18 Tm (\240)Tj 1 0 0 1 35.47 453.19 Tm (It is the inspectors judgement that the home has taken reasonable steps \ to help )Tj 1 0 0 1 35.47 435.69 Tm (safeguard service users.)Tj ET 0.996 0.945 0.761 RG 307.43 w 33.45 247.04 m 563.65 247.04 l S 1 1 1 RG 22.5 w 31.2 391.76 m 565.9 391.76 l S 284.94 w 32.32 235.8 m 564.78 235.8 l S 0.992 0.898 0.545 RG 2.25 w 30.12 379.39 m 566.98 379.39 l S 31.2 380.47 m 31.2 91.13 l S 565.9 380.47 m 565.9 91.13 l S 31.2 379.39 m 565.9 379.39 l S 30.12 92.2 m 566.98 92.2 l S BT /T1_0 12 Tf 1 0 0 1 31.2 388.45 Tm (Evidence:)Tj 1 0 0 1 35.47 363.7 Tm (The home has a complaints procedure in place. This has been produced in \ pictorial )Tj 1 0 0 1 35.47 346.21 Tm (form, and the manager informed the inspector that there are plans to pro\ duce a DVD )Tj 1 0 0 1 35.47 328.71 Tm (version of the complaints procedure to help make it more accessible to s\ ervice users. )Tj 1 0 0 1 35.47 311.22 Tm (All service users are given a copy of the procedure within the Service U\ ser Guide. The )Tj 1 0 0 1 35.47 293.72 Tm (procedure includes timescales for responding to any complaints. The home\ has a )Tj 1 0 0 1 35.47 276.22 Tm (complaints log, although the manager informed the inspector that no comp\ laints have )Tj 1 0 0 1 35.47 258.73 Tm (been received since the previous inspection.)Tj 1 0 0 1 35.47 241.23 Tm (\240)Tj 1 0 0 1 35.47 223.74 Tm (The home has a copy of Tower Hamlets adult protection procedure, and als\ o its own )Tj 1 0 0 1 35.47 206.24 Tm (safeguarding adults policy. Staff spoken to demonstrated a good understa\ nding of )Tj 1 0 0 1 35.47 188.74 Tm (their roles and responsibilities with regard to adult protection.)Tj 1 0 0 1 35.47 171.25 Tm (\240)Tj 1 0 0 1 35.47 153.75 Tm (All services users have their own bank accounts, and they have to be pre\ sent to draw )Tj 1 0 0 1 35.47 136.26 Tm (any monies out. Records and receipts are maintained of financial transac\ tions involving )Tj 1 0 0 1 35.47 118.76 Tm (service users money, those checked by the inspector were found to be sat\ isfactory. )Tj 1 0 0 1 35.47 101.26 Tm (Monies held by the home on behalf of service users are kept in a locked \ safe.)Tj ET endstream endobj 211 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET endstream endobj 212 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Environment)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 1 1 1 RG 85 w 31.2 618.79 m 563.65 618.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 662.42 m 565.85 662.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 662.42 m 565.85 662.42 l S 28.99 575.17 m 565.85 575.17 l S 30.07 699.74 m 30.07 574.09 l S 564.78 699.74 m 564.78 574.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, co\ mfortable, )Tj 1 0 0 1 35.5 668.48 Tm (pleasant and hygienic. )Tj 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to l\ ead the life )Tj 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the r\ ight )Tj 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Th\ eir room )Tj 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 1 0 0 1 35.5 581.23 Tm (enough privacy when using toilets and bathrooms.)Tj /C2_0 12 Tf 1 0 0 1 28.35 556.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 534.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 534.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 517.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 137.47 w 33.45 445 m 563.65 445 l S 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 114.98 w 32.32 433.75 m 564.78 433.75 l S 0.992 0.898 0.545 RG 2.25 w 30.12 492.36 m 566.98 492.36 l S 31.2 493.44 m 31.2 374.06 l S 565.9 493.44 m 565.9 374.06 l S 31.2 492.36 m 565.9 492.36 l S 30.12 375.14 m 566.98 375.14 l S BT /T1_0 12 Tf 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 439.18 Tm (\240)Tj 1 0 0 1 35.47 419.19 Tm (It is the view of the inspector that the home is suitable to meet its st\ ated purpose with )Tj 1 0 0 1 35.47 401.69 Tm (regard to the physical environment. Service users have access to adequat\ e communal )Tj 1 0 0 1 35.47 384.2 Tm (and private space, and the home was generally well maintained.)Tj ET 0.996 0.945 0.761 RG 281.04 w 33.45 208.74 m 563.65 208.74 l S 1 1 1 RG 22.5 w 31.2 340.27 m 565.9 340.27 l S 259.67 w 32.32 196.93 m 564.78 196.93 l S 0.992 0.898 0.545 RG 2.25 w 30.12 327.89 m 566.98 327.89 l S 31.2 328.97 m 31.2 64.9 l S 565.9 328.97 m 565.9 64.9 l S 31.2 327.89 m 565.9 327.89 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 336.95 Tm (Evidence:)Tj 1 0 0 1 35.47 312.21 Tm (The home is located in the Whitechappel area of the London Borough of To\ wer )Tj 1 0 0 1 35.47 294.71 Tm (Hamlets, close to shops, transport networks and other local amenities. T\ he home is in )Tj 1 0 0 1 35.47 277.22 Tm (keeping with other homes in the vicinity, and externally was well mainta\ ined.)Tj 1 0 0 1 35.47 259.72 Tm (\240)Tj 1 0 0 1 35.47 242.22 Tm (The home consists of two terraced houses converted in to one, over two f\ loors. )Tj 1 0 0 1 35.47 224.73 Tm (Communal space includes a kitchen on both floors, and a sitting room/din\ ing room on )Tj 1 0 0 1 35.47 207.23 Tm (each floor, along with a rear garden. Although communal areas were gener\ ally well )Tj 1 0 0 1 35.47 189.74 Tm (maintained, there were some minor maintenance issues that need to be add\ ressed, )Tj 1 0 0 1 35.47 172.24 Tm (i.e. scuffed paintwork around the door frames, broken worktop surfaces i\ n the upstairs )Tj 1 0 0 1 35.47 154.74 Tm (kitchen, missing skirting in the downstairs kitchen underneath cupboards\ , and the )Tj 1 0 0 1 35.47 137.25 Tm (upstairs carpet was badly stained and threadbare. Furniture in communal \ areas was )Tj 1 0 0 1 35.47 119.75 Tm (generally well maintained.)Tj 1 0 0 1 35.47 102.26 Tm (\240)Tj 1 0 0 1 35.47 84.76 Tm (All service users have their own bedrooms, which have a hand basin fitte\ d. Service )Tj ET endstream endobj 213 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 303.81 w 33.45 659.5 m 563.65 659.5 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 282.44 w 32.32 647.69 m 564.78 647.69 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 504.27 l S 565.9 791.11 m 565.9 504.27 l S 31.2 790.03 m 565.9 790.03 l S 30.12 505.35 m 566.98 505.35 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (users have been able to personalise their rooms to their own tastes, for\ example with )Tj 1 0 0 1 33.22 761.6 Tm (televisions and family photographs. Service users have been able to choo\ se the decor )Tj 1 0 0 1 33.22 744.11 Tm (and the furniture for their bedrooms. Bedrooms contained adequate furnit\ ure, and )Tj 1 0 0 1 33.22 726.61 Tm (bedding, curtains and carpets were well maintained and homely. Bedrooms \ had )Tj 1 0 0 1 33.22 709.11 Tm (adequate natural light and ventilation. All bedrooms were centrally heat\ ed, and )Tj 1 0 0 1 33.22 691.62 Tm (radiators were boxed in for safety reasons.)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (The home has adequate numbers of toilets and bathrooms situated around t\ he home. )Tj 1 0 0 1 33.22 639.13 Tm (These were found to be clean, tidy and free from offensive odours. Bathr\ ooms had )Tj 1 0 0 1 33.22 621.63 Tm (working locks fitted which included an emergency override device. Bathro\ oms had )Tj 1 0 0 1 33.22 604.14 Tm (grabrails fitted to help make them more accessible to service users.)Tj 1 0 0 1 33.22 586.64 Tm (\240)Tj 1 0 0 1 33.22 569.15 Tm (The home has taken reasonable steps to help prevent the spread of infect\ ion. Laundry )Tj 1 0 0 1 33.22 551.65 Tm (facilities are appropriate in scale to the size of the home, and hand wa\ shing facilities )Tj 1 0 0 1 33.22 534.15 Tm (were situated around the home. Protective clothing was available to staf\ f, and COSHH )Tj 1 0 0 1 33.22 516.66 Tm (products were stored securely.)Tj ET endstream endobj 214 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Staffing)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 121.25 w 32.32 635.79 m 562.53 635.79 l S 1 1 1 RG 34 w 31.2 593.29 m 563.65 593.29 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 575.17 m 565.85 575.17 l S 30.07 699.74 m 30.07 574.09 l S 564.78 699.74 m 564.78 574.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent, \ qualified )Tj 1 0 0 1 35.5 668.48 Tm (staff on duty at all times. They have confidence in the staff at the hom\ e because )Tj 1 0 0 1 35.5 651.48 Tm (checks have been done to make sure that they are suitable. People\222s n\ eeds are met )Tj 1 0 0 1 35.5 634.48 Tm (and they are supported because staff get the right training, supervision\ and support )Tj 1 0 0 1 35.5 617.48 Tm (they need from their managers.)Tj 1 0 0 1 35.5 598.23 Tm (People are supported by an effective staff team who understand and do wh\ at is )Tj 1 0 0 1 35.5 581.23 Tm (expected of them.)Tj /C2_0 12 Tf 1 0 0 1 28.35 556.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 534.86 Tm (This is what people )Tj 1 0 0 1 148.49 534.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 534.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 534.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 517.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 154.97 w 33.45 436.25 m 563.65 436.25 l S 1 1 1 RG 22.5 w 31.2 504.73 m 565.9 504.73 l S 132.47 w 32.32 425 m 564.78 425 l S 0.992 0.898 0.545 RG 2.25 w 30.12 492.36 m 566.98 492.36 l S 31.2 493.44 m 31.2 356.56 l S 565.9 493.44 m 565.9 356.56 l S 31.2 492.36 m 565.9 492.36 l S 30.12 357.64 m 566.98 357.64 l S BT /T1_0 12 Tf 1 0 0 1 31.2 501.42 Tm (Judgement:)Tj 1 0 0 1 35.47 476.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 476.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 476.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 459.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 439.18 Tm (\240)Tj 1 0 0 1 35.47 419.19 Tm (It is the judgement of the inspector that the home is staffed in suffici\ ent numbers to )Tj 1 0 0 1 35.47 401.69 Tm (meet the needs of service users, and that staff have built up good relat\ ions with )Tj 1 0 0 1 35.47 384.2 Tm (service users. However, it is required that staff have access to statuto\ ry health and )Tj 1 0 0 1 35.47 366.7 Tm (safety training as appropriate.)Tj ET 0.996 0.945 0.761 RG 263.54 w 33.45 200 m 563.65 200 l S 1 1 1 RG 22.5 w 31.2 322.77 m 565.9 322.77 l S 242.17 w 32.32 188.19 m 564.78 188.19 l S 0.992 0.898 0.545 RG 2.25 w 30.12 310.4 m 566.98 310.4 l S 31.2 311.47 m 31.2 64.9 l S 565.9 311.47 m 565.9 64.9 l S 31.2 310.4 m 565.9 310.4 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 319.46 Tm (Evidence:)Tj 1 0 0 1 35.47 294.71 Tm (The home provides 24-hour staff support, including waking night staff an\ d an )Tj 1 0 0 1 35.47 277.22 Tm (emergency on-call procedure. There was a staffing rota on display on the\ day of )Tj 1 0 0 1 35.47 259.72 Tm (inspection.)Tj 1 0 0 1 35.47 242.22 Tm (\240)Tj 1 0 0 1 35.47 224.73 Tm (Through observation and discussion there was evidence that staff have a \ good )Tj 1 0 0 1 35.47 207.23 Tm (understanding of the collective and individual needs of service users, s\ taff were seen )Tj 1 0 0 1 35.47 189.74 Tm (to interact with service users in a friendly and respectful manner. Serv\ ice users spoken )Tj 1 0 0 1 35.47 172.24 Tm (to expressed satisfaction with the staff, one commented "I like my keywo\ rker." All )Tj 1 0 0 1 35.47 154.74 Tm (staff are given a copy of their job description, and regular staff meeti\ ngs are held. )Tj 1 0 0 1 35.47 137.25 Tm (Examples of positive staff interaction with service users were seen, for\ example )Tj 1 0 0 1 35.47 119.75 Tm (supporting a service user to make their own lunch.)Tj 1 0 0 1 35.47 102.26 Tm (\240)Tj 1 0 0 1 35.47 84.76 Tm (The AQAA supplied by the home indicates that they have all necessary emp\ loyment )Tj ET endstream endobj 215 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 478.77 w 33.45 572.02 m 563.65 572.02 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 457.4 w 32.32 560.21 m 564.78 560.21 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 329.31 l S 565.9 791.11 m 565.9 329.31 l S 31.2 790.03 m 565.9 790.03 l S 30.12 330.39 m 566.98 330.39 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (related policies and procedures in place in line with National Minimum S\ tandards, )Tj 1 0 0 1 33.22 761.6 Tm (including on recruitment and selection and equal opportunities. Service \ users are given )Tj 1 0 0 1 33.22 744.11 Tm (the opportunity of being involved in the staff recruitment and selection\ process. )Tj 1 0 0 1 33.22 726.61 Tm (Outward, the organisation that runs the home, holds staff employment rec\ ords )Tj 1 0 0 1 33.22 709.11 Tm (centrally at their head offices. This is with the agreement of the CQC.)Tj 1 0 0 1 33.22 691.62 Tm (\240)Tj 1 0 0 1 33.22 674.12 Tm (All but two of the care staff have achieved an NVQ Level 2 in Care or eq\ uivalent )Tj 1 0 0 1 33.22 656.63 Tm (qualification. The manager informed the inspector that it is planned tha\ t in time all )Tj 1 0 0 1 33.22 639.13 Tm (staff will have such a qualification.)Tj 1 0 0 1 33.22 621.63 Tm (\240)Tj 1 0 0 1 33.22 604.14 Tm (During the course of the inspection, the inspector examined staff traini\ ng records. )Tj 1 0 0 1 33.22 586.64 Tm (There was a matrix produced, indicating what training staff have had. Th\ is matrix gave )Tj 1 0 0 1 33.22 569.15 Tm (several examples of staff having had training, when their was no certifi\ cate in place to )Tj 1 0 0 1 33.22 551.65 Tm (evidence this. Further, the matrix also highlighted that a lot of staff \ were not up to )Tj 1 0 0 1 33.22 534.15 Tm (date with statutory health and safety related training, for example ther\ e was no )Tj 1 0 0 1 33.22 516.66 Tm (indication that any of the staff working at the home had received traini\ ng on fire )Tj 1 0 0 1 33.22 499.16 Tm (safety. Subsequent to the inspection, the homes manager provided a more \ detailed )Tj 1 0 0 1 33.22 481.67 Tm (picture of what health and safety training staff have had. The inspector\ was pleased to )Tj 1 0 0 1 33.22 464.17 Tm (note that fire safety training was arranged for all but one staff \(who \ was off sick\) the )Tj 1 0 0 1 33.22 446.67 Tm (week after the date of inspection, and that plans are in place for all s\ taff to receive )Tj 1 0 0 1 33.22 429.18 Tm (first aid training. Whilst it is positively noted that the home has take\ n steps to address )Tj 1 0 0 1 33.22 411.68 Tm (this issue, there are still several gaps in staff health and safety trai\ ning, for example )Tj 1 0 0 1 33.22 394.19 Tm (only two of the eight care staff have received training on infection con\ trol. Therefore, a )Tj 1 0 0 1 33.22 376.69 Tm (requirement has been made in this report that the home ensures that all \ staff )Tj 1 0 0 1 33.22 359.19 Tm (undertake all statutory health and safety training as appropriate. The h\ ome has )Tj 1 0 0 1 33.22 341.7 Tm (provided other training for staff, for instance on epilepsy and bereavem\ ent.)Tj ET endstream endobj 216 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj /T1_0 16 Tf 1 0 0 1 28.35 768.13 Tm (Conduct and management of the home)Tj /T1_1 12 Tf 0 Tr 1 0 0 1 28.35 747.91 Tm (\240)Tj /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj /T1_1 5 Tf 0 Tr 1 0 0 1 28.35 700.85 Tm (\240)Tj ET 0.996 0.945 0.761 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 1 1 1 RG 85 w 31.2 567.79 m 563.65 567.79 l S 0.992 0.898 0.545 RG 2.25 w 28.99 611.42 m 565.85 611.42 l S 28.99 698.67 m 565.85 698.67 l S 28.99 611.42 m 565.85 611.42 l S 28.99 524.17 m 565.85 524.17 l S 30.07 699.74 m 30.07 523.09 l S 564.78 699.74 m 564.78 523.09 l S BT /T1_0 12 Tf 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is run and managed ap\ propriately. )Tj 1 0 0 1 35.5 668.48 Tm (People\222s opinions are central to how the home develops and reviews th\ eir practice, as )Tj 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 1 0 0 1 35.5 634.48 Tm (environment is safe for people and staff because health and safety pract\ ices are )Tj 1 0 0 1 35.5 617.48 Tm (carried out.)Tj 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs\ it )Tj 1 0 0 1 35.5 581.23 Tm (appropriately, with an open approach that makes them feel valued and res\ pected. )Tj 1 0 0 1 35.5 564.23 Tm (They are safeguarded because the home follows clear financial and accoun\ ting )Tj 1 0 0 1 35.5 547.23 Tm (procedures, keeps records appropriately and makes sure staff understand \ the way )Tj 1 0 0 1 35.5 530.23 Tm (things should be done. )Tj /C2_0 12 Tf 1 0 0 1 28.35 505.91 Tm <0003>Tj 0 0 0 RG 0.5 w /T1_0 12 Tf 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj 1 0 0 1 305.46 483.86 Tm (experience)Tj 0 Tr 1 0 0 1 370.91 483.86 Tm (:)Tj /T1_1 8 Tf 1 0 0 1 28.35 466.68 Tm (\240)Tj ET 0.996 0.945 0.761 RG 119.98 w 33.45 402.74 m 563.65 402.74 l S 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 97.48 w 32.32 391.5 m 564.78 391.5 l S 0.992 0.898 0.545 RG 2.25 w 30.12 441.36 m 566.98 441.36 l S 31.2 442.44 m 31.2 340.55 l S 565.9 442.44 m 565.9 340.55 l S 31.2 441.36 m 565.9 441.36 l S 30.12 341.63 m 566.98 341.63 l S BT /T1_0 12 Tf 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj 0 Tr 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this\ service.)Tj 1 0 0 1 35.47 388.18 Tm (\240)Tj 1 0 0 1 35.47 368.19 Tm (It is the view of the inspector that this is a generally well run home, \ with appropriate )Tj 1 0 0 1 35.47 350.69 Tm (health and safety systems in place.)Tj ET 0.996 0.945 0.761 RG 247.54 w 33.45 191.99 m 563.65 191.99 l S 1 1 1 RG 22.5 w 31.2 306.76 m 565.9 306.76 l S 226.16 w 32.32 180.18 m 564.78 180.18 l S 0.992 0.898 0.545 RG 2.25 w 30.12 294.39 m 566.98 294.39 l S 31.2 295.47 m 31.2 64.9 l S 565.9 295.47 m 565.9 64.9 l S 31.2 294.39 m 565.9 294.39 l S 30.12 65.97 m 566.98 65.97 l S BT /T1_0 12 Tf 1 0 0 1 31.2 303.45 Tm (Evidence:)Tj 1 0 0 1 35.47 278.7 Tm (The home has a registered manager in place, who has an NVQ Level 4 in Ca\ re and the )Tj 1 0 0 1 35.47 261.21 Tm (Registered Managers Award. They have fourteen years experience of workin\ g in social )Tj 1 0 0 1 35.47 243.71 Tm (care, including eight years in a managerial capacity. The manager is als\ o the )Tj 1 0 0 1 35.47 226.22 Tm (registered manager of another residential care home run by Outward, whic\ h is in close )Tj 1 0 0 1 35.47 208.72 Tm (proximity to Buxton Street, and they spend their time working between th\ e two )Tj 1 0 0 1 35.47 191.22 Tm (projects. They are supported by a deputy manager in the running of the h\ ome in )Tj 1 0 0 1 35.47 173.73 Tm (Buxton Street.)Tj 1 0 0 1 35.47 156.23 Tm (\240)Tj 1 0 0 1 35.47 138.74 Tm (Service user and staff meetings, and care plan reviews all contribute to\ the quality )Tj 1 0 0 1 35.47 121.24 Tm (assurance procedures within the home. Copies of previous inspection repo\ rts are )Tj 1 0 0 1 35.47 103.74 Tm (available to view. The visitors book indicated that Regulation 26 visits\ had taken place )Tj 1 0 0 1 35.47 86.25 Tm (on a monthly basis. However, reports of these visits are generally not p\ roduced. There )Tj ET endstream endobj 217 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 56.81 m 566.93 56.81 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 11 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Adults \(18-65 years\))Tj 0 Tr 1 0 0 1 477.68 53.04 Tm (Page )Tj 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj 0 Tr 1 0 0 1 526.07 53.04 Tm (of )Tj 2 Tr 1 0 0 1 540.49 53.04 Tm (28)Tj ET 0.996 0.945 0.761 RG 338.8 w 33.45 642.01 m 563.65 642.01 l S 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 317.43 w 32.32 630.19 m 564.78 630.19 l S 0.992 0.898 0.545 RG 2.25 w 30.12 790.03 m 566.98 790.03 l S 31.2 791.11 m 31.2 469.28 l S 565.9 791.11 m 565.9 469.28 l S 31.2 790.03 m 565.9 790.03 l S 30.12 470.36 m 566.98 470.36 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj 1 0 0 1 33.22 779.1 Tm (was one report in the home from a visit on the 26/05/09, and the most re\ cent report )Tj 1 0 0 1 33.22 761.6 Tm (available prior to that was from a visit on the 25/11/08. If Regulation \ 26 visits are to )Tj 1 0 0 1 33.22 744.11 Tm (be meaningful, it is essential that staff, service users and management \ in the home )Tj 1 0 0 1 33.22 726.61 Tm (are able to view the findings of the visit, in order to take action wher\ e appropriate. It )Tj 1 0 0 1 33.22 709.11 Tm (is required that monthly unannounced Regulation 26 visits take place, an\ d that a )Tj 1 0 0 1 33.22 691.62 Tm (report of these visits is made, and is available to view within the home\ .)Tj 1 0 0 1 33.22 674.12 Tm (\240)Tj 1 0 0 1 33.22 656.63 Tm (The AQAA supplied by the home indicates that they have all necessary pol\ icies and )Tj 1 0 0 1 33.22 639.13 Tm (procedures in line with National Minimum Standards. Those checked by the\ inspector, )Tj 1 0 0 1 33.22 621.63 Tm (including admissions and adult protection, were of a satisfactory standa\ rd. Record )Tj 1 0 0 1 33.22 604.14 Tm (keeping in the home was generally of a good standard, and confidential r\ ecords are )Tj 1 0 0 1 33.22 586.64 Tm (stored securely. Service users and staff have access to their records up\ on request.)Tj 1 0 0 1 33.22 569.15 Tm (\240)Tj 1 0 0 1 33.22 551.65 Tm (Fire extinguishers were situated around the home, these were last servic\ ed in July )Tj 1 0 0 1 33.22 534.15 Tm (2008. Fire alarms are tested weekly, and were last serviced on the 23/12\ /08. The )Tj 1 0 0 1 33.22 516.66 Tm (home had in date safety certificates for gas safety, PAT testing and ele\ ctrical )Tj 1 0 0 1 33.22 499.16 Tm (appliances. Hot water and fridge/freezer temperatures are checked. COSHH\ products )Tj 1 0 0 1 33.22 481.67 Tm (are stored securely. The home had in date employers liability insurance \ cover. )Tj ET endstream endobj 218 0 obj<>stream 0.984 0.788 0.086 RG 1 i 20.58 w 10 M 0 j 0 J []0 d 28.35 35.56 m 566.93 35.56 l S 0 0 0 rg 0 0 0 RG 0.5 w BT /T1_0 12 Tf 0 Tc 0 Tw 0 Ts 100 Tz 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj /T1_0 11 Tf 0 Tr 1 0 0 1 477.68 31.8 Tm (Page)Tj 2 Tr 1 0 0 1 508.21 31.8 Tm (25)Tj 0 Tr 1 0 0 1 522.2 31.8 Tm ( of )Tj 2 Tr 1 0 0 1 540.49 31.8 Tm (28)Tj ET 0.992 0.945 0.761 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.996 0.945 0.761 RG 17 w 28.35 784.78 m 422.1 784.78 l S 424.35 784.78 m 467.1 784.78 l S 1 1 1 RG 469.35 784.78 m 494.1 784.78 l S 0.996 0.945 0.761 RG 496.35 784.78 m 539.1 784.78 l S 1 1 1 RG 541.35 784.78 m 566.1 784.78 l S 0.992 0.898 0.545 RG 2.25 w 26.14 794.4 m 568.3 794.4 l S 26.14 813.65 m 568.3 813.65 l S 26.14 794.4 m 568.3 794.4 l S 26.14 775.15 m 568.3 775.15 l S 27.22 814.73 m 27.22 774.08 l S 423.22 795.48 m 423.22 774.08 l S 468.22 795.48 m 468.22 774.08 l S 495.22 795.48 m 495.22 774.08 l S 540.22 795.48 m 540.22 774.08 l S 567.22 814.73 m 567.22 774.08 l S BT /T1_0 12 Tf 0 Tr 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj 1 0 0 1 429.75 781.22 Tm (Yes)Tj /C2_0 12 Tf 1 0 0 1 476.37 783.16 Tm <0085>Tj /T1_0 12 Tf 1 0 0 1 501.75 781.22 Tm (No)Tj /C2_0 12 Tf 1 0 0 1 548.37 783.16 Tm <0035>Tj ET 0.996 0.945 0.761 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 30.3 w 31.2 631.95 m 91 631.95 l S 93.25 631.95 m 197.4 631.95 l S 199.65 631.95 m 289.5 631.95 l S 291.75 631.95 m 473.9 631.95 l S 476.15 631.95 m 566.2 631.95 l S 0.992 0.898 0.545 RG 2.25 w 28.99 648.22 m 568.4 648.22 l S 28.99 719.65 m 568.4 719.65 l S 28.99 648.22 m 568.4 648.22 l S 28.99 615.67 m 568.4 615.67 l S 30.07 720.73 m 30.07 614.6 l S 92.12 649.3 m 92.12 614.6 l S 198.52 649.3 m 198.52 614.6 l S 290.62 649.3 m 290.62 614.6 l S 475.02 649.3 m 475.02 614.6 l S 567.32 720.73 m 567.32 614.6 l S 0 0 0 RG 0.5 w BT /T1_0 16 Tf 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj /T1_0 12 Tf 0 Tr 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but hav\ e still not )Tj 1 0 0 1 34.05 669.45 Tm (been met.)Tj 1 0 0 1 95.57 669.45 Tm (\240 )Tj 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards\ )Tj 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards\ .)Tj /T1_0 10 Tf 1 0 0 1 31.2 637.05 Tm (No.)Tj 1 0 0 1 96.1 634.05 Tm (Standard)Tj 1 0 0 1 202.5 634.05 Tm (Regulation)Tj 1 0 0 1 294.6 634.05 Tm (Requirement)Tj 1 0 0 1 479 634.05 Tm (Timescale for )Tj 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 219 0 obj<> endobj 220 0 obj<> endobj 221 0 obj<>stream HlVXTW{`W`ftMĎ*0 vGcKT>b/1fwd5Ff/`nERo!7)15dl<&D%eEr(*Oj35wb^1|d՜4i4v3L8ljܦ^X>[Sol\/s^7R*UUQs:.uoаQ㷚5Ս&s3whʳuiݿtԹKn{|ϫWz8h9*8$Ȩ1q I)ic32ƍ0q)SM1slۜ(7od埬X*o(trm; 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If you would like \ a summary in a )Tj 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our we\ bsite.)Tj 1 0 0 1 28.35 602.63 Tm (Copyright \251 \()Tj 1 0 0 1 112.69 602.63 Tm (2009)Tj 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may \ )Tj 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medi\ um provided )Tj 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 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 1 0 0 1 28.35 532.64 Tm (misleading context. 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