%PDF-1.4 % 1 0 obj <>stream JFIFHH%Created by xPression Import UtilityCC" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?h/L+7"젛HYkZ!=+x.c0nwg9f$':şQ]O8b"LN="t '-^;ZX^'j^+xOFsRF88TCRN!NaHC;+˥<+*~ u%Ù兡)Jo,¹JRt۔+&m{0Pee-g':şQG':şQ\|aEg4[Y_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[Y_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[Y_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[}^궲tȵ;F` uA#Z챻PIl#K{@*[mw#cE`AY_ pGgY tgz&Q tgz&W'EYĿ}???γ(L(LN?>0Pee-g':şQG':şQ\|aEg4[<Ag^A_䟎Rs^~)x'm.,۶]) 'lw$_v[AEWQ@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@z|>ƓjUtvf9 gfKv*QG|_'kI.%y敋4ҹYdv%IݘI$]O^xvI#V!d]"MRpιor~׌\w x؜?ȥNYTe.%pkYGrGJk'k/9f8z0<9RT RpV 2r1G/߆8=5_?AZkkbN~)9Z2חf-}.ᴣùV%ʒX( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (:<9:?<9:S/PFӆ?1Ԍ9oJ?Gk >(|D`(-j"~#،^_GrRxˍQ}q?g@ȲTk)S^kE0+OX(((((((((((((((((((((((((((((((((((((((((((<#ׂl,#ׂl,M$R3C#N R0/){wpJb~If񯊙uI>jiOi=Җsi?=Ȏ[&l- +OL(((((((((((((((((((((((((((((((((((((((((((<#ׂl,#ׂl,M$R3C#N R0gY> _^'u8#*)wYicgy\GOn-{yAS^QxTd)Ճ) \*߉Nw?__xǂ8¤jHԏ gSH0IN2X&̤M;fGMeqabT&unzUx Ux ~  ?gvnd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0(o'^;Go'^;G!߈B#0KCO\pWw o#W o#W!xCs%W '.8J+[7׎+[7׎+wcw!+Æ%­DH­DH;^1c;q ˎVMu$|A?VMu$|A?D/1nd8 Ew~&:> }~&:> }@?2_epㄢUx Ux ~  ?gۙ/28a?qQ]*߉Nw?_G*߉Nw?_GC?F3a̗_0/cg?g_ெm2ׅ<2F84eV0()($mHLnp԰x6*0 rW]AF'JrQm&vm- endstream endobj 2 0 obj <>stream JFIFHH%Created by xPression Import UtilityCCv" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?K~6>xƿt]_Ǟ9i ~~I|UuAisjz{ ëk)7M|R/u,اQds rrf8I2|0%S , ,QqudB,xX.(v4;IRa\S!} <o7jwt3\gEa0ea0 IexѧҫZ&UlUZ=|Rok~yZj1Fk]A[^m#?DhqE'`jo?g!\@,wo2Wo޵aO=i^# mkRh톕ך6%zVo:%5!)OǾ$N]KLr0VxK]мGxTCºΜn Xukg (ѣUF覭_vP2Q\@,wo-+k2>Ikψ_<_x|ycmiq{eE6\i} Vrʎ%hI[xS|O[-@dn|Yh) ~8|+Z zś_.c{lhդ(ѣUF覭_vO2Q\@,wo*+y dMʱXN`Vi`pu\F?W֩Kb!,LӧN<%׋Mf9V_SN:YxjRŒ*r}traEWhQEQEQEQEQEFp?m*UVp?m~B0|1\xW~-ShxF׌~Ͽ/xK63:w~"txIմ-SZ7mGk^:֑{LBE?MU- }oW~5+-g⇈uc{c O/E? w_"SwH~?Wך1ҿl?~,|U?~?oFo"'?^|aGڧ_υ/oO+@]b^>Z_4sů a*K~0hu/x||IQ:WA x %㏇z4O |gF3h|hA?ZkzO'ߌ>?~eűj ¾ GVdcNX~ xsM_4W~H?Ŀ"]?Y|g|OcG[[EEmwdOC!ka?='iv='Y'S]| ?NL^ lj5U eE3ԯ?e~2 e#GSs߲ÝW'0_ BGEk*~xCmuo| !9_YYxwH▟MG~[k:e|]We,|xJ$I k#|8Ik8>~ h/_H%_H/?5^?(|^t?+xo^gg k,+<{oV:ti>+Ӵd]SH|G[;jZDžh^8{=gƋ)[Nh_[0j/|1cb<F?!~!gmi-t .uHgmt]_VyHnlŮ!QG2tjc)b'dՠӍl6"QpONdN5O^#Aා>#ɞ0XPOm7|XMk.|1^}7YOxJ/o:7t_Kǖ? 4Oh_isKĞ),5A;kQiZ~7t4c_ >^h wj&})o/|_Γu~|bGOoPQSV-2b~r|%ȩx_g>#K,H(kt^ziթNjZ厗{mC3.eTaŸ\< p'g3`pXnˈŽMU3zTsz*PMl;1<&:y)Q89, 7,V 8YO 6?l&w$ğ ~;xN?GD0t?C@O2$tjũ}FXگ߳ŷF߳YAx}[-?e?? y7?KvĿ 5?x Ή xO|?{Lwo =yisK5ٓv>#ռ)Cᧅ. Q+xm1-/}[]K1y8xv|[=x8:ɰ _l.&8`0y_IʩK.9^mJ37ٞ9e67[LJjЧUa,fa/o:4K _ c~ןu?j߳h#OŨ>$xƺ ~і>Wn~v ҵ o{[W4="x6S3W~;zDߴGׄ~"x?k;C–3?ÿ 5YcaZ'7mAh?_ |hf_+ o^| xk]i#gEݝޝ #QcgPujKWK_? uφ>| 6ǃo iO{iԭRCHg65u?v8|98oyØoJy~ebW 1n˲zXY:S|6+0c+G6%R7 %^yLj5sWJ w&¾mW¿~1h wrI+|gm2JiRIPԌW3J36??g};"+|Zx[?./O/iKY_^mzgm-&O ,O |c7<[Zu1 `.g8512'"|uUUjѫC2f8~dVNl5V.S*b%%N lGþ'Z`OOs^ Ѽeqo8Vx3ImΏD$gxwGqGGķ޽"x*;3 ~bg>>4sgiot{}4-+_ϧ^mm>i{ |'/Uke? iVMԿmlr4Ɩk88r.>\1y.[|A_:PX.:԰at,FUByq9fGaqv'QBQP#VPSJjeR2IJPNu$iu_ds_G_߅h}GWt{FK_M>Sagqs|Bz υvZu'W')_wЇQ_ggqx°\[dZdMOxZ_ >xώ4 JK#i3aLiPRv^%گᾍC_z/<}|N{/5;MV[N+;Ox_lyW w'~5⯉+2`8υ=UU[]xAKXt=>VYiYi2R׃?/H + q]4%DlU煼 jg'3Sru-*/Vi.7U΅i_[Y&CԼ'Wzs+]Bir]iV{-ִ,~~ݿ?5_[h7[Y+Kº\Ck{xcTռ9A7cG?~;:?|ZG/ ?d/ C--<x[}Ï8y_k<-?x'UG]Z{_h_XE^WTO·'>| iy@>9_Qi^-׾)>'3~Ͽ N/ukWhh#][\־$If]r94 ?k߂gZ.oᗋ O9_XE|;φZf͞- ~~-wծZ &#w֟lkfZ^.>Yh0g෌ Z/;խtiZ_/:o,SIJ4T UKRiA{Ooanľ;g|k;uSzp7uy4V[$BAQBvG?~|'7tc})`H|_xƯ1"`xğt־eX9/sď ּu "z/>ռYM{Úg)<|ObehִIo%4,ٿ7;Rɯ/Bkli~6;D7_|Cexht|LCEö>[Ɵ?go7#whk/?4G4_!'G֡FMÞOmEϊ|] ~^#ҼO,gߊ%΅ " Cƶ//-<)࣫x+V)j1bY[ΟG4W5o<% &4hա5Sp#8N#dLfbpfa:8L)À2Vukb%9FkAUTiuӅji}_:r\N&6P!*|P_]'ߵ콠$ѿgq{wyDkn>,,O߈~OWWfn-f-wğ߰=OO/4gόhoQ|{߆Zǿ^/w 2xg:\ҼIuw}wqqu,7^XҾ'x+^&xC|Eook*s{x/o4#VUѵ.auqwdӈ.Vǜ,r,—W0տh|d׆ W~#[?Gx= #`+J<+|9w/Yd~QgijV8wws37څ֣_Osj7wW7u?H,68"2,cV+ͫPr0<՞ %6\Dq$RT!F/,plF hEUaFUB)JHZUPYG[Z\K5ǿPx- w_dQ>Ӟ~///Ꮚi_5%ŏh#|i/?>k2iSVY+|eyf7.U"\ZX_87eo- UJ9|;RJ/^.v]C xUUuR᛺*xֵ|GN _^ThʒjЄi:Sp^ίc|a[4xt9GG4i_|៉|O/ž(Դ[K-CSnW>T5;Euak_|NSs㯌4 m Lj|'ǟ? |D?|M]J=~D[Xxt_čkxV:;j@ou(t"P{Eep`y|SY ?Xl-Sٖ_YnUg|ᄫSa:wUIjaqxIJGB(`i14pucG/Y9/|4FxT#'ll>$hc>,f_k^0о]xttI<藞?M揣h]ƤiKo袿sys癦?7:tRf84ӥJujɥN#+cXJX B){:J,Uۓ~l#?8O猿6*8O猿65?ĺx{@lnu=g\5t'Gt85=Nnn#ydU?!WY^'/pEx3ūR:Fk.༷Үt/x /V_3 ODO3c5,44+Fm_懩ZC_[ϟ%{(s?Ǐs9RjΏm??_+/*֙6aɯSu[žk:OO~ϳkCio/L_m,'ՠ-]ucGƯx__xgğjh/Kľ)26Wr$1q;G ^+h&? |> : >4 _uh"i՞ᵽ(4&u{49}_iO߇ j,.6P2wK#C~ Х|kR/5wSvw *_{mto߶w|@>.|*]M=MhÏ k#O:iZ[O>S<7 U6|vE>|0G_ V#῅-auh^ Kt(tGP׼A{oGWToWJkxſ h_ ė "uUt]?{m~&dԯ,y{g 9*Llîm>@4cm׼;7xΟ:Gh_ƏkkyoK:ѵXW J'~޿> Ho־&|v~1'\-LJ9b=^! >!;m-x2~o# ~;'[/߉5 x^_YuмM}SRѬ|?0i6u[ B5K!c_I89%7/:\x|ciL>$\k|A=J>x DxrNAmel<1o8a?%k:|0W/_u}3HeiV -l|Akq"I5/ǿUt}@Jito wH(K |5kPD;7;Rɯ/Bk?YWG!_P , ((((((e?#2:_Ÿ?nO>77Ś@%o-i 5 /?L^ <}iN4Y[[Y~3xSh7SĚ ϧ|+P)ikǦk7j:Un4]hq@_vsw2EjC(jſ8OaX_V U1U}|4"mᯃFȞ(twϩ[xl^>Yih/A[/{[?:Oÿwy׆/5}>,J=-o}> 52K!?)#@A Ꮝ>.M<-Яj4xxlxOYR}[\MךrLgJf|K)S?go''OUb|,!'/=|^5{LmO7O(7pߵ MxO?iO'k#w=O¾=OCgះ~nt?zOh'=~)A-V7H?WV?'V[&χ>:|Zěm &z>xNY=>S𯉴_^jZ6e_طƽF|o5 Y}7Bxz/M֢IAોsS4 x_,Э|e$^ojZĚ6``d?-`7O⯇ giWɞ(Yxƾ/Aw{oXֻޡxS$Nx t⦚u7[>_ ogJyk{=it4oN~+Wxmb) Kno#?P?mo~inWƟ ȶ~2g#`k %Q/G@2ǁm4 :cԵ]vᵽ;ƿ Os:f_|dյ3kec|u]𯇮=@ubla{s7>.xP֬tyo~#N74yLP/7<'ixnEKRY5 ۹گy;>2xN>/ֺ>%iUue&6 )xkm<|gdž7wVZm#]z #ӟV/RxgM7 {?_պ֝k> x[Rv KⰓN5ik?ϯIOj=I?hO]x=zMsĚ-cHbZwvW|6tOctmkE֬u_G|=]#V053A OOJ 8~n_k ?*nh?>> 3 {#5!_DŽuq*MThcDGow?g@I^_|I7b|\\Y /g^z}^yq7$p$Ҽ6żO#p  I!.rY5A?K#֏!c &WuƷ'Úh>1Ӵ=>MOJZKCu.osr[G_YgH> Aƶ#69=+{KĞ xkk-<C%]sci$Ωc'CĬ>&8])U'^x,ϱY,FRF<:JO%:TN^:ӌȿC|cƷ5xs: :} 0A%#ݳM޹`z׼=xJмO#/1_heiWޟAqisBrx0}k?WsJ7]AITNSġ7;r9ӿ<~JFrK||r7I6It[Vz+o _Sx[' ~!n|; K ~|og ^5h>5πmR֯|Uwmgi$Z\M}nJ{=~Rӵ *{;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 1 0 0 1 28.35 503.98 Tm (Care homes for adults \(18-65 years\))Tj ET /F1 6 Tf BT 1 0 0 1 28.35 492.94 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 485.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 471.92 m 160.38 471.92 l S 0.001 w 1 1 1 RG 20.58 w 162.63 471.92 m 563.65 471.92 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.33 w 31.2 422.71 m 160.38 422.71 l S 0.001 w 1 1 1 RG 73.33 w 162.63 422.71 m 563.65 422.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 460.5 m 565.85 460.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.33 m 565.85 483.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 460.5 m 565.85 460.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 384.92 m 565.85 384.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.41 m 30.07 383.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.41 m 161.5 383.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.41 m 564.78 383.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 467.14 Tm (Name:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 467.14 Tm (Grove \(The\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 444.31 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 444.31 Tm (72 Grove Road )Tj ET /F3 12 Tf BT 1 0 0 1 165.48 426.73 Tm (Walthamstow)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 409.15 Tm (London)Tj ET /F3 12 Tf BT 1 0 0 1 165.48 391.56 Tm (E17 9BN)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 372.67 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 355.67 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.13 m 358.95 336.13 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.13 m 565.9 336.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 347.54 m 568.1 347.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 324.71 m 568.1 324.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 348.62 m 30.07 323.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 348.62 m 360.07 323.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 348.62 m 567.02 323.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 331.36 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 210.68 331.36 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 281.25 331.36 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 383.11 331.36 Tm (three star excellent service)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 312.46 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 293.4 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 276.4 Tm (meeting the needs of the people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 295.13 276.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 303.56 276.4 Tm (We give a quality rating following a full )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 259.4 Tm (assessment of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 189.16 259.4 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 197.6 259.4 Tm (We call this a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 242.4 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 224.92 m 315.25 224.92 l S 0.001 w 20.58 w 317.5 224.92 m 565.9 224.92 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.09 m 346.55 202.09 l S 0.001 w 20.58 w 348.8 202.09 m 377.9 202.09 l S 0.001 w 20.58 w 380.15 202.09 m 409.2 202.09 l S 0.001 w 20.58 w 411.45 202.09 m 440.55 202.09 l S 0.001 w 20.58 w 442.8 202.09 m 471.9 202.09 l S 0.001 w 20.58 w 474.15 202.09 m 503.2 202.09 l S 0.001 w 20.58 w 505.45 202.09 m 534.55 202.09 l S 0.001 w 20.58 w 536.8 202.09 m 565.9 202.09 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 213.5 m 568.1 213.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.34 m 568.1 236.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 213.5 m 568.1 213.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 190.67 m 568.1 190.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.41 m 30.07 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.41 m 316.37 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 214.58 m 347.67 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 214.58 m 379.02 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 214.58 m 410.32 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 214.58 m 441.67 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 214.58 m 473.02 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 214.58 m 504.32 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 214.58 m 535.67 189.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.41 m 567.02 189.59 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 220.15 Tm (Lead inspector:)Tj ET /F2 12 Tf BT 1 0 0 1 320.35 220.15 Tm (Date:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 197.31 Tm (Robert Cole)Tj ET /F3 12 Tf BT 1 0 0 1 329.63 197.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 360.96 197.31 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 392.28 197.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 423.61 197.31 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 454.96 197.31 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 486.28 197.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 517.61 197.31 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 548.96 197.31 Tm (9)Tj ET /F4 10 Tf BT 1 0 0 1 28.35 178.42 Tm ()Tj ET /F4 10 Tf BT 1 0 0 1 28.35 161.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.42 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.35 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.28 Tm ()Tj ET endstream endobj 7 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 11 0 obj<>>> endobj 12 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (2)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (29)Tj ET /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 787.02 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F3 12 Tf BT 1 0 0 1 428.23 787.02 Tm (care home is meeting )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.52 Tm (the needs of people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 226.59 769.52 Tm (There is a summary of what we think this service does )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 752.02 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 734.52 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 717.03 Tm (experience.)Tj ET /F3 12 Tf BT 1 0 0 1 106.58 717.03 Tm (National minimum standards are written by the Department of Health for )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 699.53 Tm (each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.53 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.03 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.84 m 572.15 653.84 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.16 m 572.15 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.85 m 22.7 320.16 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.85 m 572.15 320.16 l S 0.001 w [] 0 d /F2 10 Tf BT 1 0 0 1 31.2 640.54 Tm (Outcome area \(for example )Tj ET /F2 10 Tf BT 1 0 0 1 189.13 640.54 Tm (Choice of home\))Tj ET /F2 10 Tf BT 1 0 0 1 31.2 610.24 Tm (These are the outcomes that people )Tj ET /F2 10 Tf BT 1 0 0 1 236.38 610.24 Tm (staying in care homes should experience.)Tj ET /F2 10 Tf BT 1 0 0 1 479.51 610.24 Tm (They reflect )Tj ET /F2 10 Tf BT 1 0 0 1 31.2 598.08 Tm (the things that people have said are important to them:)Tj ET 1 0.9451 0.76078 RG 82.25 w 30.6 533.34 m 562.45 533.34 l S 0.001 w 1 1 1 RG 40 w 29.47 513.34 m 563.57 513.34 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.71 m 565.77 576.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.46 m 565.77 534.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.21 m 565.77 492.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.78 m 28.35 491.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.78 m 564.7 491.14 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 561.02 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 543.52 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.79 543.52 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 518.77 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 501.27 Tm (key inspection.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 461.76 Tm (This is what people )Tj ET /F2 10 Tf BT 1 0 0 1 143.21 461.76 Tm (staying in this care home experience:)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 424.6 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 40 w 30.6 393.29 m 562.45 393.29 l S 0.001 w 1 1 1 RG 40 w 29.47 394.41 m 563.57 394.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.54 m 565.77 415.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.29 m 565.77 373.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.61 m 28.35 372.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.61 m 564.7 372.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 399.85 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.65 399.85 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 382.35 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 356.47 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.91 m 562.45 333.91 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.04 m 563.57 335.04 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.41 m 565.77 347.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.66 m 565.77 322.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.49 m 28.35 321.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.49 m 564.7 321.59 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 331.72 Tm (This box describes the information we used to come to our judgement.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 285.1 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.81 285.1 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.54 285.1 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.39 285.1 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 12 Tf BT 1 0 0 1 526.58 285.1 Tm ( can )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 267.6 Tm (be found at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 250.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 232.6 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.68 232.6 Tm (www.tso.co.uk/bookshop)Tj ET [] 0 d 0.708 w 0 0 1 RG 238.68 231.55 m 390.93 231.55 l S 0.001 w [] 0 d /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.61 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 172.61 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 172.61 Tm (Put the people who use social care first)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 154.97 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 154.97 Tm (Improve services and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 137.33 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 137.33 Tm (Be an expert voice on social care)Tj ET /F5 12 Tf BT 1 0 0 1 46.35 119.69 Tm (x)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 119.69 Tm (Practise what we preach in our own organisation)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 79.55 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 13 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 14 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (3)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (29)Tj ET /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 28.35 751.38 m 224.05 751.38 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.38 m 567 751.38 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.55 m 224.05 728.55 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.55 m 567 728.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.72 m 224.05 705.72 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.72 m 567 705.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.83 w 28.35 617.26 m 224.05 617.26 l S 0.001 w 1 1 1 RG 151.83 w 226.3 617.26 m 567 617.26 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.8 m 224.05 528.8 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.8 m 567 528.8 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 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 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 26.14 717.13 m 569.2 717.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.3 m 569.2 694.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.22 m 569.2 540.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.39 m 569.2 517.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.31 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 769.44 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 769.44 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 746.61 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 746.61 Tm (CSCI)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 723.78 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 723.78 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 700.94 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 700.94 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 678.11 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 678.11 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 313.49 678.11 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 344 678.11 Tm (\) Commission for Social Care )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 663.53 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 648.95 Tm (in whole or in part, free of charge, in any format or )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 634.36 Tm (medium provided that it is not used for commercial )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 619.78 Tm (gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 605.2 Tm (reproduced accurately and on proviso that it is not )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 590.61 Tm (used in a derogatory manner or misleading context. )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 576.03 Tm (The material should be acknowledged as CSCI )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 561.45 Tm (copyright, with the title and date of publication of the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 546.86 Tm (document specified.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 524.03 Tm (Internet address)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 524.03 Tm (www.csci.org.uk)Tj ET endstream endobj 15 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 16 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 485.42 31.21 Tm (Page)Tj ET /F2 12 Tf BT 1 0 0 1 515.82 31.21 Tm (4)Tj ET /F3 11 Tf BT 1 0 0 1 524.35 31.21 Tm ( of )Tj ET /F2 12 Tf BT 1 0 0 1 542.63 31.21 Tm (29)Tj ET /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 73.33 w 31.2 725.01 m 267.95 725.01 l S 0.001 w 1 1 1 RG 73.33 w 270.2 725.01 m 565.65 725.01 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.8 m 267.95 675.8 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.8 m 565.65 675.8 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.97 m 267.95 652.97 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.97 m 565.65 652.97 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.14 m 267.95 630.14 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.14 m 565.65 630.14 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.3 m 267.95 607.3 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.3 m 565.65 607.3 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 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 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 28.99 687.22 m 567.85 687.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.38 m 567.85 664.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.55 m 567.85 641.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.72 m 567.85 618.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.89 m 567.85 595.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.44 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.44 Tm (Grove \(The\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 746.61 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 746.61 Tm (72 Grove Road)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 729.03 Tm (Walthamstow)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 711.44 Tm (London)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 693.86 Tm (E17 9BN)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 671.03 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 671.03 Tm (02085203510)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 648.2 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 625.36 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 625.36 Tm (aidanspence@hotmail.com)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 602.53 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 35.17 w 31.2 556.8 m 353.25 556.8 l S 0.001 w 1 1 1 RG 35.17 w 355.5 556.8 m 565.9 556.8 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 526.68 m 353.25 526.68 l S 0.001 w 1 1 1 RG 20.58 w 355.5 526.68 m 565.9 526.68 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 503.85 m 353.25 503.85 l S 0.001 w 1 1 1 RG 20.58 w 355.5 503.85 m 565.9 503.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 538.09 m 568.1 538.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.26 m 568.1 515.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.51 m 568.1 575.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.09 m 568.1 538.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.26 m 568.1 515.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.43 m 568.1 492.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.59 m 30.07 491.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.59 m 354.37 491.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.59 m 567.02 491.35 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 559.32 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 559.32 Tm (Ms Lisa Goldwater,Mr Aiden )Tj ET /F3 12 Tf BT 1 0 0 1 358.35 544.74 Tm (Spence)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 521.91 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 521.91 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 499.07 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 499.07 Tm (5)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 480.13 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 460.64 m 565.6 460.64 l S 0.001 w 41.17 w 31.2 427.51 m 297.2 427.51 l S 0.001 w 20.58 w 299.45 437.8 m 565.6 437.8 l S 0.001 w 20.58 w 299.45 417.22 m 432.52 417.22 l S 0.001 w 20.58 w 432.52 417.22 m 565.6 417.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 449.22 m 567.8 449.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.05 m 567.8 472.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 449.22 m 567.8 449.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 405.8 m 567.8 405.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 473.13 m 30.07 404.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 450.3 m 298.32 404.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 473.13 m 566.72 404.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 455.86 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 433.03 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 433.03 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 412.45 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 412.45 Tm (Over 65)Tj ET 1 1 1 RG 35.17 w 31.2 383.72 m 297.3 383.72 l S 0.001 w 35.17 w 299.55 383.72 m 431.45 383.72 l S 0.001 w 35.17 w 433.7 383.72 m 565.6 383.72 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 353.6 m 565.6 353.6 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 365.01 m 567.8 365.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.18 m 567.8 342.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.35 m 568.1 319.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 402.43 m 567.8 402.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 365.01 m 567.8 365.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.18 m 568.1 342.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 319.35 m 568.1 319.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 252.76 m 568.1 252.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 403.51 m 30.07 251.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 403.51 m 298.42 363.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 403.51 m 432.57 363.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 403.51 m 566.72 251.69 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 386.24 Tm (mental disorder, excluding learning )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 371.66 Tm (disability or dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 386.24 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 386.24 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 348.82 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 325.99 Tm (The maximum number of service users who can be accommodated is: 5 )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 303.16 Tm (The registered person may provide the following category of service only: Care Home )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 288.58 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 273.99 Tm (needs on admission to the home are within the following categories: Mental Disorder, )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 259.41 Tm (excluding learning disability or dementia - Code MD)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 237.97 m 315.25 237.97 l S 0.001 w 1 1 1 RG 20.58 w 317.5 237.97 m 346.55 237.97 l S 0.001 w 20.58 w 348.8 237.97 m 377.9 237.97 l S 0.001 w 20.58 w 380.15 237.97 m 409.2 237.97 l S 0.001 w 20.58 w 411.45 237.97 m 440.55 237.97 l S 0.001 w 20.58 w 442.8 237.97 m 471.9 237.97 l S 0.001 w 20.58 w 474.15 237.97 m 503.2 237.97 l S 0.001 w 20.58 w 505.45 237.97 m 534.55 237.97 l S 0.001 w 20.58 w 536.8 237.97 m 565.9 237.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 249.39 m 568.1 249.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 226.56 m 568.1 226.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 250.47 m 30.07 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 250.47 m 316.37 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 250.47 m 347.67 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 250.47 m 379.02 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 250.47 m 410.32 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 250.47 m 441.67 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 250.47 m 473.02 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 250.47 m 504.32 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 250.47 m 535.67 225.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 250.47 m 567.02 225.48 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 233.2 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 213.56 m 565.9 213.56 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 203.93 m 568.1 203.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 205.01 m 30.07 81.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 205.01 m 567.02 81.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 223.18 m 568.1 223.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 203.93 m 568.1 203.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 82.68 m 568.1 82.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 224.26 m 30.07 202.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 224.26 m 567.02 202.85 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 209.99 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.27 209.99 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 190.74 Tm (The Grove is a care home registered to provide accommodation and support to five )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 173.74 Tm (adults with mental health needs. The home is located in the Walthamstow area of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 156.74 Tm (London Borough of Waltham Forest. The home is in a residential area, close to shops )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 139.74 Tm (and other local amenities, and to transport networks. The home is in keeping with )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 122.74 Tm (other properties in the vicinity. The home is jointly owned by two proprietors who are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 105.74 Tm (both qualified psychiatric nurses. One of the proprietors is the registered manager of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 88.74 Tm (the home. )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 68.37 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 51.37 Tm ()Tj ET endstream endobj 17 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 555/Matrix [1 0 0 1 0 0]>>stream xMo1+RY@T~>IvZZwbי7wG*Ch(iw@/GؚzDv> l`|hP,Csޔ#yDP^]ыu-x4x:|6aW+Vq tonK/^l)?4~$cUdظxp-0E)L~cv^$vhHW14E3M:PU4ZUmX0v8KEGȆtsA  y@-QeU:Sz 6 ) <)K9Q?N''ՙG/uk"(\\k%{j ̢YNEkrnyo @t;y^p|6rؽNT?Wޖş< eu8CROaf |8b(3/p~~9N3#EGnoVgv\މgZt뫿n7v^ endstream endobj 20 0 obj<> endobj 21 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.69 m 568.35 55.69 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 33.75 52.38 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 483.75 53.38 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 514.26 53.38 Tm (5)Tj ET /F3 11 Tf BT 1 0 0 1 522.08 53.38 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 540.36 53.38 Tm (29)Tj ET /F6 10 Tf BT 1 0 0 1 28.35 38.03 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F3 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 /F3 12 Tf BT 1 0 0 1 28.35 740.69 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 28.99 731.63 m 568.4 731.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.8 m 568.4 708.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.72 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 715.44 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.88 715.44 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.53 715.44 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 394.31 715.44 Tm (three star excellent service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.3 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.31 607.26 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 145.29 572.81 Tm (Individual needs and choices)Tj ET /F3 10 Tf BT 1 0 0 1 248.74 538.36 Tm (Lifestyle)Tj ET /F3 10 Tf BT 1 0 0 1 127.55 503.91 Tm (Personal and healthcare support)Tj ET /F3 10 Tf BT 1 0 0 1 106.23 469.46 Tm (Concerns, complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.37 435.01 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.18 400.56 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 92.96 366.11 Tm (Conduct and management of the home)Tj ET q 0.75227 0 0 0.75161 305.05 300.31 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 166.41 w 32.32 153.32 m 566.72 153.32 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.65 m 567.85 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.65 m 568.92 237.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 68.99 m 568.92 68.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.73 m 31.2 67.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.73 m 567.85 67.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 221.46 Tm (This inspection took place on the 28/01/09 and was unannounced. The inspector had )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 206.88 Tm (the opportunity of speaking with service users, staff and the homes manager was )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 192.3 Tm (present for much of the inspection. The inspection also included observations of staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 177.72 Tm (as they carried out their duties, and a tour of the premises, along with an examination )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 163.13 Tm (of records and other documents.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 148.55 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 133.97 Tm (Prior to this inspection the CSCI issued surveys to service users to gain their feedback )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 119.38 Tm (on the running of the home. Three of these were completed and returned to the CSCI. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 104.8 Tm (The home completed an Annual Quality Assurance Assessment \(AQAA\) at the request )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 90.22 Tm (of the CSCI, prior to the site visit. All of this has contributed to the overall inspection )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 75.64 Tm (process, and to judgments made within this report.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 32.22 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (6)Tj ET /F3 11 Tf BT 1 0 0 1 515.91 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.18 32.22 Tm (29)Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (7)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (29)Tj ET 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 151.83 w 32.32 714.91 m 566.72 714.91 l S 0.001 w 20.58 w 32.7 626.45 m 569.35 626.45 l S 0.001 w 64.33 w 33.82 581.74 m 568.22 581.74 l S 0.001 w 20.58 w 33.45 537.03 m 570.1 537.03 l S 0.001 w 35.17 w 34.57 506.91 m 568.97 506.91 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 30.12 637.87 m 568.92 637.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.02 m 31.2 636.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 637.87 m 569.35 637.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 615.03 m 569.35 615.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 615.03 m 570.42 615.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 548.45 m 570.42 548.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 525.62 m 570.1 525.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 548.45 m 570.1 548.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 525.62 m 571.17 525.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 488.2 m 571.17 488.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 616.11 m 32.7 547.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 526.7 m 33.45 487.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.02 m 567.85 636.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 616.11 m 569.35 547.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 526.7 m 570.1 487.13 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 798.59 Tm (What the )Tj ET /F2 12 Tf BT 1 0 0 1 96.96 798.59 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 167.52 798.59 Tm ( does well:)Tj ET /F3 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The inspector believes that this is a very well run home, providing excellent levels of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 761.17 Tm (care and support to service users. Service users spoken to expressed satisfaction with )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 746.59 Tm (the home, with one commenting "It is a good place here." The manager and staff team )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 732.01 Tm (present as competent and knowledgeable around mental health issues, and to have a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 717.42 Tm (good understanding of the collective and individual needs of service users.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 702.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 688.26 Tm (The home presents as having a warm and friendly atmosphere, which encourages )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 673.68 Tm (service users to live fulfilling and independent lifestyles. Service users have complex )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 659.09 Tm (needs, and the home strives to meet these needs in a person centered manner. Care )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 644.51 Tm (plans are of a very high standard, as are risk assessments. )Tj ET /F3 10 Tf BT 1 0 0 1 568.97 713.35 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 624.33 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.7 621.68 Tm (What has improved since the last inspection?)Tj ET /F3 10 Tf BT 1 0 0 1 569.35 624.9 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 580.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 598.84 Tm (The inspector was pleased to note that their have been improvements to the home )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 584.26 Tm (since the previous inspection, and the total number of requirements set has fallen from )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 569.68 Tm (four to one. Staff are now appropriately qualified, and have undertaken training around )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 555.09 Tm (adult protection issues. COSHH products were found to be stored securely.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 580.19 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 535.48 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.45 532.26 Tm (What they could do better:)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 505.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 509.43 Tm (Only one requirement has been made in this report, that the home carries out CRB or )Tj ET /F3 12 Tf BT 1 0 0 1 37.42 494.85 Tm (POVA FIRST checks for all staff before they commence working in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 472.51 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 452.51 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.27 452.51 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 479.91 452.51 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 435.02 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 415.02 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 395.02 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.77 395.02 Tm (www.csci.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 492.75 395.02 Tm (You can get )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 377.52 Tm (printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 149.84 377.52 Tm (enquiries@csci.gsi.gov.uk or by telephoning our order line )Tj ET /F3 12 Tf BT 1 0 0 1 513.73 377.52 Tm (0870 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 360.02 Tm (240 7535.)Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 52.46 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (8)Tj ET /F3 11 Tf BT 1 0 0 1 516.01 53.47 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 534.29 53.47 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 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 30.07 762.59 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.59 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 /F3 12 Tf BT 1 0 0 1 28.35 695.95 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 /F3 12 Tf BT 1 0 0 1 28.35 673.95 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 /F3 12 Tf BT 1 0 0 1 28.35 651.95 Tm (Lifestyle \(standards 11 - 17\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 629.95 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 /F3 12 Tf BT 1 0 0 1 28.35 607.95 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 /F3 12 Tf BT 1 0 0 1 28.35 585.95 Tm (Environment \(standards 24 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 563.95 Tm (Staffing \(standards 31 - 36\))Tj ET 16 w 28.35 546.02 m 566.93 546.02 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 541.95 Tm (Conduct and management of the home \(standards 37 - 43\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 521.95 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.08 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (9)Tj ET /F3 11 Tf BT 1 0 0 1 519.77 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 534.18 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 102 w 31.2 575.72 m 563.65 575.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.59 m 565.85 523.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 522.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 522.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (involved in. This tells the home all about them, what they hope for and want to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (achieve, and the support they need.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (needs. This is because they, and people close to them, can visit the home and get full, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (clear, accurate and up to date information. If they decide to stay in the home they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (know about their rights and responsibilities because there is an easy to understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (contract or statement of terms and conditions between the person and the care home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 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 28.35 505.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 483.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 483.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 483.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 466.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 384.39 m 563.65 384.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 452.89 m 565.9 452.89 l S 0.001 w 132.49 w 32.32 373.15 m 564.78 373.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 440.52 m 566.98 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.59 m 31.2 304.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 304.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 440.52 m 565.9 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 305.77 m 566.98 305.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 449.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 424.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 424.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 387.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 367.33 Tm (It is the judgment of the inspector that service users are provided with sufficient )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (information about the home to enable them to make an informed choice as to move in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.33 Tm (or not. This information is provided through written documentation and the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 314.83 Tm (opportunity of visiting the home before moving in.)Tj ET 0.99608 0.9451 0.76078 RG 211.25 w 33.45 174.28 m 563.65 174.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 270.9 m 565.9 270.9 l S 0.001 w 189.87 w 32.32 162.46 m 564.78 162.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 258.53 m 566.98 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 259.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 258.53 m 565.9 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 267.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (The home has a Statement of Purpose in place. This states "Our focus is towards a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm (service where staff members are expected to treat and care for individuals as adults. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (This shall be achieved by delivering the highest quality of care which meets or exceeds )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (the expectations of both individual and there sponsors.")Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm (The Statement also includes a residents charter of rights, these rights include "The )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (right to be treated with dignity and individuality." and "The right to have their cultural, )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (religious, sexual, emotional and other needs met.")Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (The home also has a Service User Guide or "Residents Handbook" in place. This is of a )Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (10)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 338.86 w 33.45 641.98 m 563.65 641.98 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 317.48 w 32.32 630.16 m 564.78 630.16 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 31.2 469.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 470.3 m 566.98 470.3 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (good standard, and all service users are given their own copy. It includes details of the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (facilities and services provided and of the aims and objectives of the home. Documents )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (have been produced in plain English. The AQAA supplied by the home stated that key )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (documentation may be produced in other formats such as video or audio tape to help )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (make them more accessible to any future service users, thus helping to meet needs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (around equality and diversity issues.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (The AQAA supplied by the home states that all new residents undergo a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (comprehensive assessment process prior to admission, carried out by two in house )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (Registered Mental Nurses. It also states that information may be gathered from other )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (sources, including contact with social workers and community mental health nurses.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (There has been one new admission to the home since the previous inspection, and a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (comprehensive pre admission assessment had indeed been carried out by the homes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (manager. This included a detailed psychiatric history of the service users, and there )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (needs around mental health, as well as other needs for example around relationships )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (and social and leisure needs. The inspector spoke with this service user, who was able )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (to confirm that they had had the opportunity of visiting the home before moving in.)Tj ET endstream endobj 33 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 34 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (11)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Individual needs and choices)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.22 m 562.53 601.22 l S 0.001 w 1 1 1 RG 85 w 31.2 550.22 m 563.65 550.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 593.84 m 565.85 593.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 506.59 m 565.85 506.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 505.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 505.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Peoples needs and goals are met. The home has a plan of care that the person, or )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (someone close to them, has been involved in making. People are able to make )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (decisions about their life, including their finances, with support if they need it. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (because the staff promote their rights and choices. People are supported to take risks )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (to enable them to stay independent. This is because the staff have appropriate )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (information on which to base decisions.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (People are asked about, and are involved in, all aspects of life in the home. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (because the manager and staff offer them opportunities to participate in the day to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (day running of the home and enable them to influence key decisions. People are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (confident that the home handles information about them appropriately. This is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (because the home has clear policies and procedures that staff follow.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 466.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 466.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 466.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 466.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 449.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 367.39 m 563.65 367.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 435.89 m 565.9 435.89 l S 0.001 w 132.49 w 32.32 356.15 m 564.78 356.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 423.52 m 566.98 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.59 m 31.2 287.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 424.59 m 565.9 287.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 423.52 m 565.9 423.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 288.77 m 566.98 288.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 432.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 407.83 Tm (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 407.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 390.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 370.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 350.33 Tm (It is the view of the inspector that service users are supported to manage their own )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.83 Tm (lives as much as possible, and that they have the opportunity of been involved in the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 315.33 Tm (day to day running of the home. Care planning and risk assessments are of an )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 297.83 Tm (excellent standard.)Tj ET 0.99608 0.9451 0.76078 RG 194.25 w 33.45 165.78 m 563.65 165.78 l S 0.001 w 1 1 1 RG 22.5 w 31.2 253.9 m 565.9 253.9 l S 0.001 w 172.87 w 32.32 153.96 m 564.78 153.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 241.53 m 566.98 241.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 242.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 241.53 m 565.9 241.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 250.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.84 Tm (Individual care plans are in place for all service users, and these are of an excellent )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 208.34 Tm (standard. Care plans are drawn up with the involvement of the service user, their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.84 Tm (keyworker and the homes manager. However, it was positively noted on the day of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 173.34 Tm (inspection that all care staff are encouraged to contribute to the on-going care )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.84 Tm (planning process through discussions at regular staff meetings. The inspector sat in for )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 138.34 Tm (part of a routine staff meeting on the day of inspection, and witnessed detailed )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.84 Tm (discussions around how the home could meet the needs of service users, for example )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 103.34 Tm (one service user has recently been presenting some challenging behaviours, including )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.85 Tm (aggressive behaviour towards staff. The staff team was able to discuss these issues, )Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (12)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (and develop strategies to support this individual in a consistent manner. Another )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (service user has a complex relationship with a parent, and again the staff team had a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (detailed discussion about the best way the service user could be supported to maintain )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (a relationship with their parent. The inspector considered these discussions to be )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (proactive and creative in their approach to managing difficult and complex issues, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (it was clear that the best interests of the service user remained at the centre of all )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (discussions.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (Care plans are clear and easy to follow, and subject to regular review. They contain )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (detailed information about how the home is able to meet the needs of service users, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (for example one states "X enjoys short walks, buying fruit, going to shops that sell )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (music and painting. X also likes longer walks to Hollow Ponds or Lloyds Park." As )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (indicated here, plans cover needs around social and leisure needs, and also needs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (around self care, daily living skills and mental health issues.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (Risk assessments for individual service users are incorporated in to the care plans, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (as with the rest of the care plans are of a very high standard. Assessments clearly set )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (out what the potential risks are, for example around self harm, arson and violent and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (aggressive behaviour, and include strategies to manage and reduce those risks. Staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (spoken to demonstrated a good understanding of both care plans and risk )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (assessments. Service users are supported to take risks as part of their daily lives, for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (example been able to access the community.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (Through observation and discussion there was evidence that service users have a large )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (measure of control over their daily lives. The AQAA supplied by the home states )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm ("Limitations on freedoms, choices or use of facilities are always decided with the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (persons best interests in mind and imposed only when critical to the service users well )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm (being." An example of this is the covert administration of medication to one service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (user who had been refusing to take medication. This person was assessed and found )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (not to have capacity to make a decision over their medication, which is critical to their )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (continued health. The decision was taken as part of a multi disciplinary meeting which )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (included health care professionals and is subject to regular review.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (As stated though, most of the time service users are able to make choices for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm (themselves over their daily lives. For example, service users were observed to get up )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (at a time of their choosing, and to be able to help themselves to drinks and snacks. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (Service users are able to choose what clothes to wear, and to buy their own clothes. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (One service user informed the inspector that they had been out the day before and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (bought themselves some new clothes. Two service users are able to come and go from )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (the home as they please without staff support. For the two who need staff support to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (access the community, this is readily available.)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (13)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 251.36 w 33.45 685.72 m 563.65 685.72 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 229.99 w 32.32 673.91 m 564.78 673.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 556.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 556.72 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 30.12 557.79 m 566.98 557.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (There was evidence that service users have the opportunity of been involved in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (day to day running of the home. Monthly residents meetings are held, the agenda is )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (set jointly by staff and service users, and minutes are kept. Recent meetings have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (included discussions around holidays and activities. Service users are involved in the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (staff recruitment process, and are involved in choosing any new decor or furniture )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (within the home.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (It was noted that some confidential information relating to service users was on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (display on the office notice board. This was brought to the attention of the homes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (manager, who removed it during the course of the inspection. Staff and service users )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (have access to their own records.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm ()Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (14)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Lifestyle)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 223.25 w 32.32 584.22 m 562.53 584.22 l S 0.001 w 1 1 1 RG 51 w 31.2 499.22 m 563.65 499.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 525.84 m 565.85 525.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 525.84 m 565.85 525.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.59 m 565.85 472.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 471.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 471.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (race, culture, religion, age, disability, gender and sexual orientation. They can take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (part in activities that are appropriate to their age and culture and are part of their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (activities. People are able to keep in touch with family, friends and representatives and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 599.9 Tm (the home supports them to have appropriate personal, family and sexual relationships. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 582.9 Tm (People are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 565.9 Tm (opportunity to make the most of their abilities. Their dignity and rights are respected )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 548.9 Tm (in their daily life. People have healthy, well-presented meals and snacks, at a time and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 531.9 Tm (place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 512.65 Tm (People have opportunities to develop their social, emotional, communication and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 495.65 Tm (independent living skills. This is because the staff support their personal development. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 478.65 Tm (People choose and participate in suitable leisure activities.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 454.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 432.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 432.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 432.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 432.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 415.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 342.14 m 563.65 342.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 401.89 m 565.9 401.89 l S 0.001 w 114.99 w 32.32 330.89 m 564.78 330.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 389.52 m 566.98 389.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 390.59 m 31.2 271.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 390.59 m 565.9 271.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 389.52 m 565.9 389.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 272.27 m 566.98 272.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 398.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 373.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 373.83 Tm (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 373.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 356.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 336.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 316.33 Tm (It is the inspectors judgment that service users are supported to live valued and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 298.83 Tm (fulfilling lives. Service users have routine access to the community, and food was of a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 281.33 Tm (good standard.)Tj ET 0.99608 0.9451 0.76078 RG 177.75 w 33.45 157.53 m 563.65 157.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 237.4 m 565.9 237.4 l S 0.001 w 156.37 w 32.32 145.71 m 564.78 145.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 225.02 m 566.98 225.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 226.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 226.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.02 m 565.9 225.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 234.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 209.34 Tm (The AQAA supplied by the home states "We actively encourage service users to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 191.84 Tm (achieve their goals, follow their interests, pursue leisure activities and be integrated in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 174.34 Tm (to community life itself, in a way and at a pace that the given resident deems )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 156.84 Tm (appropriate.")Tj ET /F3 12 Tf BT 1 0 0 1 35.47 139.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 121.84 Tm (No service users are currently involved in any employment. One service user attends a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 104.34 Tm (mental health day centre, where they are involved in an arts program. This centre also )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 86.84 Tm (provides an opportunity to develop and maintain friendships.)Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (15)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 741.63 w 33.45 440.59 m 563.65 440.59 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.25 w 32.32 428.78 m 564.78 428.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.53 m 566.98 67.53 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (Service users are supported to participate in a wide range of social and leisure )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (activities, both in house and in the community. In house service users have access to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (television, DVDs, music, puzzles and board games and a wide selection of books. The )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (home has recently obtained a piano, while one service user has their own guitar, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (another has an accordion. The home has various pets, including a dog, cat, tropical )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (fish and turtles. Service users are involved in their upkeep, for example feeding the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (fish and walking the dog. One of the homes proprietors runs an in house art class, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (examples of art produced by service users was on display within the home.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (In the community, service users choose their own individual activities, for example on )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (the day of inspection one service user went swimming, while another went out taking )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (photographs. This service user informed the inspector that they had recently bought a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (new camera, and that they were taking pictures of places that represented significant )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (milestones in their life. Other activities include visits to the cinema, pubs and bike )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (riding. Service users are offered two holidays a year away from the home, and are )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (planning a holiday to Southend in the near future. The AQAA indicates that activities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (are developed and encouraged to help residents to develop and maintain social, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (emotional, communication and independent living skills where appropriate.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (In addition to social and leisure activities, service users have routine access to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (local community and community facilities, such as banks, shops, markets, cafes and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (parks. One service user visits a church every week, helping to meet their needs )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (around equality and diversity issues. In the past the home has had access to an )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (allotment, which service users have very much valued. The manager informed the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (inspector that the local authority had agreed to provide an allotment again to the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (home in the near future.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 306.62 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 289.12 Tm (Service users are able to maintain contact with family and friends. For example one )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 271.62 Tm (service user has a girlfriend who lives in Scotland who they are able to visit. Visitors )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 254.12 Tm (are welcome at the home at any reasonable time, and with one risk assessed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 236.62 Tm (exception service users are able to see visitors in private if they so wish. Service users )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 219.12 Tm (are able to maintain contract by telephone, and are able to have their own phone if )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 201.62 Tm (they so wish. Service users are given their own mail to open.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 184.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 166.63 Tm (Records are kept of menus, these indicated that service users are offered a varied, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 149.13 Tm (balanced and nutritious diet. The AQAA states that although mealtimes are flexible, the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 131.63 Tm (home aims for residents and staff to share the dining table to enhance the family )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 114.13 Tm (atmosphere of the home. The kitchen was clean and tidy and food was stored )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 96.63 Tm (appropriately. Service users are able to help themselves to drinks and snacks, and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 79.13 Tm (fresh fruit was available on the day of inspection. The home issues regular )Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (16)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 93.87 w 33.45 764.47 m 563.65 764.47 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 72.5 w 32.32 752.66 m 564.78 752.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 714.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 714.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 715.28 m 566.98 715.28 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (questionnaires to service users to gain their feedback on what meals they prefer.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (Service users are involved with the daily routines in the home, such as laundry, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (washing up and keeping bedrooms tidy.)Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (17)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Personal and healthcare support)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 155.25 w 32.32 618.22 m 562.53 618.22 l S 0.001 w 1 1 1 RG 68 w 31.2 575.72 m 563.65 575.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 540.59 m 565.85 540.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 539.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 539.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People receive personal support from staff in the way they prefer and want. Their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (physical and emotional health needs are met because the home has procedures in )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (place that staff follow. If people take medicine, they manage it themselves if they can. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (If they cannot manage their medicine, the care home supports them with it in a safe )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (way.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (and help them to feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 522.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 500.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 500.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 500.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 500.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 483.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 410.14 m 563.65 410.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 469.89 m 565.9 469.89 l S 0.001 w 114.99 w 32.32 398.89 m 564.78 398.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 457.52 m 566.98 457.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 458.59 m 31.2 339.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 458.59 m 565.9 339.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 457.52 m 565.9 457.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 340.27 m 566.98 340.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 466.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 441.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 441.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 441.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 404.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 384.33 Tm (It is the inspectors judgment that the home is able to meet the personal and health )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 366.83 Tm (care needs of service users. Medications are administered and recorded as )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.33 Tm (appropriate, and service users have access to relevant health care professionals.)Tj ET 0.99608 0.9451 0.76078 RG 245.75 w 33.45 191.53 m 563.65 191.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 305.4 m 565.9 305.4 l S 0.001 w 224.37 w 32.32 179.71 m 564.78 179.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 293.02 m 566.98 293.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 294.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 294.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 293.02 m 565.9 293.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 302.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 277.34 Tm (All service users are able to manage their own personal care. Staff will however )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 259.84 Tm (encourage service users to attend to personal care and dress appropriately.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 224.84 Tm (All service users are registered with a GP and dentist. Records are maintained of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.34 Tm (medical appointments, including details of any follow up action necessary. These )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 189.84 Tm (records indicate that service users have access to health care professionals as )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.34 Tm (appropriate, including psychiatrists and CPN's. The home seeks to support service )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 154.84 Tm (users to live healthy lifestyles, for example through the use of exercise such as )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.34 Tm (swimming and bike riding, and by providing a healthy diet, the AQAA states that the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 119.85 Tm (home is planning on incorporating more fresh produce in to meals.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 84.85 Tm (The home has a comprehensive medication policy in place, and all staff undertake )Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (18)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 146.37 w 33.45 738.22 m 563.65 738.22 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 124.99 w 32.32 726.41 m 564.78 726.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 661.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 661.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 662.79 m 566.98 662.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (training before they are able to administer any medications. Records are stored in a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (locked cabinet inside the office. No service users currently self medicate, although the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (AQAA indicates that where it has been assessed as safe, the home would actively )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (encourage service users to manage their own medication. Records are maintained of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (medications entering the home, and of those that are returned to the pharmacist. )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (Medication Administration Record charts were maintained, those examined by the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (inspector were accurate and up to date.)Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (19)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Concerns, complaints and protection)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.22 m 562.53 652.22 l S 0.001 w 1 1 1 RG 17 w 31.2 618.22 m 563.65 618.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 627.84 m 565.85 627.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 608.59 m 565.85 608.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 607.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 607.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (If people have concerns with their care, they or people close to them, know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (complain. Their concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (home safeguards people from abuse, neglect and self-harm and takes action to follow )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (up any allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 568.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 568.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 568.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 568.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 551.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 469.39 m 563.65 469.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 537.89 m 565.9 537.89 l S 0.001 w 132.49 w 32.32 458.15 m 564.78 458.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 525.52 m 566.98 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.59 m 31.2 389.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 526.59 m 565.9 389.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 525.52 m 565.9 525.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 390.77 m 566.98 390.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 534.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 509.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 509.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 509.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 492.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 472.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 452.33 Tm (It is the inspectors judgment that the home has taken reasonable steps to help ensure )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 434.83 Tm (service users are safeguarded from the risk of abuse. Staff have undertaken training in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 417.33 Tm (adult protection issues, and the home has an appropriate complaints procedure in )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 399.83 Tm (place.)Tj ET 0.99608 0.9451 0.76078 RG 289.98 w 33.45 219.91 m 563.65 219.91 l S 0.001 w 1 1 1 RG 22.5 w 31.2 355.9 m 565.9 355.9 l S 0.001 w 267.48 w 32.32 208.66 m 564.78 208.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 343.53 m 566.98 343.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 344.6 m 31.2 72.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 344.6 m 565.9 72.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 343.53 m 565.9 343.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 73.79 m 566.98 73.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 352.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 327.84 Tm (The home has a complaints procedure, which includes timescales for responding to any )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 310.34 Tm (complaints received. Surveys completed by service users indicated that they have a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 292.84 Tm (good understanding of whom they could complain to if they so wished. The home )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 275.34 Tm (maintains a complaints log, although the manager informed the inspector that no )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 257.84 Tm (complaints have been received in the past year.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 240.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 222.84 Tm (The home has an adult protection procedure in place, and also a copy of the local )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 205.34 Tm (authorities adult protection procedures. The inspector was pleased to note that since )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 187.85 Tm (the previous inspection all staff have now undertaken training in adult protection )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 170.35 Tm (issues. Staff spoken to demonstrated a good understanding of their roles and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 152.85 Tm (responsibilities with regard to adult protection issues.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 135.35 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 117.85 Tm (The home holds money on behalf of service users in a locked cabinet inside the office. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 100.35 Tm (Records and receipts are maintained of financial transactions involving service users )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 82.85 Tm (monies, those checked by the inspector were accurate and up to date.)Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (20)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET endstream endobj 54 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 55 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (21)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.22 m 562.53 635.22 l S 0.001 w 1 1 1 RG 85 w 31.2 618.22 m 563.65 618.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.84 m 565.85 661.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 574.59 m 565.85 574.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 573.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 573.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People stay in a safe and well-maintained home that is homely, clean, comfortable, )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (pleasant and hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 648.65 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 631.65 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 614.65 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (feels like their own, it is comfortable and they feel safe when they use it. People have )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (enough privacy when using toilets and bathrooms.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 534.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 534.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 534.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 517.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 444.14 m 563.65 444.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 503.89 m 565.9 503.89 l S 0.001 w 114.99 w 32.32 432.89 m 564.78 432.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 491.52 m 566.98 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.59 m 31.2 373.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 492.59 m 565.9 373.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 491.52 m 565.9 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.27 m 566.98 374.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 500.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 475.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 475.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 438.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 418.33 Tm (It is the inspectors judgment that the home is suitable to meet its stated purpose with )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.83 Tm (regard to the physical environment. The home was well maintained, and service users )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.33 Tm (have access to adequate private and communal space.)Tj ET 0.99608 0.9451 0.76078 RG 279.75 w 33.45 208.53 m 563.65 208.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.4 m 565.9 339.4 l S 0.001 w 258.37 w 32.32 196.71 m 564.78 196.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.02 m 566.98 327.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.02 m 565.9 327.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 336.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 311.34 Tm (The home is situated in the Walthamstow area of the London Borough of Waltham )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.84 Tm (Forest. The home is in a quiet residential area, close to shops, transport links and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.34 Tm (other local amenities. The home is in keeping with other homes in the area, and was )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.84 Tm (well maintained both internally and externally.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.84 Tm (The homes communal areas consist of a lounge, a dining area and a kitchen, and a )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.34 Tm (rear garden. This is paved, but has a fish pool and various pot plants. Service users )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.84 Tm (are free to move around communal areas. Furniture and fittings were well maintained )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.34 Tm (and domestic in character, and the home is decorated to a good standard.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.85 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.35 Tm (All service users have their own bedrooms, these are ensuite with a toilet, shower and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.85 Tm (hand basin. Service users have been able to personalize their bedrooms to their own )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.35 Tm (tastes, for example with their own possessions such as televisions. Bedding, curtains )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.85 Tm (and carpets were well maintained and domestic in character. Bedrooms contained )Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (22)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 251.36 w 33.45 685.72 m 563.65 685.72 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 229.99 w 32.32 673.91 m 564.78 673.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 556.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 556.72 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 30.12 557.79 m 566.98 557.79 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (adequate natural light and ventilation, and meet National Minimum Standards on size )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (requirements. Bedrooms contained adequate furniture, including table, chair, chest of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (draws and a wardrobe.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (In addition to the ensuite facilities, the home has a communal bathroom/toilet and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (another toilet on its own. Bathroom and toilet facilities were clean, tidy and free from )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (offensive odours. They had working locks fitted.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (The home has taken steps to help prevent the spread of infection. Laundry facilities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (were appropriate in scale for the home, and hand washing facilities were situated )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (around the home. COSHH products are stored securely, and staff have access to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (protective clothing such as latex gloves.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm ()Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (23)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 121.25 w 32.32 635.22 m 562.53 635.22 l S 0.001 w 1 1 1 RG 34 w 31.2 592.72 m 563.65 592.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 574.59 m 565.85 574.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 573.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 573.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have safe and appropriate support as there are enough competent, qualified )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (staff on duty at all times. They have confidence in the staff at the home because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (checks have been done to make sure that they are suitable. Peoples needs are met )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (and they are supported because staff get the right training, supervision and support )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (they need from their managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People are supported by an effective staff team who understand and do what is )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (expected of them.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 556.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 534.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 534.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 534.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 534.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 517.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.49 w 33.45 444.14 m 563.65 444.14 l S 0.001 w 1 1 1 RG 22.5 w 31.2 503.89 m 565.9 503.89 l S 0.001 w 114.99 w 32.32 432.89 m 564.78 432.89 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 491.52 m 566.98 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 492.59 m 31.2 373.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 492.59 m 565.9 373.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 491.52 m 565.9 491.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.27 m 566.98 374.27 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 500.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 475.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 475.83 Tm (good)Tj ET /F3 12 Tf BT 1 0 0 1 295.45 475.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 458.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 438.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 418.33 Tm (It is the inspectors judgment that the home is staffed in sufficient numbers to meet )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 400.83 Tm (the needs of service users, and that staff have a very good understanding of their )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 383.33 Tm (roles and responsibilities.)Tj ET 0.99608 0.9451 0.76078 RG 279.75 w 33.45 208.53 m 563.65 208.53 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.4 m 565.9 339.4 l S 0.001 w 258.37 w 32.32 196.71 m 564.78 196.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.02 m 566.98 327.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.1 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.1 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.02 m 565.9 327.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 336.08 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 311.34 Tm (The home provides 24-hour support, with the two proprietors providing an emergency )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 293.84 Tm (on call back up system. There was a staffing rota on display, this accurately reflected )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 276.34 Tm (the actual staffing situation on the day of inspection. During the course of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 258.84 Tm (inspection, the home was able to provide a one to one staffing level to service users.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 241.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 223.84 Tm (Through observation and discussion there was evidence that staff have a very good )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 206.34 Tm (understanding of their roles and responsibilities, and of the collective and individual )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 188.84 Tm (needs of service users. Service users spoken to generally expressed satisfaction with )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 171.34 Tm (the staff, and staff were seen to interact with service users in a respectful manner. )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 153.85 Tm (Throughout the course of the inspection instances of positive interaction were )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 136.35 Tm (witnessed, for example encouraging a service user to go swimming and supporting )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 118.85 Tm (service users to get involved with the daily routines, such as sorting out the rubbish )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 101.35 Tm (for recycling.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 83.85 Tm ()Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (24)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 496.35 w 33.45 563.23 m 563.65 563.23 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 474.97 w 32.32 551.42 m 564.78 551.42 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 311.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 311.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 312.81 m 566.98 312.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (As mentioned in this report staff have regular meetings, which provide the opportunity )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm (to discuss issues around service users, as well as any other issues. All staff are able to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (contribute to the agenda. Staff also receive regular supervision from the homes )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (manager. The AQAA supplied by the home states that supervision offers "Opportunities )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (for staff to receive the feedback and support necessary for both the improvement of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (their current practice and the development of their professional objectives.")Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm (Some of the staff team are working towards an NVQ in care, while others already have )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (a relevant qualification. The manager provides training around mental health issues to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (staff, and other recent training has included first aid, food hygiene, adult protection )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (and Breakaway.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (The AQAA supplied by the home indicates that the home has appropriate employment )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (related policies in place, including on equal opportunities and recruitment and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm (selection. The staff team in part reflects the cultural and age range of service users, )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (thus helping to provide staff who can better relate to service users, and help to meet )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (any needs around cultural equality and diversity issues. The inspector was pleased to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (note that service users have the opportunity of been involved in the recruitment and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (selection process for new staff.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (The inspector checked the staff employment files. These were found to contain proof of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 411.61 Tm (ID, along with employment references. However, for two staff employed at the home )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 394.11 Tm (there was no CRB check or POVA FIRST check in place. The home was able to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 376.61 Tm (demonstrate that it had applied for CRB checks for these two staff, and that they were )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 359.11 Tm (currently waiting for them. However, it is required that before staff can commence )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 341.62 Tm (working in the home, the home must first obtain a CRB or POVA FIRST check to help )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 324.12 Tm (ensure the suitability of the employee.)Tj ET endstream endobj 63 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 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (25)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 768.13 Tm (Conduct and management of the home)Tj ET /F7 12 Tf BT 1 0 0 1 28.35 747.9 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 730.4 Tm (These are the outcomes that people )Tj ET /F2 12 Tf BT 1 0 0 1 274.57 730.4 Tm (staying in care homes)Tj ET /F2 12 Tf BT 1 0 0 1 422.56 730.4 Tm ( should experience. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 712.9 Tm (They reflect the things that people have said are important to them:)Tj ET /F7 5 Tf BT 1 0 0 1 28.35 700.44 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 609.72 m 562.53 609.72 l S 0.001 w 1 1 1 RG 85 w 31.2 567.22 m 563.65 567.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.09 m 565.85 698.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 610.84 m 565.85 610.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.59 m 565.85 523.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.17 m 30.07 522.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.17 m 564.78 522.52 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 684.9 Tm (People have confidence in the care home because it is run and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 667.9 Tm (Peoples opinions are central to how the home develops and reviews their practice, as )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 650.9 Tm (the home has appropriate ways of making sure they continue to get things right. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 633.9 Tm (environment is safe for people and staff because health and safety practices are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 616.9 Tm (carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 597.65 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 580.65 Tm (appropriately, with an open approach that makes them feel valued and respected. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 563.65 Tm (They are safeguarded because the home follows clear financial and accounting )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 546.65 Tm (procedures, keeps records appropriately and makes sure staff understand the way )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 529.65 Tm (things should be done. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.34 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 483.28 Tm (This is what people )Tj ET /F2 12 Tf BT 1 0 0 1 162.77 483.28 Tm (staying in this care home)Tj ET /F2 12 Tf BT 1 0 0 1 337.08 483.28 Tm (experience)Tj ET /F3 12 Tf BT 1 0 0 1 411.05 483.28 Tm (:)Tj ET /F7 8 Tf BT 1 0 0 1 28.35 466.1 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.99 w 33.45 384.39 m 563.65 384.39 l S 0.001 w 1 1 1 RG 22.5 w 31.2 452.89 m 565.9 452.89 l S 0.001 w 132.49 w 32.32 373.15 m 564.78 373.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 440.52 m 566.98 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.59 m 31.2 304.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 441.59 m 565.9 304.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 440.52 m 565.9 440.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 305.77 m 566.98 305.77 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 449.58 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 424.83 Tm (People using this service experience )Tj ET /F2 12 Tf BT 1 0 0 1 257.98 424.83 Tm (excellent)Tj ET /F3 12 Tf BT 1 0 0 1 323.41 424.83 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 407.33 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 387.33 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 367.33 Tm (It is the inspectors judgment that this is a very well run and managed home. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 349.83 Tm (manager has many years experience, and presents as having a strong commitment to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 332.33 Tm (the rights of service users. Health and safety is well managed, and appropriate quality )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 314.83 Tm (assurance systems are in place.)Tj ET 0.99608 0.9451 0.76078 RG 211.25 w 33.45 174.28 m 563.65 174.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 270.9 m 565.9 270.9 l S 0.001 w 189.87 w 32.32 162.46 m 564.78 162.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 258.53 m 566.98 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.6 m 31.2 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 259.6 m 565.9 65.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 258.53 m 565.9 258.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 66.4 m 566.98 66.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 267.59 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 35.47 242.84 Tm (The homes manager is a Registered Mental Nurse with over twenty five years )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 225.34 Tm (experience, many of those in a managerial position. Staff and service users spoken to )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 207.84 Tm (informed the inspector that they found the manager to be approachable and )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 190.34 Tm (accessible, and staff were seen to interact with the manager in a relaxed manner on )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 172.84 Tm (the day of inspection. One service user said "I can always talk to the manager.")Tj ET /F3 12 Tf BT 1 0 0 1 35.47 155.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.47 137.84 Tm (The manager present has having an excellent understanding of the individual needs of )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 120.34 Tm (service users, and a strong commitment to equalities and diversity, by ensuring that )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 102.85 Tm (service users are indeed respected as individuals, and a commitment to supporting )Tj ET /F3 12 Tf BT 1 0 0 1 35.47 85.35 Tm (staff to maximize their potential. There was also evidence through surveys that the )Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 57.24 m 566.93 57.24 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 1 0 0 1 31.2 53.47 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.47 Tm (Page )Tj ET /F2 11 Tf BT 1 0 0 1 508.19 53.47 Tm (26)Tj ET /F3 11 Tf BT 1 0 0 1 527.59 53.47 Tm (of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 53.47 Tm (29)Tj ET 0.99608 0.9451 0.76078 RG 391.35 w 33.45 615.73 m 563.65 615.73 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 369.98 w 32.32 603.92 m 564.78 603.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 416.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 416.72 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 30.12 417.8 m 566.98 417.8 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 779.09 Tm (home has built up good relations with relevant health and social care professionals.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 761.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 744.09 Tm (The AQAA supplied by the home indicates that the home has all necessary policies and )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 726.59 Tm (procedures in place as required by National Minimum Standards. Those checked by the )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 709.09 Tm (inspector, including medication, adult protection and complaints were found to be of a )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 691.6 Tm (satisfactory standard. Record keeping in the home was of a good standard, and staff )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 674.1 Tm (and service users can access their records as appropriate.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 656.6 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 639.1 Tm (Staff supervision, staff and residents meetings and care plan reviews all contribute to )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 621.6 Tm (the quality assurance process within the home. Surveys are also issued to service )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 604.1 Tm (users and health and social care professionals to gain their feedback, completed )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 586.6 Tm (surveys seen by the inspector contained generally very positive feedback, for example )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 569.1 Tm (one CPN wrote "The Grove provides a homely settled environment for X." Copies of )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 551.6 Tm (previous inspection reports are available to view in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 33.22 534.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 33.22 516.61 Tm (Fire extinguishers were situated around the home, and last serviced in June 2008. Fire )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 499.11 Tm (exits were clear from obstruction on the day of inspection. Fire alarms are checked by )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 481.61 Tm (staff on a weekly basis, and were last serviced in may 2008. The home tests )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 464.11 Tm (fridge/freezer and hot water temperatures. The home has in date safety certificates for )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 446.61 Tm (PAT testing, electrical installation and gas safety. The home has in date employers )Tj ET /F3 12 Tf BT 1 0 0 1 33.22 429.11 Tm (liability insurance cover in place.)Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (27)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (29)Tj ET 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 /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F8 12 Tf BT 1 0 0 1 476.37 783.16 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F8 12 Tf BT 1 0 0 1 546.75 783.16 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 69.19 w 31.2 683.93 m 566.2 683.93 l S 0.001 w 30.3 w 31.2 631.93 m 91 631.93 l S 0.001 w 30.3 w 93.25 631.93 m 197.4 631.93 l S 0.001 w 30.3 w 199.65 631.93 m 289.5 631.93 l S 0.001 w 30.3 w 291.75 631.93 m 473.9 631.93 l S 0.001 w 30.3 w 476.15 631.93 m 566.2 631.93 l S 0.001 w 1 1 1 RG 140.25 w 31.2 544.41 m 91.05 544.41 l S 0.001 w 140.25 w 93.3 544.41 m 197.4 544.41 l S 0.001 w 140.25 w 199.65 544.41 m 289.45 544.41 l S 0.001 w 140.25 w 291.7 544.41 m 473.8 544.41 l S 0.001 w 140.25 w 476.05 544.41 m 566.1 544.41 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.66 m 568.4 615.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.29 m 92.12 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.29 m 290.62 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.29 m 475.02 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.21 m 568.4 648.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.66 m 568.3 615.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 473.16 m 568.3 473.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.73 m 92.17 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.29 m 198.52 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.73 m 290.57 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.73 m 474.92 472.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 472.08 l S 0.001 w [] 0 d /F2 16 Tf BT 1 0 0 1 31.2 702.44 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 684.02 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 669.44 Tm (been met. )Tj ET /F3 12 Tf BT 1 0 0 1 99.76 669.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 103.98 669.44 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 654.85 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 637.03 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.03 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.03 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.03 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.03 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.88 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.47 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.47 Tm (34)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.47 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.47 Tm (The registered person must )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 584.89 Tm (ensure that all necessary )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 570.3 Tm (employment checks are )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 555.72 Tm (carried out on all staff, )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 541.14 Tm (including CRB checks, in line )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 526.55 Tm (with the Care Homes )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 511.97 Tm (Regulations 2001. \(Timescale )Tj ET /F3 12 Tf BT 1 0 0 1 294.55 497.39 Tm (30/04/06 not met\))Tj ET /F3 12 Tf BT 1 0 0 1 294.55 479.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.47 Tm (31/03/2007)Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (28)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (29)Tj ET /F2 16 Tf BT 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 52.75 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.81 m 91 704.81 l S 0.001 w 30.3 w 93.25 704.81 m 197.4 704.81 l S 0.001 w 30.3 w 199.65 704.81 m 289.5 704.81 l S 0.001 w 30.3 w 291.75 704.81 m 473.9 704.81 l S 0.001 w 30.3 w 476.15 704.81 m 566.2 704.81 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.09 m 568.4 721.09 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 28.99 721.09 m 568.4 721.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.53 m 568.4 688.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.16 m 30.07 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.16 m 92.12 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.16 m 198.52 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.16 m 290.62 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.16 m 475.02 687.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.16 m 567.32 687.46 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 742.31 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 727.73 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.91 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.91 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.91 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.91 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.91 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.76 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.75 w 31.2 616.66 m 566.2 616.66 l S 0.001 w 30.3 w 31.2 565.88 m 91 565.88 l S 0.001 w 30.3 w 93.25 565.88 m 197.4 565.88 l S 0.001 w 30.3 w 199.65 565.88 m 289.5 565.88 l S 0.001 w 30.3 w 291.75 565.88 m 473.9 565.88 l S 0.001 w 30.3 w 476.15 565.88 m 566.2 565.88 l S 0.001 w 1 1 1 RG 170 w 31.2 463.48 m 91.05 463.48 l S 0.001 w 170 w 93.3 463.48 m 197.4 463.48 l S 0.001 w 170 w 199.65 463.48 m 289.45 463.48 l S 0.001 w 170 w 291.7 463.48 m 473.8 463.48 l S 0.001 w 170 w 476.05 463.48 m 566.1 463.48 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.16 m 568.4 582.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.6 m 568.4 549.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.23 m 92.12 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.23 m 290.62 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.23 m 475.02 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.16 m 568.4 651.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.16 m 568.4 582.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.6 m 568.3 549.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 377.35 m 568.3 377.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.23 m 30.07 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 550.68 m 92.17 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.23 m 198.52 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 550.68 m 290.57 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 550.68 m 474.92 376.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.23 m 567.32 376.28 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 637.97 Tm (Statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 617.97 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 603.39 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.7 603.39 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 588.8 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 570.98 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 567.98 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 567.98 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 567.98 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 567.98 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 555.83 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 536.41 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 536.41 Tm (34)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 536.41 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 536.41 Tm (The registered person must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 519.41 Tm (ensure that all necessary )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 502.42 Tm (employment checks are )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 485.42 Tm (carried out on all staff, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 468.42 Tm (including CRB checks, in line )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 451.42 Tm (with the care Homes )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 434.42 Tm (Regulations 2001)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 417.42 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 400.42 Tm (To help ensure the suitability )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 383.42 Tm (of employees.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 536.41 Tm (31/03/2009)Tj ET /F3 12 Tf BT 1 0 0 1 554.03 536.41 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 47.89 w 31.2 314.91 m 566.2 314.91 l S 0.001 w 18.15 w 31.2 279.64 m 91 279.64 l S 0.001 w 18.15 w 93.25 279.64 m 197.4 279.64 l S 0.001 w 18.15 w 199.65 279.64 m 566.2 279.64 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 289.84 m 568.4 289.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.98 m 568.4 339.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.84 m 568.4 289.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 269.44 m 568.4 269.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 341.06 m 30.07 268.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 290.92 m 92.12 268.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 290.92 m 198.52 268.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 341.06 m 567.32 268.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 323.79 Tm (Recommendations)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 308.22 Tm (These recommendations are taken from the best practice described in the National Minimum Standards )Tj ET /F3 10 Tf BT 1 0 0 1 34.05 296.07 Tm (and the registered person\(s\) should consider them as a way of improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 278.66 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 275.66 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 275.66 Tm (Good Practice Recommendations)Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.99 m 566.93 35.99 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 1 0 0 1 31.2 31.21 Tm (Care Homes for Adults \(18-65 years\))Tj ET /F3 11 Tf BT 1 0 0 1 477.68 32.22 Tm (Page)Tj ET /F2 11 Tf BT 1 0 0 1 508.09 32.22 Tm (29)Tj ET /F3 11 Tf BT 1 0 0 1 523.73 32.22 Tm ( of )Tj ET /F2 11 Tf BT 1 0 0 1 542.01 32.22 Tm (29)Tj ET 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 781.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 759.59 Tm (Telephone:)Tj ET /F3 12 Tf BT 1 0 0 1 107.31 759.59 Tm (0845 015 0120 or )Tj ET /F3 12 Tf BT 1 0 0 1 220.51 759.59 Tm (0191 233 3323)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 739.59 Tm (Textphone:)Tj ET /F3 12 Tf BT 1 0 0 1 108.73 739.59 Tm (0845 015 2255 )Tj ET /F3 12 Tf BT 1 0 0 1 205.31 739.59 Tm (or )Tj ET /F3 12 Tf BT 1 0 0 1 221.93 739.59 Tm (0191 233 3588)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 719.59 Tm (Email:)Tj ET /F3 12 Tf BT 1 0 0 1 74.51 719.59 Tm (enquiries@csci.gsi.gov.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.59 Tm (Web:)Tj ET /F3 12 Tf BT 1 0 0 1 64.35 699.59 Tm (www.csci.org.uk)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 679.59 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 659.6 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 642.1 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 602.6 Tm (Copyright \()Tj ET /F3 12 Tf BT 1 0 0 1 112.69 602.6 Tm (2009)Tj ET /F3 12 Tf BT 1 0 0 1 143.2 602.6 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 585.1 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 567.6 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 550.1 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 532.6 Tm (misleading context. The material should be acknowledged as CSCI copyright, with the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 515.1 Tm (title and date of publication of the document specified.)Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj[7 0 R/XYZ 0 271.46 0] endobj 76 0 obj <>stream   cmapcvt V!f-4fpgmzE$ (glyfBg'headQ66hhea t7$hmtxnT74 locaXŌE(maxplL$ prep{LD   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~l~ #~ O\_   " & 0 3 : < > D  !!!!"!&!.!^""""""""+"H"`"e%%%%%   #~Q^   & 0 2 9 < > D  !!!!"!&!.![""""""""+"H"`"d%%%%%LxA( Vw8+#jyh<ޖޢދަtq_/0۞ۖs]888BhdhvjjXXD|bcdefghjikmlnoqprsutvwxzy{}|~DEFGHIJKLMNO    PQRSTUVWXYZ[\]^_`a89bcdef ghij:klmnopqrst !"uvwxyz{|#$%&}~'()*+,-./0:123]^_`abcdefghijklmnopqrstuvwxyz{|}~LMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqtuvwxy84z;<=>? c#d)Twmui@cY@uo #% :ggXX'9HZv GZCM$wg$-xL4@*@:T876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X7654'.'5!P;>IK32&#"326@DHJ誧IJBDJJ줫JIB}j{{jlyyl_acdbb#cbbedb 5@  ?o/]29/2?3/]10)!!5267>7!!:H,44K3P54&#"#6$3 !Jo Qyf{\W G&['aOuUfoL;K>׍T#@@p| 7/| 7 2 2+ .".#2: :4.424=I F2E=QY QR=`00, 4  &:O_11:= B  /]3/9//]/?3/?93//]9910]++#"$'33267>54&'.+3267>54&'.#"#6$321:SVT㢹S'Vc:/%,<11;RUNx*,,.#'j&^g%RERP~3r*p]iA?C:$G4L GCAG ?=-7 A=C!=1)1^|*T_ r@M)  /JF YT lf zu P ` p    O_O _    //]3/3992/]/?9/]99210]]]#!!!3!_/OW[`*+p@N | 7 -- 3;; 3AIAJXS*iy&"&  "@ 7  -  /]3/99/+/?3/?9/2/10]+#.'33267>54&'.#"#!!>32*WS\N*[h?+"#/%6>Z>,#F_${F[ftGLI7"I6H&@C4K!H/*7H%=j@K0 3 08@ C A8PTP#U$db1s ttsrs7/  ;5 )?5  /]3/]9/9??92//910]#"&'&5476$32#.#">32>54&'.#"326HTLQՏO[`Zfb9I&RMcW@Sd9%*%$b4,`(1)L,!PsEJNIKV0up| !.9(,:"]PI] .#{*+M@0@K[*?O_o{/]3/9/]]99/?2]10 !!!+^TWcM.@@U))3=1AM1T_ Y_Y,^1T9T?jc eeck2|ttz2/50,@,S,_5b,r,55 , ;@75 /,B&8  /]3/3/]99993/+??9]CTX@2;2K22;5));,)), 9]9]Y10]!"&'.54675.54$! 4&#">4&'.'3267>MڥMLIzH9cua$K&CLaE.(Hp!~++Ex V$,D<;[pAh*%=`@C9"<$<)J"I$I)ZZ__Z^:k:ty}z(|: 8,  & &?2/3/9/9?2/?9/910]#"&'33267>7#"&'.54!24&'.#"326746*`bjJ(o`N6;L WoT?ScMN[\/)L*'G!'*%#_8-j7>54&#"#6$32!!;66_Gs?;CuHK(@ "lee99Z%Q(-(jCdU>11; @R  78KD[Tmb~q p  z  @ 7! 7   /]3]/++]9/?]9/]99CTX@ MM}}]Y]CTX? M ]Y!!!!! sgg}&+-mgn3+ 7 7@U 7/> 7#&)/ /##YYW YV$uz /?o  -0-`-p---&-55O5_5 }4]2?3/]?3/]10]++++"$'&5476$32#.'.#"3267>73_eeojea^@Cm),U67IQ>;IO<=IF:1T(8f8Ibaa" gcl/B ,3;967/*$B,=<@*YUej vy } z@P]]/?10]#!!24&'.+3267>=mZskt;{|aa=ibXB4=8^Փ;\!< G@ 0@`p @7   23/33/+/?9/]10)!!!!!5I{ B@+0@`p   P `  2]2?3?39/]10)!!!!!7p!{ 9@"     0 @ p ]9/]22/2?210)3#!#3h?#@`p3/]/?10)!!O @IO@ GIx-#0@S`pw@ 7 7  7 +]++99]/?9CTX@+$;4KD[Tmbp ]Y10]CTXKRX@ .+}YY]]qr)!!!`Ugf #E@2')) pp   *  !%}%?%}$]?]?]10]! ! >54&'.#"326fhhgf86>23HI62?=22JJ]dg_ D}:<64<8ł;;89G@Sfu   }:J@ 7!!@! 2]3/+]/?9/10]+!!24&'.+3267>FAYۣxKZ_sD-!#!!2.8'hEv\|*(%W+jSTc 8Po K6"22xEmf3"@ 7 7 7@F 7 6:EJQ3e v uxw1 +?!!!% 0p  +}} @ 7543/+99//?3/]?3/]9CTX@++:5+JE+ZU+ke+{t+ ]YCTX++]Y10]++++!"$'33267>54&'.'.54!2#&$#"fx*w'#r$,9SPTRu%i)Z0_,'8Z}RWA2e_f 651G#=ћ9+Ha =';? 8)K,@[[  @  ]9/]/?210!!!!K//"O B X@ zu! 7@ 7@`/]3/++]??9CTX 7 7 7+++Y10CTX@jtt @7T7NAIM B F _PX\ T oaij e f y p v    / >19= 2 6 @ 27 27 @ 27 27@ 7@7 @=7 *7 p "-3<CLVYbmr}]]]++++++++]]++]Y ! !!!oWWo/6V0f@G,IIYYkikv%r)p- +'@ 7''#+ 00/2/2((((13/]]22/??2/+9/10]5326#"&54676$754&#"#6$3 !RI,69 @D6o*V&5rDned(Y,!93%A5#,,>ƚ{--& ]G?)>8@$EEWf  22/???10]#"&'!!>324&#"326>^@hSqf3l1'F1A(&8BR떢 Xq'@#0? ;1@ELL LDK[k| & 7ֳ 7@ 7@ 70 ?$$@ 7$$$$$$/)$)`)(]3]/]3?3/+]?3/]+10+++]"&'.5467>32#.'.#"3267>73ZYbi^[sT3;+)bADm$"43UFIIޕKGB2(0,(/Z >@(J Jq * 7 7"!22?/??10++])5#"467>32!.#"326]jSHDaeDh&T#r~1nuLH< OKS+!"'%Xn@S$+ 3< CMM CLZ[ Uik ``ty tt Scs  /2]3/?3/]?9/10]!32673# ! %.#"r>(z؃U)jphR/1,0EUqrlw+@@$   _ o  /]399//]3/9//?99?2/10#.#"!!!#5354632M,jKP2 Lm o ZY&3U@8NN-N3]]3ij3}z u#z3 $+!&1  $'5.4229/?2//??9910]%#"&'33267>=#"467>327!.#"326ZQQuS,BKd}!AaNGBe[= ]Z$yw6h=>7+%" dF5>"KFN+&2 "8@#<p  0` 2]/??9910])4&'.#"!!>32ME1e;h`l-D %" #KP1@! P ` p ]/]/??]10)!7!!h |c@P`p]/]/?10)!h(^@A(&  *)*0*P*p*]9/]29/??9?10]!4&'.#"!!>32>32!4&'.#"IB5d(h]go0lbJC-V1Rs$$!+c|IRc`[h%1Sr$$!8@#<p  0` 2]/??9910])4&'.#"!!>32ME1e;h`l-D %" #c|KPX& #!@ !%$??10! ! >54&'.#"326&E"&AE##$ Z44Q%!'"! Y91Y1?>+ykc()"*'g\)'$!d> ?@+DDD RRedy   " !22????10]#"&'!!>324&#"326>UEHh`FhSqpy3l1$R(AJNP)%,uBR줔Zd ;@'J JM [ k pz "!22????10]!#"467>327!.#"326XiSHDa_H ]&T#r~1nd GF< OKS+&2'%g8 p @ 7  /  2]3/???+2/10]#.#"!!>32 f"MvDhwJ0 cfC_z0@2/IG/uy yu#@!7 7;(P!!@ 7!!%@ 7!(!@ 72p2/]3/+99//?3/+?3/+]9]10++]!"&'332654&'.'.54$!2#.#"zJ!GA8Qjf@) L[lz 0` ]2/??9910])5#"&5!3267! dsj ME.p4h|LOUq%%""!cl@$GXdkt{@! 7! 7zu/O/]]3/]/?9910++]]] !! OhR}cc-c @q )&9?0; 3 IO@K C [U\ S ldl a }p} r   Q^ejqus  @ 7! 7 @`/]3/++??9]10]]qq] ! !!!}z?c c@c @/ VYJ 7@& 7 :5 NCCN YVXVY W  7@, 7  K  07   K@7 ߳ 7 @! 7! 7! 7   / /]]3/9//++++/?910+q+q++]++]) ! !!@\dLKP12Jdc@?JXYf %+8j{uzt @# 7! 75E / O /]]3/?/?]9910++]]]] !!!rzKz[(S_<lS0zjW   R8jl }8 -yYY#n{p Tch88M6gw4}g^{q*+ggBmt) B ZYYvXVXZPXa+Z9^w~XZ_+3-Z5TY66gwgXVXVXVXVXVXVXPXPXPXPXh~X~X~X~X~Xzz7ex4|d)+N5%V~Xp8Dr"&d66g gX { {k5 YY&++5586w6ww^{^q^{^{gggGVN#m_ZTYoW 5 t t te}gZ^{m_gXgXZ6XV6XV ZwPXwPXy.tg~XBBjm_t)+t)+ZTZTg]Z~X[XH QX {uu -Pp6XVgXgXwPXwPXwPX}gZ}gZ}gZ9)^v^{-^{^{q*9+^^4g~Xg~XBgm_t)+ B- 56XV%Ve~X8 B- B- B- 5  t t t ta6r"wZ^{+6gxht) 5^{ Z[5e[w^53V~XX'[~X'[wI)gm^{^{q*  })+ 6*wN+ggt) ]L O kB)\ \XVsk@%PX-A^~XXH 5ZZyt 2Wt"PX)@X_9()^5@ Z Og~X.vVVV.[]]]])6XV6XV6XV6Xj6XV6XV6XV6XV6XV6XV6XV6XVwPXwPXwPXwPXwPwPXwPXwPX^{^{g~Xg~Xg~X?~g~Xg~Xg~XOg~XOg~XOg~XOg~XOg~X 5 5 5 5Zg  l-h-^^e/ccc ^ *    S $ x +13=}^h@Uc@ T$@d 6@ג͒̒˒ʒɒ$$ (*%@+!@\ 6//  @  P/?O0p(/?`pp$$/ 6@ 6.. p 0/3I: o@\ \@\J~.}.P`p!*!*!*,-*+()&'$%"# !         @@?O/?@o;:98P3KKTBKKSB3+KR2+K P[XY3+TTCZ[XCXYY+dKSXpY2KSXY++++stsss++++++++++++++++++++++++ 2+KdRBE#Eha#DE#Eh`#Ds++++++sss+++++++++ss+sts++++++++s++s++ssssssssssss+u+++s+t+++++++++++++++++s++++ endstream endobj 77 0 obj<> endobj 4 0 obj<> endobj 78 0 obj <>stream  cvt bfpgmIglyf~ headg 6hheao!$hmtxłc!4loca<@maxp ` prep~Ϛ`cxdYV`jv^gakwL}g# CCw|}44 \wCXLkr/:FRb3AJMjiH\shhSn +j1 bLz fYY-`#)kkcyfVfZc/M\AyoV@@TH:<;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 7$$,p+3/+3?3/+?3/+10++]"&'&&54676632#&&'&&#"32676673UT^fWT{]^-=$&`;Bd$#2-O)3YFIIݖIFC+/0- " 6#C@-; ;L Lp#* 7* 7A!B o% p$22????10++]!!5#"4676632!&&#"326"W!*R9LC=aXqK^T~eq.^u@> PIU%'"' $4%g@#% 4 AOA S$sz* 7%< ">7@ 7@  q''% p&2]3/?3/++]?9/10+] ! !32676673&&#"<8.-xG=v1+I%+G>9yadfs0H~Ni,otziTY@<@ ?  0 @  /  /]3/]/2/9/]??32?2/10#&&#"!!!#5354632TU&jML0 Nk o 6Y9p@Q<K@C$pyzp6)* 7 7* 7* 79A4 B+ 0p!A 7(o;@.p:3/]22?3/]???10++++]&&#"326#"&'332676655#"46766327!%L&~Q?/[ZNNڅpJ)G$+R+Yw;RIA>_V8 Sb Ie'&' Ü=>7  %"#_H4?"JGM,%29@$4 E p D o`  n2]??D?C?B?A?@??5233554455@!5 6@q::6q@q 6ppo@o6n@n 6pfff@g 6ed@;d 6@ ?_  k@khhhPh`ha0[@[[[8@ 6@@ +*p*,--  C! C <$e2"H/ 0@PpP`p0/?o /?o 7 7 **& 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++++++st+ststEEha#DsEEha#DsEEha#DEh#Dst++tu++++u+++++++++s+++++++++ss++sssstssssss+ss+s+u+us+u++s+++++++++++++++++++++++++++ss+s+sss++s+s++s+++++ss+++s+++s+++++ts+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ endstream endobj 79 0 obj<> endobj 80 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 81 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 82 0 obj <>stream   cmap@j:jcvt *v0fpgmyYHnglyfd$*headΘ&$6hhea3%$hmtx4X@%@(loca?h,maxp G Y prepRY  @ F $~Y #~ O\_ :U    " & . 0 3 : < > D o  !!!!"!&!.!T!^!!"""""""")"+"H"a"e###!%%% %%%%%$%,%4%<%l%%%%%%%%%%%%%%%&<&@&B&`&c&f&k:1 6<>ADb? Y #~Q^ !@`   & * 0 2 9 < > D j  !!!!"!&!.!S![!!"""""""")"+"H"`"d### %%% %%%%%$%,%4%<%P%%%%%%%%%%%%%%%&:&@&B&`&c&e&j:*8>@CF^>/wkri+*)(|zvlhL>][w}ujy,ߨߖޖޢދަq_0@3$FE<9630)"ۿ۾۷ۥۯEBA$"!>cH@\tvrX^bcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,  -   ./0 !"12#3$%&'()*+89:(,;<>@9BDFHJNRVZ^bfjnrv'z~+-1  !"$&(*,.05248:>@BDEFGHIJKLMNOPQRSTUVWXYZN[   \`dhi4NORPQUVWXST~?Avw|qrsYZ[\]uwvyx}tuw<=RSTU !"bcdeNOPQ^_`aJKLMrstunopq'()*z{|}~+,-./01234LMjkl@ABC()&'*+F01$%,-:;<=56  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ $~Y #~ O\_ :U    " & . 0 3 : < > D o  !!!!"!&!.!T!^!!"""""""")"+"H"a"e###!%%% %%%%%$%,%4%<%l%%%%%%%%%%%%%%%&<&@&B&`&c&f&k:1 6<>ADb? Y #~Q^ !@`   & * 0 2 9 < > D j  !!!!"!&!.!S![!!"""""""")"+"H"`"d### %%% %%%%%$%,%4%<%P%%%%%%%%%%%%%%%&:&@&B&`&c&e&j:*8>@CF^>/wkri+*)(|zvlhL>][w}ujy,ߨߖޖޢދަq_0@3$FE<9630)"ۿ۾۷ۥۯEBA$"!>cH@\tvrX^bcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,  -   ./0 !"12#3$%&'()*+89:(,;<>@9BDFHJNRVZ^bfjnrv'z~+-1  !"$&(*,.05248:>@BDEFGHIJKLMNOPQRSTUVWXYZN[   \`dhi4NORPQUVWXST~?Avw|qrsYZ[\]uwvyx}tuw<=RSTU !"bcdeNOPQ^_`aJKLMrstunopq'()*z{|}~+,-./01234LMjkl@ABC()&'*+F01$%,-:;<=56&iiiD|ZRRD/W~ "APoLu\7LnpX cc-\ @Wr]g!wM+Le|C]h5G!\M-x ,I?)9Io#o 2@z1UW~~FB/OV)or,11di+ &  sC_a^m8Q[h|ATkhqBBSsX2Q|  !U{{~!""#rw"+5<Yoq22 *<Qaajx *>LQ_jqx !".5BOO^eq *G]ety "&+G_u\ m6>PQ]`E3-_dM?}$x;;N&;MKSj1<ex ~ 90+ P >X!q}E +NT2N7kwdg3|)n*i9$]u MRhm}qyXgV%|2!r\/AMrLjUxiWnTgeRZgn-|{pLFF-S%>S?("bJmH3NFpyQ hlOa+@CUTA@?>=<;:987543210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,#p>#pE: -,E#DE#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+#Dz-,E+#D-,CXE+#DzEi #D QX+#Dz!zYY-,-,%F`F@aH-,KS \XYXY-, %E#DE#DEe#E %`j #B#hj`a Ry!@E TX#!?#YaDRy@ E TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KdQXEi C`:!!!Y-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,v##p #E PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,KS#KQZX E`D!!Y-,KTX E`D!!Y-,KS#KQZX8!!Y-,KTX8!!Y-,CXY-,CXY-,KTC\ZX8!!Y-,C\X %% d#dadQX%% F`H F`HY !!!!Y-,C\X %% d#dadQX%% F`H F`HY !!!!Y-,KS#KQZX:+!!Y-,KS#KQZX;+!!Y-,KS#KQZC\ZX8!!Y-, KT&KTZ C\ZX8!!Y-,KRX%%I%%Ia TX! CUX%%88Y@TX CTX%8Y CTX%%88%8YYYY!!!!-,F#F`F# F`ab# #ŠpE` PXaFY`h:-,B#Q@SZX TXC`BY$QX @TXC`B$TX C`BKKRXC`BY@TXC`BY@cTXC`BY@cTXC`BY@cTX@C`BYYYYY-,CTXKS#KQZX8!!Y!!!!Y-!!%!! @ _<'*մg >NC&999^ssIwVXZ||@r9A99sUss<sVssUsMsasSsU99prpsZoVVfV9m97Vs9cV9XV\0V V V)999'6sYsJsPsFsK9sBsssDssH?9$s!(9/WVVhV9csJsJsJsJsJsJPsKsKsKsK99#99 ssDsDsDsDsDsssssI3skssQmL=dN9SdNdMdMs8zd1/-%DrdTs.d3ssVV9cRsSGldN/!VV9s\\sI9lG%VVVVV99999c9c9c9.k:(sV\?)(sIV!Vsrk!kk!s9msB9V\?fPfPsFkVsJVsJGVsKVsKsBsUsss9csD<V\?09$0#ss)()(h9`bUHtHbD).0HkR3OOOjrq"~~~~~~f0 0 *+kUo@:@7?@%UapVsJfPfPVsKVsKVsK9msB9msB9msBss9999999f7Vsss9csD9csDkV\?09 ssssV!VsJD9S9V!sZk""JkWF2xVVXV)9VX 3m9cV0VV a9VHbsk`Hss\\sDV`3z?W`sH`?WW2UdV\997u 1 V@VUkVcN@9cVf0 RV UWUU@UsJ[@sKZ2xxksDUsP&!K+Ek(+0UsKsK?9 @s!kJA-11~~!}3 9iV21-_(P<P<Z<n_s f(d$(ZVZ((WWH-ddddiiiV21-KJK(P<P<Zn_s f(d$(V2P_s<%QCMyFFFFHFFQF5|5.555,5555555B6555F::656==JJv'v'2$0FF@FQ sJ]MyVu2u2-2$::B::::656==656==656==____JJJJ>>??>>??>>>>Z*65'Z*65'O'O'$FF$--'' G G##''5E5EB6'u2u22$2$Z@IZ&9ZSJZSJFFQFFHFFFFF@0FFc?D[/Ts) grksSrj}_vlX,VsJVsJVsJVsJVsJVsJVsJVsJVsJVsJVsJVsJVsKVsKVsKVsKVsKVsKVsKVsK9c9|9csD9csD9csD9csD9csD9csD9csDc?Dc?Dc?Dc?Dc?Dss[[[[[V!V!V!VsJ99csDsssssU cZkssV UW+EUscsU9`sD:$Fk'VVu2u2u2u22$::::::::::::::656==656==656==656==656==656==22____22______88IIJJJJJJJJJJJJJJJJ>>??>>??>>??>>>>Z*65'O'O'O'$O'O'$O'O'$O'O'$O'O'$FFFFv'v'--''--''--''v'v'v'v'v' G G G G G G G G5E5E5E5E5E5E5E5E5E5E656==B6u2u2u2u2u2u2u2u2u2u2u2u2u2u2u2u22$u2u22$2$EEEE()0~22d~2XXd>>??>>Z*65'My#B6/;mvZZSJZSJZSJZSJZSJZSJ5q5Z******************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************?v/V TA"/O__o@3@3@jl2@a3@\]2@WY2@MQ2@DI2@:3@142@.B2@',2@%2 2Ap@$&2d 2A d2AJ?/?_?Ӳ792Ӳ+/2Ӳ%2Ӳ2Ӳ2Ҳ) +A0 P`p`p   0@Pв +ϲ&BAƲA /$A/?O_"dA @j@&CI2@ CI2@&:=2@ :=2 &@&2@ 2@&2@ 2@&2@ 2@&z2@ z2@&lv2@ lv2@&dj2@ dj2@&Z_2@ Z_2@&OT2@ OT2$'7Ok Aw0w@wPwwww**@+)*Re~<^+@8@@89@s&%$ 7@!I3@!E3@!AB2@!=>2A!?!!!!!@! "2@!2@"*?2@!.:2oAH/`?_"""/"?"_"""!!o!!!/!?!O!""!!@+HO7 A &A9&%8s542V&, /& 8ʸ&~&}Gke&^s@R&ZHDb@s?^<&50+*V)#U7h@,XO62,!  @+JKKSBKcKb S# QZ#BKKTB8+KR7+KP[XY8+TXCX(YYv??>9FD>9FD>9FD>9FD>9F`D>9F`D+++++++++++++++++++++++KSXY2KSXYKS \XEDEDYX>ERX>DYYKVS \X ED&EDYX ERX DYYKS \X%ED$EDYX %ERX% DYYKS \Xs$ED$$EDYX sERXs DYYKS \X%ED%%EDYXERXDYYK>S \XEDEDYXERXDYYKVS \XED/EDYXERXDYYKS \XEDEDYX ERX DYY+++++++++++++++++++++++++++++++++++++++++eB++;Yc\Ee#E`#Ee`#E`vhb cYEe#E &`bch &aeY#eDc#D ;\Ee#E &`bch &ae\#eD;#D\ETX\@eD;@;E#aDYGP47Ee#E`#Ee`#E`vhb 4PEe#E &`bch &aeP#eD4#D G7Ee#E &`bch &ae7#eDG#D7ETX7@eDG@GE#aDYKSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B+tusuEiDEiDEiDsssstustu++++tu+++++sssssssssssssssssssssssss+++E@aDstK*SK?QZXE@`DYK:SK?QZX E`DYK.SK:QZXE@`DYK.SK> endobj 29 0 obj<> endobj 84 0 obj <>stream   cmap@j:jcvt ,ځfpgmæ1glyfw&vhead[&6hhea&$hmtxB&(locaA,maxp [< prep8[\ @ F $~Y #~ O\_ :U    " & . 0 3 : < > D o  !!!!"!&!.!T!^!!"""""""")"+"H"a"e###!%%% %%%%%$%,%4%<%l%%%%%%%%%%%%%%%&<&@&B&`&c&f&k:1 6<>ADb? Y #~Q^ !@`   & * 0 2 9 < > D j  !!!!"!&!.!S![!!"""""""")"+"H"`"d### %%% %%%%%$%,%4%<%P%%%%%%%%%%%%%%%&:&@&B&`&c&e&j:*8>@CF^>/wkri+*)(|zvlhL>][w}ujy,ߨߖޖޢދަq_0@3$FE<9630)"ۿ۾۷ۥۯEBA$"!>cH@\tvrX^bcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,  -   ./0 !"12#3$%&'()*+89:(,;<>@9BDFHJNRVZ^bfjnrv'z~+-1  !"$&(*,.05248:>@BDEFGHIJKLMNOPQRSTUVWXYZN[   \`dhi4NORPQUVWXST~?Avw|qrsYZ[\]uwvyx}tuw<=RSTU !"bcdeNOPQ^_`aJKLMrstunopq'()*z{|}~+,-./01234LMjkl@ABC()&'*+F01$%,-:;<=56  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ $~Y #~ O\_ :U    " & . 0 3 : < > D o  !!!!"!&!.!T!^!!"""""""")"+"H"a"e###!%%% %%%%%$%,%4%<%l%%%%%%%%%%%%%%%&<&@&B&`&c&f&k:1 6<>ADb? Y #~Q^ !@`   & * 0 2 9 < > D j  !!!!"!&!.!S![!!"""""""")"+"H"`"d### %%% %%%%%$%,%4%<%P%%%%%%%%%%%%%%%&:&@&B&`&c&e&j:*8>@CF^>/wkri+*)(|zvlhL>][w}ujy,ߨߖޖޢދަq_0@3$FE<9630)"ۿ۾۷ۥۯEBA$"!>cH@\tvrX^bcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,  -   ./0 !"12#3$%&'()*+89:(,;<>@9BDFHJNRVZ^bfjnrv'z~+-1  !"$&(*,.05248:>@BDEFGHIJKLMNOPQRSTUVWXYZN[   \`dhi4NORPQUVWXST~?Avw|qrsYZ[\]uwvyx}tuw<=RSTU !"bcdeNOPQ^_`aJKLMrstunopq'()*z{|}~+,-./01234LMjkl@ABC()&'*+F01$%,-:;<=56LLJk#j%$1JAPGy#D%F\r(K$Ep9K ClS/CH,+%(%$H'j$b|!`4k;KkMy le.C &=Nae{1@'BN++I_ 5Kuz11)UKY0?*X0Y"tt2Md**~W8QZovw ~z&BKOQSd 18NRg!q6:#Whl~&-0;DDDGXu )js~#5ATYrIaanK',47bfjklppr|!0ijm|""(6?CFgc22H(Hb*Y[Vy%-.|#*,1?GIIMQQUUWZZabhh%'/9CCGORRgooprv~%-aq,/<VgEh4UjPb|%/sxpU%Tlf ikFoV":fT(oC:}: iX4iZx>*#zJ$^9qp@L  7! Y&PU5z0|nf'+EM2A,R0]:X20|d(Mej/ "_ CKw (_E`{d]O ^F2<Z,A IqH@@}:>jPH)jiLiCR_\gS*v6YV+4HH%>S?("bJmH3NFpyQ hlO%@BUT@?>=<;:9876543210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,#p>#pE: -,E#DE#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+#Dz-,E+#D-,CXE+#DzEi #D QX+#Dz!zYY-,%F`F@aH-,KS \XYXY-, %E#DE#DEe#E %`j #B#hj`a Ry!@E TX#!?#YaDRy@ E TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KdQXEi C`:!!Y-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,v#p E PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,KS#KQZX E`D!!Y-,KTX E`D!!Y-,KS#KQZX8!!Y-,KTX8!!Y-,KS#KQZ%%%I#EiRZX%%%F#Ei`HY!!!-,CXY-,CXY-,KTC\ZX8!!Y-,C\X %% d#dadQX%% F`H F`HY !!!!Y-,C\X %% d#dadQX%% F`H F`HY !!!!Y-,KS#KQZX:+!!Y-,KS#KQZX;+!!Y-,KS#KQZC\ZX8!!Y-, KT&KTZ C\ZX8!!Y-,F#F`F# F`ab# #XXpE` PXaFY`h:-,B#Q@SZX TXC`BY$QX @TXC`B$TX C`BKKRXC`BY@TXC`BY@cTXC`BY@cTXC`BY@cTX@C`BYYYYY-,CTXKS#KQZX8!!Y!!!!Y-M ) k^+< 9K%vIFDLO= 9<9c9=9 ED d9  )TVJ*H IIIIIIFLLLL9<9<9 9 EEEEEe3b=p#EE9dI5ddd@+.d>15{%GVI'Y$dSd@@HKCCCd/ VwsssCA***3222HHH   9<<7N<9s~d)#D s$%fff,*!H=3sdVJFVJF&II#,D#*L*L)9=)@<)6  HEV# V# sd>9>k  ))%LG1WF\GPF7 E,OOOj&&"~~~~~~~f0 0 *+kUo@:@7?@%U/k;U4dpIVJFVJF*L*L*LH=H=H=# # 9939399*9c")9= & HEHEV# sd;9     9IVII'9    =Z*1%\w\J\\'V"%2*#3""%OH%s" ><21W\G/ '%nPF/ Q'%JtFEY+FDK'EDK*7%HKs32* '6V%%$V"%u*++%%V%m"#H%s"VJ>RL%3996%$H:9&VIN0HL)H.H.. .H.EH.F  /WH.).).# `-.o-LHoFd9<99c - . H.%A 2!VTk9_3!ZCN;CJNXC"CCv3tdN2Cp!_CCXC=iCC!uC]CDCkk6;CCt[t[3CCCC___3!ZCN;Cy C"CCv3tNp!_CX=iCC!;C3v3X%QCMyFFFFHFFQF5|5.555,5555555B6555F::656==JJv'v'2$0FF@F]MyVu2u2-2$::B::::656==656==656==____JJJJ>>??>>??>>>>Z*65'Z*65'O'O'$FF$--'' G G##''5E5EB6'u2u22$2$Z@@Z&0ZSAZSAFFQFFHFFFFF@0FFH;E5 VBb+pwbtF'DpqGbKKb 9<IIIIIIIIIIII*L*L*L*L*L*L*L*L39<39<HEHEHEHEHEHEHEH;EH;EH;EH;EH;E  5 V5 V5 V5 V5 V   I39HE      #H+V%.V%.#H.33% +LHE:$Fk'VVu2u2u2u22$::::::::::::::656==656==656==656==656==656==22____22______88IIJJJJJJJJJJJJJJJJ>>??>>??>>??>>>>Z*65'O'O'O'$O'O'$O'O'$O'O'$O'O'$FFFFv'v'--''--''--''v'v'v'v'v' G G G G G G G G5E5E5E5E5E5E5E5E5E5E656==B6u2u2u2u2u2u2u2u2u2u2u2u2u2u2u2u22$u2u22$2$EEEE()0~22d~2XXd>>??>>Z*65'My#B6/;mv"CDCZZSAZSAZSAZSAZSAZSA5q5Zvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv<v/VTEE2@+.2@()22'߲2޲BB2޲682޳*-2A (߳(.2A ~@ڳ$&2dɲ 2A d2Aso/O/oTkj"vutusA 0 0@ll2ml2}!#2}2A }}}}|!#2|2A-||||0s@sss ssssssssswj)j(@g9@2?f@f2f@f 2@f 2@f 2?e@e 2@e2@e 2kAc{cc$c4cDcc$/Nm@0D2P-<@)_<7` p  0 @ P o/?O_:3@G:3  0@P`p ` p  0 @ P Abbbpbb_ ^ _0_@^^__^_ 0P`p 0'0J   ' P 0P` 0@@a'))))@L<F%@<%@ :#r9<8I1$0%*$&#VU75u@,tbVQ;3-   @+JKKSBKKTB7+KR8+KP[XY8+TXCX/|YYKcKb S# QZ#Bv??>9FD>9FD>9FD>9FD>9F`D>9F`D++++++++++++++++++++++++KSXY2KSXYKGS \XqoEDpoEDYXzqERXqzDYYKGS \X"pED<pEDYX"ERX"DYYKLS \XI"ED""EDYXIERXIDYYKgS \X$qEDPqEDYX$ERX$DYYKS \X"ED""EDYX ERX DYYKS \X%%ED,%EDYX7%ERX%7DYYKS \X%%ED#%EDYXY%ERX%YDYYKS \X%%ED(%EDYX%ERX%DYY+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++eB+++++++++++++++++++++++++++++++++++++++++++adcEe#E`#Ee`#E`vhb dEe#E &`bch &ae#eDd#D acEe#E &`bch &aec#eDa#DcETXc@eDa@aE#aDYCKEe#E`#Ee`#E`vhb CEe#E &`bch &ae#eDC#D KEe#E &`bch &aeK#eD#DKETXK@eD@E#aDYKRBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B+EiDEiDEiDEiDssstssstuu+ssttuEiDsst+K!SKFQZX<> endobj 18 0 obj<> endobj 86 0 obj <>stream  cvt *fpgm0qglyf headŭ\e d6hhea- $hmtxwPI> loca<<maxp@ prep~e`q]1LLYk#j'a%^)J*PcXw-JDd| &9L$:ogIK-;GrGQg8 ]a&.CSc{B.&)16[bb#{D Vcyn $::ALNt   ?c +SUm~?h PNN G !)Wkx~6;>IR+,Y`|OPx %CDT\psw|  **00;@JU_gs469ORgpt:EsJaiu##.aK[&;b%&'DPbcfgppqqy~!-16=GGZhv|9VY^v|GKW[^t:Pr0;4SyX 't<n7WcZ%f[JnSPdSahkYS}<)9%)>9:SaLROn}>Y`LACUUckxSw:V )Sap@??>=<;:987543210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,#p>#pE: -,E#DE#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+#Dz-,E+#D-,CXE+#DzEi #D QX+#Dz!zYY-,-,%F`F@aH-,KS \XYXY-, %E#DE#DEe#E %`j #B#hj`a Ry!@E TX#!?#YaDRy@ E TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KdQXEi C`:!!!Y-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vA#p AE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,KS#KQZX E`D!!Y-,KTX E`D!!Y-,KS#KQZX8!!Y-,KTX8!!Y-,CXY-,CXY-,KTC\ZX8!!Y-,C\X %% d#dadQX%% F`H F`HY !!!!Y-,C\X %% d#dadQX%% F`H F`HY !!!!Y-,KS#KQZX:+!!Y-,KS#KQZX;+!!Y-,KS#KQZC\ZX8!!Y-, KT&KTZ C\ZX8!!Y-;@cc c c)8+N  >V.tga%dQG9H:T-d%nd%9J,S bYL|Q99d<d%d<Xd%V"'H#&3 N%}%L%#Js&8;G%8)B\%jJD% TdydFEI+GJ-CEdd1|+(dXd7+YdiN+GA}P[}/[d4yd<V60V)K]K]3fd%Jid<dyfAjd%d%d$d49D }-\^%N%Na%M%M87;;:  %SJRcRc2.dT000V)L]L]/ARcRcJ*+SSSRu>1}}}C]##222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYg/@A''&&o_O?///.,)$@ 1'<')@;l)'2<2<2/<2v'2<')')o'omoo7@U  7@9gdWF6.+%$  @+JKKSB8+KR7+KP[XY8+TXCXYYKcKb S# QZ#BKKTBv??>9FD>9FD>9FD>9FD>9F`D>9F`D++++++++++++++++++++++++KPyut+++KSyut+++KSXY2KSXYA@{Ee#E`#Ee`#E`vhb @Ee#E &`bch &ae#eD@#D A{Ee#E &`bch &ae{#eDA#D{ETX{@eDA@AE#aDYNb*Ee#E`#Ee`#E`vhb *bEe#E &`bch &aeb#eD*#D NEe#E &`bch &ae#eDN#DETX@eDN@NE#aDYEiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B+u++++++++++++++++sssssEiDEiDC\X2+Y endstream endobj 87 0 obj<> endobj 88 0 obj<>/Subtype/CIDFontType2/Type/Font/W [120[459]]/CIDToGIDMap/Identity/DW 1000>> endobj 89 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0078><0078> endcodespacerange 1 beginbfrange <0078><0078><00b7> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 10 0 obj<> endobj 90 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 91 0 obj<> endobj 92 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 93 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 68 0 obj<> endobj 94 0 obj <>stream  cvt xefpgm:`headҗ 6hhea 8$hmtx7 \loca*$maxp pI prep^.cJy|]xdY'v}f| sBB99I?Zo7zLLto\S} `^B/``Y}LfK}qqLuu1=b{9ZZpqqh@=T;:9876543210/.-,+*)('&%$#"!  ,CX+!!!Y-,CX+!!!Y-,CX%!!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,NF#CD%F!M-,CXEdj#EiCd``F#D# F/!!!!Y-, C#Ce -, C#C -,F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,+!!!-,+!!!-,CCe -, i@a ,b`+ d#da\XaY-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,!!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%CTZX% E@aDY%CT%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,%-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-,CC -,KRX%%I%%Ia TX! 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@//@"$6?p*98 D 6O@)26 @Ppв @{6DVVOU_U8*o7/R)2259?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hnq@ 6@q 6@ p6@o6@n 6p@g 6pffffee@d 6oopbPbb@apa[ [[hHH-,%+9*(((((( C! C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 95 0 obj<> endobj 96 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 97 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 6 0 obj<> endobj 98 0 obj <>stream   cmapMcvt LA8fpgm7Q)glyfkA Nhead陝YH6hhea; Y$hmtxr>Y locaqgmaxpn prepyen  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~r~ #~ O\_   " & 0 3 : < > D  !!!!"!&!.!^""""""""+"H"`"e%%%%%   #~Q^   & 0 2 9 < > D  !!!!"!&!.![""""""""+"H"`"d%%%%%LxA( Vw8+#jyh<ޖޢދަtq_/0۞ۖs]888BhdhvjjXXD|bcdefghjikmlnoqprsutvwxzy{}|~DEFGHIJKLMNO    PQRSTUVWXYZ[\]^_`a89bcdef ghij:klmnopqrst !"uvwxyz{|#$%&}~'()*+,-./0:123]^_`abcdefghijklmnopqrstuvwxyz{|}~LMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqtuvwxy84z;<=>?@AB|]xdYvo s,D\s~L=DP\rx=V]jn*=Tdjqzoz!!t ]dbjL@UT76&% , %E#E#ah Eh #D`D-,KRXED!!Y-, EhD ` EFvhE`D-,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-,%EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-,KRXED!!Y-,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-,KS#KQZX E`D!!Y-,KS#KQZX8!!Y-,B#Q@SZX TXC`BY$QX @TXC`B$TX C`BKKRXC`BY@TXC`BY@cTXC`BY@cTXC`BY@cTX@C`BYYYYY-,CTXKS#KQZX8!!Y!!!!Y-//10!!%!!&@ @ ,@,/3]/]?<3/<10###++++CC@ ,/]?3/10#++CdV@C  ((OHHO__ooxx z0 U U++3/]<]??10]#&73ıQ?IJ=?Q< E{({I ?5@&*+59EHUYdt V/]3/2/10] #?撮q1  @BOO__/3/]/]10!5! p1 V-@ U/?/]+?10!#3\6@%%8IDVgw //3/?/]10] #\3D #@"69 4 ;;4EI D KKD I !I  U!U@ U U%%% U!@U U U$++++]++++??10]! ! 6654&'&&#"326  #$#y_^{$"$!yd^|o|{QۚNMNNOJSNRN<@5F H  U U ?op U@ U U@ U U U U U/++++++++]3++92/]/3]?2?3/10!!5!!52676673!<6?%.50MA @QP`$;8 5??9KH EOOI_]][ V_^]__jdebopt% U@? U-/0@@ U@ U JJ! U U U@ U U """!2/]2/+++++9?2?3/++]10++]]!!56676654&#"#56632!i[[e Go+*'iKkc!ZYt@B#:ݽUB>xIiT|=@ / /) &/)<< 51"4/J EC"C/VYY U/j f/j]++9///+++?3/]?93/]/99]10]#"&'5332676654&'&&##532654&'&&#"#566320>JCKy|MUk?,.-3--JZF.)+b>__ GomCHJw0|+gf?FC;#8J*),jQPiz6QD>#;(,0[|3M @!  $ 4 D p   U H  I@ U? O    U@ U O@ U U U@2 U?&UU U U U U/++++++]3/++++]933++99]/]??9/+<29910+]##!533!7Ѹc]Hr`*@= +=5=KDZT)jz I%%@%%!J%   J " O@. U U U U!   U,,, +]+99/++++]/?3/]?9/]2/10]#"&'5332676654&'&&#"!!6632LBHǃzNRjG4,-5/4\X;A+Z!yLPXhAFK3$4I(2+xOMj & t)47"7@8  9%3137I%B1C7_V P P!e!u1)IJ5I ,/#! U@ U U@ U999/! U 8+]++++9/99??92//910]#"&'&5476$32#&&#"66324&'&&#"326nEV]U]X;P) q;Tk_LXY7?.p=UMA9.k?DCS2wq 35#5=]z- (*)5,)O@2  $HKXy J{/3/]9/9]??9/10]#!5!^"z(7& U% U$ U# U"@v U-+43"4'43DA"D'E3P[ZZT"_+Y,_1T3T7`bbb`#`'vv{,&/& /G5H  / )!&  U999 ! @ U 2!83/+]+99993/q??9]CTX@Y,,),25/)/6#E#V#d#& #&9]9]Y10]+++++#"$54675&&54$324&#"664&'&&'326ᐃxs ~z~QR%BcLQv/p]Zm|;@r֥e7<OkxfHi):Bs\o8&"1jq"7@9)<%<+5.L%L+C.X_]Rp{%2I)I J 5 #! @#U U999,! U U8++]++9/99?2/?9/910]#"&'53327#"&'&&54324&'&&#"326766YZ[4\$ jA]a\KXY,lEU\@8/l?6@-lBNFBpr|  80$4=CCS4-'_x-*()ZI]%@VV- U/]+<<??10#3#3I@ i@G""$5OOOD\Tiidtt p  4U +    /3/]9/]3/?3?2/99]/10]]#6676654&#"#56632#53F98RA0:@yl8 F`usb;9d/1%X-4oVqoD#+NBO@  ?@"'?A%,,//$" '/?/AG@DHVH 'YIn e ih!e'f?fAt{p't9t;GR@7MS--*Q=1Q1=--C-J?  Q Q) 7 $)7kP3/]99]/]/322/]?3/993//3/+/399/10]]!'#"&54325336654'&$#"3267#"$'&5476$32&&#"326NQKHJXIpA*+[XX_`mh_c VTaYrstt>4jjq?d9t{Ckt<@!!0KY ``gtbbaegrsBù?uu|pp@>^ ij@  U U@v UJE  |s4 @U @ U0 @ p  z   $9BZjtn   +6MUe{d ]]/]9]?]34@s#@"  WWS_ X X_S@U Uv y4!4  U U U U@4 Us%%%%?% U U U U Uh$+++++]]+++++??]++10]#"$'&5476$32#"32[acY\ZZa`\XG&d޸aefhcc !gbhia";7@0:=KKPTe4 4  !! 0@p U@ U U U U@ Uo!!?! U U @ U  U U U U U l ++++++++2]++++++]]??9/]10]###!24&'&&##326766E>MҠHU]670{^ħx//'c>MM-09Mr$+/0jsw%1@G  \ Y Y\SWWt Ueut-%%!5 )4 v y/4 3s&@ U&  U U@( Us3333?3, U U Uh2+++]]+++92+//??]99?2/10]]#"&'#"$'&5476$3232673#"3264Vr1 _m+ g100[,(6-B*D@g@U@ U9u? >  @    U U  U U  U @ 7U U U@ U. U@ U U@ U U++++++++++222+++++2/9//]??32?2/10]++#&&#"!!##5354632 d&ymSƻ?e*^ k&A% lYC|#0/@-=>*2,:0D KL*B,K0[]Zjlj|p "!(@ U@U @ .A!$2@U U U@ U@QU UU U* U UU U U22?2+ U+ U+ U@%U U U U U U1+++++++++]+++++++++9++++22/]??3/++?99?10]%!"&'5332676655#"467663273&&#"326CYR .d`~##UxQFA\aI K@R5.)'nDfDC!LGO'(0a"Ƽ?_3@u B  U U U UU@ UU U U@ U" UU@4 U U U` U U  U U  ޴U @ U U U U @ U  U U U +++++++++++++2]+++++++++++++++? @ O  ` U U U U@ U` pU U@ U U@ U U U@ U U U++++++++++]22+++++/]/]?2/??+10]#53#"&'533267665#5! Ȩ(, _-HX   (((qQ @D(    -/ 0 @ T iz       ` p  @(U @  U U U U޴U@ U U U U@ U U U U +++++++++++++2]3/+3/]99?@ U > !@+ U) U) U)5@ U U U U U U@ U! UU@ U U U U@' U555?5_55 U U U4+++]+++++++99++/++++++++/?3/+?3/+]910]]#"&'5332654'&'&&'&&54676632#&&#"|F Yd|&&l(5{9:8kdD Hcg+*^4+GGB;#COPVB"" 'nEz0/71#5IONE##  IJ>@B + > ? O  U U U U @ 7@U U U U@ UU U@ U U++++++++++22++++2/2]?2/?332/10]%#"&5#533!!326735}1|MO.d RAXc+(% W]@ z B  U U U U@UU U" U UU@3 U U U` U U  U U U@ U U U U@ U U U U+++++++++++++]+++++++++++++2???<910]!#5#"&5332673W_iļVRIK|KPUy+,(L;B=]@A&)69FI)9@Q`('87JGuzu@$ 7 jzeu U+]]]+99??]9910]]]#3>  ? _ o   ]99/99/?2/?2/10]!!5!5!!zgr5.a 3@m| |ppyr#,#",33$3*3.DA$D*D.TT$T*T.kddkbjd$%,* 3 333/R%/%%%)R!P! P ?3/99/2/]/2/]/3/9/3/]<10]]! ! ! ! #"$5432#.#"32673afftII66rVN Y>6YSHff6DDW''0(F:4<}@ T/]3//10!5!}<. 7 7@ 7/?3]/10+++#3/9/@ 7 7 7/]?3]/10+++ #9/n*#_<~D) Y   R , }&#s&MzqZ ]x|s*4s^,tLsLsxx\{D{~FTh+iljDl22jlj+n'>=V<=4]zxxsLphhhhhh+ijjjj2222jjjjjV]ZLs l"q]]ykh]]q&#2((xxLsxj&&=DD& ,xx^^]^~^LsLsLs26!-aV2~Fx+n{~4]z4j=#V#VV<4sl^x+ns+is+ilxhxh*.l4jjt2t^tLsjjjx+n'>'>{~4]{~4]Lsiljm j Rh#] Oupxhs+is+ijjj4sl4sl4sl ^,2^_2^2^2,t2LsjLsjjx+n'>  \V=gxhhLs]Z\V\V\V=&aaxQ C2x|{~^|1rLsav{Dl^~lm2 =l2==hji 0q2 j qWsx^^~,x||  QLssi{D>\D]raF,ht jb42AjFj =o<( [`SCj`j+n22PP= `VVVVVVVtsj G !T66%BBB% 6BBBB6xhxhxhxxhxhxhxhxhxhxhxhjjjj)jjj^2^2LsjLsjLsjLsLsjLsjLsjtsjtsjtsjtsjtsj G G G G G====lHHHHHa<Zv#(jEkkkkk 7   } U j b=/6z X{]; !c!"#]$$k%%%&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&4&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&''@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@'@}bk/VT@)26 @Ppв @p6DVVOU_UoTTTQSRSSRJIRFI7GI2HI2I59?!C?B?RA?R@?R?5223d35454T45444%H6೴#6@ 6Hv%H6@ $6Hplpxߞ@6@6@6@6/@ 6rr@q 6m  ? @bbb@aa[-,%+9*)! C <EG<29Hp@AC6* K K K KKKKKKK**@V!!! @?O/?o϶ 7 PKRXYKTXYKSXY+++++stss++++++++++++++++++++EEha#DsEEha#DEEha#D+Eh#D+s++++++++++++++++sssssssss+s+s+++++ss++++s++++u++++++++++++++++++++stsst+st++ endstream endobj 99 0 obj<> endobj 5 0 obj<> endobj 9 0 obj<> endobj 35 0 obj<> endobj 56 0 obj<> endobj 100 0 obj<> endobj 101 0 obj<> endobj 102 0 obj<> endobj 103 0 obj<> endobj 104 0 obj<> endobj xref 0 105 0000000000 65535 f 0000000015 00000 n 0000010818 00000 n 0000212378 00000 n 0000183789 00000 n 0000329183 00000 n 0000299731 00000 n 0000033026 00000 n 0000027384 00000 n 0000329766 00000 n 0000272280 00000 n 0000033243 00000 n 0000033380 00000 n 0000039547 00000 n 0000039748 00000 n 0000043640 00000 n 0000043816 00000 n 0000054161 00000 n 0000266197 00000 n 0000054337 00000 n 0000055109 00000 n 0000055197 00000 n 0000059077 00000 n 0000059286 00000 n 0000059693 00000 n 0000059860 00000 n 0000065194 00000 n 0000065361 00000 n 0000067528 00000 n 0000238536 00000 n 0000067704 00000 n 0000073712 00000 n 0000073898 00000 n 0000076953 00000 n 0000077120 00000 n 0000329895 00000 n 0000083317 00000 n 0000083504 00000 n 0000089247 00000 n 0000089415 00000 n 0000091685 00000 n 0000091853 00000 n 0000097857 00000 n 0000098044 00000 n 0000103755 00000 n 0000103923 00000 n 0000105273 00000 n 0000105441 00000 n 0000111450 00000 n 0000111637 00000 n 0000113458 00000 n 0000113626 00000 n 0000119528 00000 n 0000119715 00000 n 0000120123 00000 n 0000120291 00000 n 0000330026 00000 n 0000126266 00000 n 0000126453 00000 n 0000128703 00000 n 0000128871 00000 n 0000134769 00000 n 0000134956 00000 n 0000138988 00000 n 0000139156 00000 n 0000145190 00000 n 0000145377 00000 n 0000148705 00000 n 0000278395 00000 n 0000148873 00000 n 0000153781 00000 n 0000153959 00000 n 0000160535 00000 n 0000160703 00000 n 0000163025 00000 n 0000163193 00000 n 0000163231 00000 n 0000183600 00000 n 0000184317 00000 n 0000210914 00000 n 0000211103 00000 n 0000211452 00000 n 0000212510 00000 n 0000238355 00000 n 0000238693 00000 n 0000266006 00000 n 0000266364 00000 n 0000271503 00000 n 0000271681 00000 n 0000271887 00000 n 0000272410 00000 n 0000277589 00000 n 0000277768 00000 n 0000277983 00000 n 0000278527 00000 n 0000298956 00000 n 0000299136 00000 n 0000299338 00000 n 0000299858 00000 n 0000329003 00000 n 0000330149 00000 n 0000330216 00000 n 0000330264 00000 n 0000330299 00000 n 0000330361 00000 n trailer <<76119a68ee593aa352676f9ae7b400cc>]/Root 103 0 R/Size 105>> startxref 330580 %%EOF