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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 124.75 w 24.07 747.9 m 558.15 747.9 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 685.53 m 561.48 685.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 684.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 684.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 693.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 667.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 607.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 563.19 m 557.15 563.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 515.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 504.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 497.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 483.44 m 160.38 483.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 483.44 m 563.65 483.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 434.24 m 160.38 434.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 434.24 m 563.65 434.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 494.85 m 565.85 494.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.02 m 565.85 472.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 396.45 m 565.85 396.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 495.93 m 30.07 395.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 495.93 m 161.5 395.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 495.93 m 564.78 395.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 478.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 478.67 Tm (Bartholamew Lodge)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 455.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 455.84 Tm (1 Trouse Lane )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 438.26 Tm (Wednesbury)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 420.68 Tm (West Midlands)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 403.1 Tm (WS10 7HR)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 384.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 367.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 347.66 m 358.95 347.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 347.66 m 565.9 347.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 359.08 m 568.1 359.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.25 m 568.1 336.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 360.15 m 30.07 335.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 360.15 m 360.07 335.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 360.15 m 567.02 335.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 342.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 342.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 342.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 383.08 342.89 Tm (three star excellent service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 323.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 304.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 287.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 287.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 287.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 270.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 270.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 270.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 253.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 236.46 m 315.25 236.46 l S 0.001 w 20.58 w 317.5 236.46 m 565.9 236.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 213.63 m 346.55 213.63 l S 0.001 w 20.58 w 348.8 213.63 m 377.9 213.63 l S 0.001 w 20.58 w 380.15 213.63 m 409.2 213.63 l S 0.001 w 20.58 w 411.45 213.63 m 440.55 213.63 l S 0.001 w 20.58 w 442.8 213.63 m 471.9 213.63 l S 0.001 w 20.58 w 474.15 213.63 m 503.2 213.63 l S 0.001 w 20.58 w 505.45 213.63 m 534.55 213.63 l S 0.001 w 20.58 w 536.8 213.63 m 565.9 213.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 225.04 m 568.1 225.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 247.87 m 568.1 247.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 225.04 m 568.1 225.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 202.21 m 568.1 202.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 248.95 m 30.07 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 248.95 m 316.37 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 226.12 m 347.67 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 226.12 m 379.02 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 226.12 m 410.32 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 226.12 m 441.67 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 226.12 m 473.02 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 226.12 m 504.32 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 226.12 m 535.67 201.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 248.95 m 567.02 201.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 231.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 231.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 208.86 Tm (Jonathan Potts)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 208.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 208.86 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 208.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 208.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 208.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 189.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 172.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 155.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 143.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 131.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Bartholamew Lodge)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (1 Trouse Lane)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Wednesbury)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (West Midlands)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (WS10 7HR)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01215021606)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01215021100)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (bearwood@btconnect.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 35.16 w 31.2 556.83 m 353.25 556.83 l S 0.001 w 1 1 1 RG 35.16 w 355.5 556.83 m 565.9 556.83 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 526.71 m 565.6 526.71 l S 0.001 w 20.58 w 31.2 481.05 m 353.25 481.05 l S 0.001 w 1 1 1 RG 20.58 w 355.5 481.05 m 565.9 481.05 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 458.22 m 353.25 458.22 l S 0.001 w 1 1 1 RG 20.58 w 355.5 458.22 m 565.9 458.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 538.13 m 568.1 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 567.8 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 567.8 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 537.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.64 m 568.1 469.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 538.13 m 567.8 538.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 515.3 m 567.8 515.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 492.47 m 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 469.64 m 568.1 469.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 446.81 m 568.1 446.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 445.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 493.54 m 354.37 445.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 445.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 559.35 Tm (Bartholamew Lodge Nursing )Tj ET /F2 12 Tf BT 1 0 0 1 358.35 544.77 Tm (Home Limited)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 521.94 Tm (Name of registered manager \(if applicable\))Tj ET /F2 12 Tf BT 1 0 0 1 34.05 499.11 Tm (Ms Veerpal Kaur Brar)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 476.28 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 476.28 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 453.45 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 453.45 Tm (30)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 434.51 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 415.02 m 565.6 415.02 l S 0.001 w 41.16 w 31.2 381.9 m 297.2 381.9 l S 0.001 w 20.58 w 299.45 392.19 m 565.6 392.19 l S 0.001 w 20.58 w 299.45 371.61 m 432.52 371.61 l S 0.001 w 20.58 w 432.52 371.61 m 565.6 371.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 403.6 m 567.8 403.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 426.43 m 567.8 426.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 403.6 m 567.8 403.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 360.19 m 567.8 360.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 427.51 m 30.07 359.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 404.68 m 298.32 359.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 427.51 m 566.72 359.11 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 410.25 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 387.42 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 387.42 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 366.84 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 366.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 345.4 m 297.3 345.4 l S 0.001 w 20.58 w 299.55 345.4 m 431.45 345.4 l S 0.001 w 20.58 w 433.7 345.4 m 565.6 345.4 l S 0.001 w 35.16 w 31.2 315.28 m 297.3 315.28 l S 0.001 w 35.16 w 299.55 315.28 m 431.45 315.28 l S 0.001 w 35.16 w 433.7 315.28 m 565.6 315.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 285.16 m 565.6 285.16 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 333.99 m 567.8 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.58 m 567.8 296.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.75 m 567.8 273.75 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 28.99 169.77 m 568.1 169.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 567.8 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 296.58 m 567.8 296.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 273.75 m 568.1 273.75 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 28.99 169.77 m 568.1 169.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 146.94 m 568.1 146.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 357.89 m 30.07 145.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 357.89 m 298.42 295.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 357.89 m 432.57 295.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 357.89 m 566.72 145.86 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 340.63 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 340.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 340.63 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 303.22 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 317.8 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 317.8 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 280.39 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.56 Tm (Bedroom 2 situated on the first floor must only be used to accommodate residents on a )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 242.98 Tm (temporary basis \(e.g. intermediate or short stay care\). )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 220.15 Tm (The home can accommodate the older person with dementia as detailed in the )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 205.57 Tm (variation report dated 27 February 2006 for the length of their stay, at which point this )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 190.99 Tm (condition will be removed from the certificate. The Registered Manager is required to )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 176.41 Tm (notify the CSCI at the point the person concerned leaves the home.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 153.58 Tm (The home has 10 Intermediate care beds under the existing categories of registration. )Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 132.15 m 315.25 132.15 l S 0.001 w 1 1 1 RG 20.58 w 317.5 132.15 m 346.55 132.15 l S 0.001 w 20.58 w 348.8 132.15 m 377.9 132.15 l S 0.001 w 20.58 w 380.15 132.15 m 409.2 132.15 l S 0.001 w 20.58 w 411.45 132.15 m 440.55 132.15 l S 0.001 w 20.58 w 442.8 132.15 m 471.9 132.15 l S 0.001 w 20.58 w 474.15 132.15 m 503.2 132.15 l S 0.001 w 20.58 w 505.45 132.15 m 534.55 132.15 l S 0.001 w 20.58 w 536.8 132.15 m 565.9 132.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 143.56 m 568.1 143.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 120.73 m 568.1 120.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 144.64 m 30.07 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 144.64 m 316.37 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 144.64 m 347.67 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 144.64 m 379.02 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 144.64 m 410.32 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 144.64 m 441.67 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 144.64 m 473.02 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 144.64 m 504.32 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 144.64 m 535.67 119.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 144.64 m 567.02 119.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 127.38 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 108.86 m 565.9 108.86 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 99.23 m 568.1 99.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 100.31 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 100.31 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 118.48 m 568.1 118.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 99.23 m 568.1 99.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 119.56 m 30.07 98.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 119.56 m 567.02 98.15 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 105.3 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 105.3 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 86.05 Tm (Bartholomew Lodge is an adapted building sited opposite open parkland near the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 69.05 Tm (centre of Wednesbury and as a result within walking distance of the facilities on offer )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 52.05 Tm (there. Transport links are supported by easy access to public transport and close )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 519.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 519.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 520.15 m 568.1 520.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (proximity to the Black Country route and M6 motorway. The home provides personal )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (care with nursing for up to 30 residents with ten beds allocated for intermediate care )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 749.47 Tm (\(short term intensive rehabilitation to enable service users to return to their own )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 732.47 Tm (homes\), this supported by the local Primary Care team \(health authority\). The home )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 715.47 Tm (also has one bed available for respite care \(for stays between 2 - 4 weeks\). The )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 698.47 Tm (bedrooms comprise single rooms, with some shared and the home has adaptations )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 681.47 Tm (consistent with provision to a dependent resident group \(including such as call system, )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 664.47 Tm (hoists, shaft lift etc\). The staff team is managed by a Registered nurse and there is a )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 647.47 Tm (nurse on duty 24hours per day. The nurses supervise a range of care and ancillary )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 630.47 Tm (staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 613.47 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.25 596.47 Tm (The home currently charges between 400 to 550 pounds per week for residency, this )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 579.47 Tm (fee inclusive of the Registered Nurse Care Contribution \(RNCC\). Items that are not )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 562.47 Tm (included in this fee are toiletries, newspapers, hairdressing services, escort services )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 545.47 Tm (and private healthcare. Some of these services are available but service users will be )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 528.47 Tm (expected to pay for them. The home may charge a top up fee.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 508.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 491.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 537/Matrix [1 0 0 1 0 0]>>stream xn1 9eA*8!PujjQy|Y.io|'N]FyVo:z8y߇o<[-ȎBaz\J QFrQȔVW@u=8&I5x:l]^O$؊[MhnMEͯKiE]&:.~Cc=0"8闯._:ZD8*iQtd2M,lšX:hjHki3T(02dzm ;q:ӲH Y8zeꌲ|&X1uşΤ7v'3Vw1K]g= ǬLSQv=9s9EEjk;ȹ{Nr St|w7~{.{W*gMN-?bˣUh̷qa͝P?)j(3M_ v8/gLj"A<_ۥ3w%:L՟yv`@ endstream endobj 21 0 obj<> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 394.28 715.45 Tm (three star excellent service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (Prior to visiting the home we looked at all the information that we have received, or )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (asked for since the last key inspection. This included the annual quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (assessment \(AQAA\) that was sent to us by the service \(this a self assessment of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (homes performance completed by people running the service\); information about how )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (the service has managed complaints and safeguarding alerts; notifications from the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (service about things that have happened at the home; the previous key inspection and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (annual service reviews; comments we have received from individuals living at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm (home, their representatives and staff.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (Following review of this information we visited and looked at areas relating to key )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (national minimum standards, with evidence gathered through tracking the care for four )Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 75.9 w 32.32 774.58 m 566.72 774.58 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 735.5 m 568.92 735.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 734.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 734.43 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm (individuals living at the home \(looking at care records, observing practice, talking to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (key staff and the individuals themselves\), a tour of the environment, talking to )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (management and also reviewing a range of staff and management records. The visit )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (was carried out on an unannounced basis over 2 days \( 20th February and 20th March )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (2009\).)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 283.02 w 32.32 649.31 m 566.72 649.31 l S 0.001 w 20.58 w 32.7 495.26 m 569.35 495.26 l S 0.001 w 180.96 w 33.82 392.24 m 568.22 392.24 l S 0.001 w 20.58 w 33.45 289.22 m 570.1 289.22 l S 0.001 w 185.71 w 34.57 183.83 m 568.97 183.83 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 30.12 506.68 m 568.92 506.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 505.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 506.68 m 569.35 506.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 483.85 m 569.35 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 483.85 m 570.42 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 300.64 m 570.42 300.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 277.81 m 570.1 277.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 300.64 m 570.1 300.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 277.81 m 571.17 277.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 484.93 m 32.7 299.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 278.89 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 505.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 484.93 m 569.35 299.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 278.89 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (The home is good at ensuring that people have sufficient information available to them )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm (prior to moving into the home, this so as to assist with their making a decision as to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm (whether it is the right home for them. The home also has robust pre admission )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm (assessments that allow the staff to identify if they can meet an individual's needs.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (Care plans that detail the care to be provided by the home are accurate and reflect the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (care that staff provide. This is supported by good assessments of any potential risks to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (individuals well being.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 659.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 644.54 Tm (The home is good at promoting access to community health care services and ensuring )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 629.96 Tm (individual's health care needs are addressed.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 615.38 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 600.8 Tm (The home manages medication safely.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 586.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 571.64 Tm (The home provides individuals living at the home with a choice of nutritious meals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 557.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 542.48 Tm (The building is well located for access by public transport or car, and is also well )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 527.9 Tm (maintained and clean.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 513.32 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 568.97 647.76 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 493.15 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 490.49 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 493.71 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 390.69 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 467.66 Tm (The home has improved the its recruitment practices with better vetting of a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 453.08 Tm (prospective employees.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 438.5 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 423.92 Tm (The home has become better at promoting its complaints procedures and the manager )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 409.34 Tm (has promoted staff awareness of adult protection, this through such as more structured )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 394.76 Tm (supervision and training.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 380.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 365.6 Tm (Staff are better trained with a noticeable increase in the number of care staff holding a )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 351.02 Tm (vocational qualification, this giving them knowledge and skill in providing good care.)Tj ET /F2 12 Tf BT 1 0 0 1 36.67 336.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 321.86 Tm (There has been some improvement in the provision of activities and stimulation )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 307.28 Tm (available to people.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 390.69 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 287.67 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 284.45 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 182.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 261.62 Tm (The home needs to ensure that contracts with outside companies that maintain such as )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 247.04 Tm (lifting equipment are fulfilled to ensure that there is no slippage in maintaining )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 232.46 Tm (equipment and potentially compromising peoples safety.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 217.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 203.3 Tm (There are some areas of training that could be better, this partly due to factors outside )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 188.72 Tm (the home's control. The management are looking at ways to ensure this does not )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 174.14 Tm (reoccur. There is also a need to ensure all staff have training or updates in )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 159.56 Tm (rehabilitative care.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 144.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 130.4 Tm (The detail relating to the individual fees people pay could be better detailed in some )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 115.82 Tm (contracts of residency.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 101.24 Tm ()Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 163.38 w 34.57 730.84 m 568.97 730.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 648.02 m 571.17 648.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 646.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 646.95 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm (Whilst the home does ask people if they want keys to bedroom doors this choice needs )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (to be consistently documented and risk assessed, this where there maybe issues that )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (prevent an individual holding keys. There is also a need to fit a privacy lock on one )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (toilet door to promote privacy.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm (The management need to ensure that staff sign a declaration in respect of any criminal )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (offenses prior to employment, this to enhance the vetting process when employing )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm (staff before receipt of enhanced disclosures.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (The management need to continue with monitoring of staffing levels that maybe )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (compromised by turnover and sickness.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 633.46 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 613.47 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 613.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 613.47 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 595.97 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 575.98 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 555.98 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 555.98 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 555.98 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 538.48 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 538.48 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 538.48 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 520.99 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 360 m 563.65 360 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 114.98 w 32.32 348.75 m 564.78 348.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 289.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 290.14 m 566.98 290.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 391.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (Individuals who may use the service are provided with information about the home, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (sufficient to be able to make a decisions as to its suitability. The promotion of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (independence is promoted within the home's intermediate care unit.)Tj ET 0.99608 0.9451 0.76078 RG 196.04 w 33.45 166.24 m 563.65 166.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 255.27 m 565.9 255.27 l S 0.001 w 174.67 w 32.32 154.43 m 564.78 154.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.89 m 566.98 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.89 m 565.9 242.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 227.21 Tm (We saw that the home has a statement of purpose that is specific to Bartholomew )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (Lodge and the service it provides. We saw that this contains appropriate information )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (about the home that would be useful to prospective users of the service and their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (representatives, this including such as the homes complaints procedures, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (arrangements for care, meals, visiting and such like. The statement of purpose is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (supported by a service users guide which we saw is available around the home, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (more specifically in each individual's room where they are able to access it. These )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (documents are only available in written format although we discussed the availability )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (of information with an individual that had moved into the home and they said that )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 566.25 w 33.45 528.28 m 563.65 528.28 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 544.88 w 32.32 516.47 m 564.78 516.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 241.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 242.91 m 566.98 242.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (staff did explain the important information that they needed to know during the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (admission process. Consideration should be given to how the service users guide is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (presented so that it is understandable to people who cannot read a written document. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (Questionnaires were returned to us by 9 people living at the home and 7 of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (respondents told us that they had sufficient information about the home prior to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (moving in, and also had a contract. Two respondents stated that the did not. On )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (examining case files we saw that copies of contracts are available within them )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (however, these containing information relating to additional charges, but in some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (cases having gaps in respect of the fees the individual would pay.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (We looked at the admission process through case tracking the admission of some )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (individuals recently admitted to the home, and found that in all cases there were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (assessments in place, sufficient to allow the home to make a decision as to whether )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (they were able to meet their needs. This information included input from other sources )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (such as social workers and health professionals. We saw that the homes own )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (assessments are robust enough to allow for the gathering of a range of information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (about an individual's needs, sufficient to allow the formulation of a care plan.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The home has an intermediate care unit and we saw that this is based in a separate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (lounge with bedrooms close by to accommodate people using this service. We saw that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (the home works in partnership with health services to provide appropriate physio and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (occupational therapy and there are GP visits every week. Rehabilitation is planned with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (support of health service input so as to identify programmes for a planned six week )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (stay, after which the aim is to return individuals to independence. We saw through )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (case tracking that these objectives are identified through the assessment and care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (planning process. Staff from the home are allocated on a day to day basis to work )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (within this unit, and we saw that some have training in rehabilitative care, although )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (further training to ensure all staff are up to date on techniques for rehabilitation would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (be useful. The management of this unit is overseen by the homes manager, and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (nurses on a day to day basis. We saw that there are weekly meetings to discuss the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (progress of individuals staying at Bartholomew for rehabilitative care.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 385.25 m 563.65 385.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 132.47 w 32.32 374 m 564.78 374 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 305.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 306.64 m 566.98 306.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 425.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (Individuals health and personal care is based on their needs as identified within care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (plans. The principals of respect, dignity and privacy are usually put into practice. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (Medication management safeguards the individuals using the service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 212.54 w 33.45 174.5 m 563.65 174.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 271.77 m 565.9 271.77 l S 0.001 w 191.17 w 32.32 162.69 m 564.78 162.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.4 m 566.98 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.4 m 565.9 259.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 268.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 243.71 Tm (We looked at four care plans for differing individuals, two of which were staying long )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.22 Tm (term, and two staying for intermediate care. We saw that care plans are clearly laid )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 208.72 Tm (out and information within them was consistent with that found in the assessments we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (also saw. From discussion with individuals, staff and observation of staff practice, as )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (well as through tracking of other documentation we found the care plans to be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (accurate, encompassing the current needs and wishes of these four individuals. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (looked at how staff communicated with one individual with limited verbal speech and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (found that the information documented in the care plans as to such as non verbal cues )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (was understood by the staff we spoke to, and we saw followed through when they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (provided care for this individual.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (We saw that care plans are supported by a range of risk assessments, these relating to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (health and personal care matters such as the risk of falls, tissue viability, nutrition and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (such like. Once again we saw that the information within these was consistent with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (what people told us, and observed practice/other records. From tracking the outcomes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (from the risk assessments we saw that issues identified are followed up, examples of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (this including referral for dietetic support \(from the outcome of a nutritional )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (assessment\) and provision of appropriate pressure area care/prevention \(drawn from a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (tissue viability risk assessment\).)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (We saw that care plans and risk assessments are reviewed at least monthly and found )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that this was evidenced by the fact that we found the information within them to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (current, as well as through documentation.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (We looked at how the home promoted the health care of these four individuals and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (from what we saw found that the staff are proactive in ensuring their needs in this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (area are met. We saw that this is done through clear identification of health needs \(in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (care plans and risk assessments\) and follow up on these needs through day to day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (personal care or liaison with community health care services such as their G.P, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (opticians, dietitians, chiropody, dentist and such like.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (Questionnaires we received from individuals living at the home showed that 2 thought )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (they always received the care and attention they needed, whilst 7 said they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (usually/sometimes do so. Seven out of the 9 said they always received the medical )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (support they needed however. We did receive some comment that ' the nursing staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (are very good but sometimes the care staff can be very unsupportive and rude' \(this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (seemingly applicable to a minority\). Discussion with the provider and manager over )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (the past year has indicated that there have been some issues with specific staff that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (has now been dealt with appropriately. Discussion with individuals at the time of our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (visit, as well as observation of the staff interacting with people did not evidence any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (concerns as to the way they offered support. We heard comment from individuals at )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (the times of our visits including ' can't fault the staff they are polite' and 'staff very )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (nice'. People did tell us of ways in which the staff respected their dignity and privacy, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (this though such as using their preferred titles \(consistent with records we saw\) and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (knocking bedroom doors before entry \(as we also saw was the case\). Care plans we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (saw documented issues of importance in promoting the individuals self esteem, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (considering such as whether people wished to wear make up, preferences in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (clothing and such like.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (We sampled the homes practices in respect of medication and found that these to be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (well maintained and consistent with the homes policy/procedures on medication. We )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 76.36 w 33.45 773.22 m 563.65 773.22 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 54.99 w 32.32 761.41 m 564.78 761.41 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 31.2 731.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 731.72 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 30.12 732.79 m 566.98 732.79 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (saw that medication records are well kept and storage is appropriate for the type of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (medication kept at the home. The last check carried out by the homes contacted )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (pharmacist was in February 2009, and this gave rise to no issues.)Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 428 m 563.65 428 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 114.98 w 32.32 416.75 m 564.78 416.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 357.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 358.14 m 566.98 358.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Individuals are usually able to make choices as to their day to day preferences and life )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (style, this usually including access to stimulation and activity. People are satisfied with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm (the meal choices available to them as well as the quality of these.)Tj ET 0.99608 0.9451 0.76078 RG 264.04 w 33.45 200.24 m 563.65 200.24 l S 0.001 w 1 1 1 RG 22.5 w 31.2 323.27 m 565.9 323.27 l S 0.001 w 242.67 w 32.32 188.43 m 564.78 188.43 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 310.89 m 566.98 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 311.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 311.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 310.89 m 565.9 310.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 319.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 295.21 Tm (People we spoke to confirmed that they did have some choices in regard to their daily )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 277.71 Tm (routines, these as documented in such as assessments and care plans. We saw that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (staff try to promote choice with people deciding when they wish to get up, when they )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (go to bed and such like. Comments from questionnaires indicated that the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (usually or sometimes arranged activities \(7 out of 9\) and we saw that there was an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (activities programme on display in the home. We saw that there are some planned )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (activities, the ones taking place at the time of our visits reflecting the plan that we )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (saw. People we spoke to told us about some of the activities that had participated in, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (this including skittles, darts and letter writing. We saw that staff are documenting )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (activities, recording whether the individual participates in the planned daily group )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (activities although we noted that this record does not capture what the individual may )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (be doing outside of such group events. Examples of this maybe when an individual is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (reading the newspaper, seeing visitors, time spent on religious pursuits and such like. )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 653.73 w 33.45 484.54 m 563.65 484.54 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 632.36 w 32.32 472.73 m 564.78 472.73 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 31.2 154.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 154.35 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 30.12 155.43 m 566.98 155.43 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We did see that some individuals do participate in such activities during our time at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (We did receive some comment from staff via questionnaires that sometimes sitting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (with individuals may depend on the staff available, and there had been times when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (staffing had compromised their wish to spend more time with individuals. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (management in discussion told us they are aware of this and discussed how they are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (working to resolve these issues \(see staffing\). Comment from people we spoke to did )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (indicate that staff are busy at times but that they did not have to wait too long for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (assistance, and staff would let them know if they were delayed. Comment from staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (we spoke to at the time of our visits did not indicate that this was as much of an issue )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (now, and that there are quieter times of day where they are able to sit and talk to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (We saw that the home has an open visiting policy and that representatives and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (relatives are welcomed with the one proviso that they avoid mealtimes where possible. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The home has areas where visitors can sit with individuals living at the home with a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (degree of privacy, or alternatively they are able to use their rooms. People told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (they are able to maintain contact with relatives.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (We saw that the home takes the time to record the choices of individuals in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (their preferred diets. People told us that staff ask them what meal choices they would )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (like the day before, this then documented on lists that we saw, this allowing the cook )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (to prepare sufficient quantities. One person told us she could not see the menu \(due to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (visual impairment\) and said that staff always told her what choices are available. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (Discussion with people at the time of our visits showed that they liked the meals and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (we saw at dinner time that there were numerous choices available. The meal were well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (presented and looked appetizing. Tables we saw to be attractively laid with condiments )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (available. We also saw that choices were available to those people with specific needs )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (such as diabetes, with such as a choice of sugar free sweets available on the one day )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (of our visit. Support for less able residents in respect of eating is detailed in plans and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (we saw was provided.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (We saw the homes menus and these confirmed that a well balanced and nutritious diet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (is available, and we heard comment from some people that they had tried some meals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (that they would not normally eat and found these enjoyable.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 479 m 563.65 479 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 114.98 w 32.32 467.75 m 564.78 467.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 408.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 408.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.14 m 566.98 409.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (excellent)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 315.96 510.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (People who use the service know how to complain and have access to an effective and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (robust complaints procedure. The home response to complaints and concerns so as to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm (ensure people are safe.)Tj ET 0.99608 0.9451 0.76078 RG 315.04 w 33.45 225.74 m 563.65 225.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.27 m 565.9 374.27 l S 0.001 w 293.67 w 32.32 213.93 m 564.78 213.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 361.89 m 566.98 361.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 362.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 361.89 m 565.9 361.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 370.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.21 Tm (We saw that the home has a complaints procedure that is on clear display in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 328.71 Tm (home, and is also included in the homes service users guide \(this available in each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (bedroom\). From the questionnaires we received from people living at the home 7 out )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (of 9 told us they knew who to speak to if unhappy, all 9 knew how to make a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (complaint and 8 said that the staff listen to what they said and then acted upon this. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (We saw that the home also has a suggestion box available for any comments.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (Discussion with the manager shows that the home invites comments and sight of the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (homes complaints book showed that any received are documented. Over the 12 )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm (months prior to our visits the home had received 5 complaints, these all responded to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (within 28 days. The investigating managers upheld three of these complaints and have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (taken appropriate action to address the matters arising as a result. Some of the issues )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (have involved safeguarding elements and we have seen that the management have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (worked with the relevant authorities to progress the investigation and resolve issues )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm (so as to improve the service to individuals.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm ()Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 338.8 w 33.45 642.01 m 563.65 642.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 317.43 w 32.32 630.19 m 564.78 630.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 470.36 m 566.98 470.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We saw that the home has appropriate policies and procedures in place in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (safeguarding adults, this including copies of the multi agency safeguarding procedures. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Discussion with the manager and staff showed that they had a good understanding of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the actions to take if they identified any abusive practice. This underlines the fact that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (staff have received training in the same, and on induction are given an introduction to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (safeguarding and their responsibilities. We also saw that when the manager supervises )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (staff she reinforces their understanding of their responsibilities in respect of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (safeguarding and reporting abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (The management has demonstrated to us over the 12 months prior our visits that they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (understand the need to take appropriate action to protect individuals living at the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (home and improve the quality of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (Discussion with management indicated a good awareness of the implications of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (mental capacity act and the need to identify capacity of the individual. This we have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (been told will be promoted through the promotion of staff training in this area and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (liaising with the local authority where their may be issues around capacity.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm ()Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 119.98 w 33.45 470.74 m 563.65 470.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 97.48 w 32.32 459.5 m 564.78 459.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 408.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 409.63 m 566.98 409.63 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The physical design and layout of the home is appropriate for the needs of the people )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (that live there and is overall well maintained and clean.)Tj ET 0.99608 0.9451 0.76078 RG 315.54 w 33.45 225.99 m 563.65 225.99 l S 0.001 w 1 1 1 RG 22.5 w 31.2 374.76 m 565.9 374.76 l S 0.001 w 294.16 w 32.32 214.18 m 564.78 214.18 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 362.39 m 566.98 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 363.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 363.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 362.39 m 565.9 362.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 371.45 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 346.7 Tm (We toured the building at the time of our visit and found that it was well maintained. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 329.21 Tm (All areas are well decorated and there are a number of communal area available. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (Access to the home is enhanced by it position close to Wednesbury bus station and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (main transport links. We saw that the home has a range of aids and adaptation )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (suitable for the needs of the people that live there, this evidenced in part by looking at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (the needs of four individuals living at the home, and their needs as identified through )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (assessment. We looked at the records relating to the maintenance of the environment )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (and found these to be up to date with the exception of the servicing for lifting )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (equipment, which was out of date despite the home showing us evidence of a contract )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (with a hoist maintenance company. This was raised with the manager and it was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (pleasing to see that all lifting equipment was serviced on the day of our return visit. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (We saw that the manager has carried out regular safety audits on the environment )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (although would be advised to ensure that contractors visits are checked as a routine )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (part of this audit.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (People we spoke to told us that they were happy with their bedrooms and keys are )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 548.75 w 33.45 537.03 m 563.65 537.03 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 527.38 w 32.32 525.22 m 564.78 525.22 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 31.2 259.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 259.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 260.4 m 566.98 260.4 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (available, although those we spoke to stated that they did not wish to hold these. Risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (assessments relating to these choices we saw are sometimes in place, this not always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (the case though. Choices in respect of locks to bedrooms and lockable areas in rooms )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (should always be documented and where there are issues in respect of safe handling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (risk assessed. We saw all toilets and bathrooms have suitable privacy locks, with one )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (exception, this a toilet with a sliding door. This was raised with the manager on the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (day of one of our visits.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (From our tour of the environment we saw that the building was clean and equipment )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (such as disposable gloves and aprons readily available to staff. In addition alcohol rub )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (is available for people entering the home. We looked at the laundry which we saw is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (fitted with appropriate equipment and was clean at the time we saw it. Questionnaires )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (from individuals living the home told us that the home is always \(6 out of 9\) or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (usually/sometimes \(3 out of 9\) clean and fresh, although we had one comment to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (effect that an individual's chair had not been cleaned for a while. From those areas we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (saw we judged that this was an issue that had been addressed by the time of our )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (visits. We saw that the home has appropriate infection control procedures in place that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (the staff follow in practice. There was no evidence of any unpleasant odours at any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (point during our visits to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (It was pleasing to see that the home has achieved a Gold award from Environmental )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (health for food hygiene.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (We received one comment that an individual had been moved from the room they first )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (moved into on admission to another that they did not like. This was raised with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (management who were at the time unaware of this issue, but stated that may have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (related to an individual been admitted to a intermediate or respite bed and then )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (moving to a long stay bedroom when allocated permanent care. This does highlight )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (the need to be clear with individuals as to the reasons for any change of bedroom, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (with agreement as to the facilities in the room that they are to move to. )Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 493.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Staff in the home are overall well trained, skilled and usually in sufficient numbers to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (provide timely and appropriate support. The management have encountered some )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (barriers to the maintenance of staffing levels and training but are constantly looking at )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (ways to address these.)Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (From questionnaires we received from people using the service 7 out of 9 said that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (staff are usually or sometimes available when needed, 1 saying this was always the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (case. Seven staff that completed questionnaires had differing opinions on the staffing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (levels some saying that there was always enough staff \(2\) but three saying this was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (only sometimes the case. Comment from people has also highlight some issues with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (waiting long periods for assistance with personal care and staff not having time to sit )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (with individuals to chat. This was stated by some people to be due to staff sickness )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (and vacancies due to staff turnover. The management have been open as to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (challenges they have encountered in retaining staff at the home although are looking )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (at ways in which they can address this \(such as employing more part time staff and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (greater flexibility in hours of employment\). The management have also raised the fact )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (that they feel they have insufficient fee levels for individuals that are of increasing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (dependency and have more complex needs. The home has a range of support staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (available, this including cooks, domestics and laundry staff.)Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 671.22 w 33.45 475.79 m 563.65 475.79 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 649.85 w 32.32 463.98 m 564.78 463.98 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 31.2 136.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 136.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 137.93 m 566.98 137.93 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (The home has tried to minimize the effects of vacancies by employing staff following )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (receipt of a suitable POVA \(protection of vulnerable adults list\) check, rather than )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (waiting for an enhanced disclosure. We have been informed every time that the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (has done this and have seen that the home has risk assessed this. We saw that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (employed on such a basis are supervised by a more experienced member of staff, this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (also confirmed by some of the newer staff we spoke to. We did note that the home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (not gained a declaration against any criminal convictions prior to employing staff, this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (a matter the manager has now confirmed in writing with be applied to all future staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (appointments. From checking the files for three recently employed staff we did see )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (that all other recruitment checks were in place prior to employment.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (We looked at the homes training plan, this verified through sight of actual certificates )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (for training. We saw that the management have identified the training that staff need )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (and we saw evidence that this some of this training had been booked. We were )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (informed that problems have been encountered with such as moving and handling )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (training where this training has been canceled at short notice, this as confirmed by )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (some of the staff we spoke to. The area manager told us to prevent recurrence they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (are currently looking to identify other, more reliable training providers, or in the case )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (of moving and handling are looking to have a manager within the company trained to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (ROSPA \(royal society for the prevention of accidents\) so that they can then train staff. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (Discussion with the manager indicated that she was aware of the need to provide staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (with training in respect of the Mental Capacity Act and deprivation of liberty )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (safeguards.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (It was pleasing to see that 8 out of 12 care staff hold a vocational qualification in care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (at either level 2 or 3. This training ensures that staff have a grounding in the principals )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (of good care and diversity issues that influence the delivery of the same. Discussion )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (with recently employed staff evidenced that they had involvement in an induction to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (skills for care national standards, and saw this as a basis for leading into NVQ training. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (We also saw that support staff hold NVQs in respect of their areas of work.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (Discussion with staff and sight of staff files evidenced that they had access to regular )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (one to one supervision, and the ones we spoke to all told us that they felt well )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (supported by other staff and management. Staff also told us that they felt that training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (they received was relevant, helped with them understanding the job they did and kept )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (them up to date. )Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 137.47 w 33.45 377 m 563.65 377 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 114.98 w 32.32 365.75 m 564.78 365.75 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 306.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 307.14 m 566.98 307.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (good)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 291.77 408.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The management of the home has demonstrated that it is open to feedback, willing to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (work with statutory agencies and is using a generally effective quality assurance )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (system.)Tj ET 0.99608 0.9451 0.76078 RG 213.04 w 33.45 174.74 m 563.65 174.74 l S 0.001 w 1 1 1 RG 22.5 w 31.2 272.27 m 565.9 272.27 l S 0.001 w 191.67 w 32.32 162.93 m 564.78 162.93 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 259.89 m 566.98 259.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 260.97 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 260.97 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 259.89 m 565.9 259.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 268.95 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 244.21 Tm (The home now has a Registered Nurse manager that has been registered since the last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (key inspection. She is appropriately trained for the post although told us she is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (expanding her knowledge by undertaking vocational management training. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (and heard that the manager is very well supported by senior managers who visit the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (home on a regular basis \(the area manager based at the home at the time of our visits )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (due to nurse vacancies\). The director of the company is also a regular visitor and staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (have said that managers are accessible and approachable. Discussion with )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (management indicated that they are very aware of barriers and challenges that face )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (the service and were able to offer solutions that they are adopting to address these.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm ()Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 671.22 w 33.45 475.79 m 563.65 475.79 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 649.85 w 32.32 463.98 m 564.78 463.98 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 31.2 136.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 136.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 137.93 m 566.98 137.93 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (We saw that the home has a robust quality monitoring system in place that has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (informed the management as to where the service needs development. These systems )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (do make use of consultation with individuals and others through questionnaires, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (meetings and promoting the complaints procedure. We saw evidence of the homes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (quality monitoring in such as care records, with documentation to show that these are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (checked against the homes and national minimum standards. The home last sent out )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (questionnaires to individuals and others \(such as relatives\) in February 2009, these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (showing an overall positive view of the service, and little identified in the way of any )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (issues, this suggesting that the outcomes for individuals are improving when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (considering some of the outcomes from questionnaires we received last year.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Of note was that the home has consistently shown that they are willing to work with us )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (and other statutory agencies in addressing such as safeguarding alerts. The response )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (of the provider and manager during the course of the inspection also showed a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (willingness to co-operate with us and respond quickly to any matters we raised.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (We sampled the recording and safekeeping of individual's property and monies for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (those individuals whose care we tracked and found that these were well documented. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (The one discrepancy we did resolve, this helped by records that provided an audit trail. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (We saw that inventories of property are regularly recorded and reviewed. Policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (procedures in respect of the handling of monies and valuables we saw are appropriate )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (and promote protection of the individuals property.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (We saw the home has a clear health and safety policy and related procedures and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (most staff have received training in areas related to safe working practice. We saw )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (that the home carries out audits in respect of health and safety on a regular basis, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (these appropriate and detailed but as mentioned earlier needing to reference that a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (check is carried out on whether contractors fulfill their obligations. We saw that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (home also has a number of risk assessments relating to safe working practices, that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (whilst acceptable could be expanded to cover all prevalent risk as detailed in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (national minimum standards. One area of risk assessment that we judged could be in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (greater depth was the fire risk assessment, the manager advised to consult with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (fire prevention officer for advice.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (We saw that the home is proactive in analyzing the accidents at the home and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (identifying any possible trends that may inform the way they care for intervals.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 793.28 m 564.97 793.28 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 784.78 m 422.1 784.78 l S 0.001 w 17 w 424.35 784.78 m 467.1 784.78 l S 0.001 w 1 1 1 RG 17 w 469.35 784.78 m 494.1 784.78 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 784.78 m 539.1 784.78 l S 0.001 w 1 1 1 RG 17 w 541.35 784.78 m 566.1 784.78 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F2 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 501.75 781.22 Tm (No)Tj ET /F7 12 Tf BT 1 0 0 1 548.37 783.16 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 683.94 m 566.2 683.94 l S 0.001 w 30.3 w 31.2 631.95 m 91 631.95 l S 0.001 w 30.3 w 93.25 631.95 m 197.4 631.95 l S 0.001 w 30.3 w 199.65 631.95 m 289.5 631.95 l S 0.001 w 30.3 w 291.75 631.95 m 473.9 631.95 l S 0.001 w 30.3 w 476.15 631.95 m 566.2 631.95 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 719.65 m 568.4 719.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 648.22 m 568.4 648.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 615.67 m 568.4 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 720.73 m 30.07 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 649.3 m 92.12 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 649.3 m 198.52 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 649.3 m 290.62 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 649.3 m 475.02 614.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 720.73 m 567.32 614.6 l S 0.001 w [] 0 d /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 702.45 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 684.03 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 669.45 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 654.87 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET endstream endobj 67 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 68 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 m 197.4 704.82 l S 0.001 w 30.3 w 199.65 704.82 m 289.5 704.82 l S 0.001 w 30.3 w 291.75 704.82 m 473.9 704.82 l S 0.001 w 30.3 w 476.15 704.82 m 566.2 704.82 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 776.09 m 568.4 776.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 721.1 m 568.4 721.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 688.55 m 568.4 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 777.17 m 30.07 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 722.18 m 92.12 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 722.18 m 198.52 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 722.18 m 290.62 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 722.18 m 475.02 687.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 777.17 m 567.32 687.47 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 759.9 Tm (Immediate requirements:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 742.32 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 616.68 m 566.2 616.68 l S 0.001 w 30.3 w 31.2 565.91 m 91 565.91 l S 0.001 w 30.3 w 93.25 565.91 m 197.4 565.91 l S 0.001 w 30.3 w 199.65 565.91 m 289.5 565.91 l S 0.001 w 30.3 w 291.75 565.91 m 473.9 565.91 l S 0.001 w 30.3 w 476.15 565.91 m 566.2 565.91 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 651.17 m 568.4 651.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 582.18 m 568.4 582.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 549.63 m 568.4 549.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 652.25 m 30.07 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 583.26 m 92.12 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 583.26 m 198.52 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 583.26 m 290.62 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 583.26 m 475.02 548.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 652.25 m 567.32 548.56 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 637.99 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 617.99 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 603.41 Tm (Standards Act 2000, Care Homes)Tj ET /F2 12 Tf BT 1 0 0 1 239.77 603.41 Tm (Regulations 2001 and the National Minimum )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 588.83 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 571.01 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 568.01 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 568.01 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 568.01 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 568.01 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 555.86 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 67.32 w 31.2 478.6 m 566.2 478.6 l S 0.001 w 18.15 w 31.2 433.61 m 91 433.61 l S 0.001 w 18.15 w 93.25 433.61 m 197.4 433.61 l S 0.001 w 18.15 w 199.65 433.61 m 566.2 433.61 l S 0.001 w 1 1 1 RG 49.74 w 31.2 397.42 m 91.05 397.42 l S 0.001 w 49.74 w 93.3 397.42 m 197.4 397.42 l S 0.001 w 49.74 w 199.65 397.42 m 566.1 397.42 l S 0.001 w 35.16 w 31.2 352.72 m 91.05 352.72 l S 0.001 w 35.16 w 93.3 352.72 m 197.4 352.72 l S 0.001 w 35.16 w 199.65 352.72 m 566.1 352.72 l S 0.001 w 64.32 w 31.2 300.73 m 91.05 300.73 l S 0.001 w 64.32 w 93.3 300.73 m 197.4 300.73 l S 0.001 w 64.32 w 199.65 300.73 m 566.1 300.73 l S 0.001 w 35.16 w 31.2 248.74 m 91.05 248.74 l S 0.001 w 35.16 w 93.3 248.74 m 197.4 248.74 l S 0.001 w 35.16 w 199.65 248.74 m 566.1 248.74 l S 0.001 w 64.32 w 31.2 196.75 m 91.05 196.75 l S 0.001 w 64.32 w 93.3 196.75 m 197.4 196.75 l S 0.001 w 64.32 w 199.65 196.75 m 566.1 196.75 l S 0.001 w 49.74 w 31.2 137.47 m 91.05 137.47 l S 0.001 w 49.74 w 93.3 137.47 m 197.4 137.47 l S 0.001 w 49.74 w 199.65 137.47 m 566.1 137.47 l S 0.001 w 48.57 w 31.2 86.06 m 91.05 86.06 l S 0.001 w 48.57 w 93.3 86.06 m 197.4 86.06 l S 0.001 w 48.57 w 199.65 86.06 m 566.1 86.06 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 443.81 m 568.4 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.41 m 568.4 423.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 444.89 m 92.12 370.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.42 m 568.3 371.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 334.01 m 568.3 334.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.44 m 568.3 267.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.03 m 568.3 230.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 163.46 m 568.3 163.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 111.47 m 568.3 111.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.38 m 568.4 513.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 443.81 m 568.4 443.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 423.41 m 568.3 423.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 371.42 m 568.3 371.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 334.01 m 568.3 334.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 267.44 m 568.3 267.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 230.03 m 568.3 230.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 163.46 m 568.3 163.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 111.47 m 568.3 111.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 60.65 m 568.3 60.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.46 m 30.07 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 424.49 m 92.17 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 444.89 m 198.52 59.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 514.46 m 567.32 59.57 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 497.2 Tm (Recommendations)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 479.62 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 465.04 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 450.46 Tm (improving their service.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 432.64 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 429.64 Tm (Refer to Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 429.64 Tm (Good Practice Recommendations)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 407.23 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 407.23 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 407.23 Tm (The fees individuals pay for residency should be )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 392.65 Tm (consistently clear within the contract they have with the )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 378.07 Tm (home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 355.24 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 355.24 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 355.24 Tm (To ensure all staff have up to date training in rehabilitative )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 340.66 Tm (techniques.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.83 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 317.83 Tm (19)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 317.83 Tm (To ensure that the homes health and safety audits include )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 303.25 Tm (checking that contracted organizations are complying with )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 288.67 Tm (maintenance agreements)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 274.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 34.05 251.26 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 251.26 Tm (21)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 251.26 Tm (To provide a privacy lock to the ground floor toilet with a )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 236.68 Tm (sliding door. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 213.85 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 213.85 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 213.85 Tm (To consistently record peoples choices in respect of key )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 199.27 Tm (holding to bedrooms and lockable areas and risk assess this )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 184.69 Tm (when there are potential issues over a persons ability to do )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 170.11 Tm (so.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 147.28 Tm (6)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 147.28 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 147.28 Tm (To be clear with individuals as to the reasons for any )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 132.7 Tm (change of bedroom, with agreement as to the facilities in )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 118.12 Tm (the room that they are to move to. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 95.29 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 95.29 Tm (29)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 95.29 Tm (All prospective staff should sign a declaration as to whether )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 80.71 Tm (they hold criminal convictions before employment, this of )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 66.13 Tm (critical importance if employed on a POVA check whilst )Tj ET endstream endobj 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 70 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 17.58 w 31.2 803.74 m 91.05 803.74 l S 0.001 w 17.58 w 93.3 803.74 m 197.4 803.74 l S 0.001 w 17.58 w 199.65 803.74 m 566.1 803.74 l S 0.001 w 35.16 w 31.2 775.12 m 91.05 775.12 l S 0.001 w 35.16 w 93.3 775.12 m 197.4 775.12 l S 0.001 w 35.16 w 199.65 775.12 m 566.1 775.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 793.82 m 568.3 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 793.82 m 568.3 793.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 756.41 m 568.3 756.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 755.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 814.73 m 92.17 755.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 814.73 m 198.52 755.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 755.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 200.25 802.72 Tm (awaiting an enhanced disclosure.)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 777.64 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 777.64 Tm (30)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 777.64 Tm (To ensure that all staff have up to date training/refreshers )Tj ET /F2 12 Tf BT 1 0 0 1 202.5 763.06 Tm (in safe moving and handling of people.)Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 72 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 22.5 w 22.95 802.41 m 560.45 802.41 l S 0.001 w /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 799.09 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 28.35 781.11 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 759.6 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 100.11 759.6 Tm (03000 616161 or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 739.6 Tm (Textphone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 101.5 739.6 Tm (or )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 719.61 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 71.07 719.61 Tm (enquiries@cqc.org.uk)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 699.61 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 64.35 699.61 Tm (www.cqc.org.uk)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 659.62 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 642.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 602.63 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 112.69 602.63 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 143.22 602.63 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 585.13 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 567.63 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 550.14 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 532.64 Tm (misleading context. 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 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put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 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187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ 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Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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CUXY@TX CTXY CTX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,CXY-,CXY-, +# <+-,(+# #+X59O4v" % A6O;*0Ș}-.$ ]G-#) C@/44 4CC CSVf B @  qn22????10]4&#"326%#"&'!!6632mfj/]-#G#}fT|F^Mi: &(8BR4*e@)$!;3!DO KE'* 7@ 7@7@ $@ 7$$@ $@ 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 90 0 obj<> endobj 91 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 92 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 93 0 obj <>stream %!PS-AdobeFont-1.0: SymbolMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:50:06 2008 % Converted from TrueType font 'SYMBOL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 1.60) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Symbol) readonly def /FamilyName (Symbol) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /SymbolMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {0 -220 1113 1005} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /universal put dup 35 /numbersign put dup 36 /existential put dup 37 /percent put dup 38 /ampersand put dup 39 /suchthat put dup 40 /parenleft put dup 41 /parenright put dup 42 /asteriskmath put dup 43 /plus put dup 44 /comma put dup 45 /minus put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /congruent put dup 65 /Alpha put dup 66 /Beta put dup 67 /Chi put dup 68 /Delta put dup 69 /Epsilon put dup 70 /Phi put dup 71 /Gamma put dup 72 /Eta put dup 73 /Iota put dup 74 /theta1 put dup 75 /Kappa put dup 76 /Lambda put dup 77 /Mu put dup 78 /Nu put dup 79 /Omicron put dup 80 /Pi put dup 81 /Theta put dup 82 /Rho put dup 83 /Sigma put dup 84 /Tau put dup 85 /Upsilon put dup 86 /sigma1 put dup 87 /Omega put dup 88 /Xi put dup 89 /Psi put dup 90 /Zeta put dup 91 /bracketleft put dup 92 /therefore put dup 93 /bracketright put dup 94 /perpendicular put dup 95 /underscore put dup 96 /radicalex put dup 97 /alpha put dup 98 /beta put dup 99 /chi put dup 100 /delta put dup 101 /epsilon put dup 102 /phi put dup 103 /gamma put dup 104 /eta put dup 105 /iota put dup 106 /phi1 put dup 107 /kappa put dup 108 /lambda put dup 109 /mu put dup 110 /nu put dup 111 /omicron put dup 112 /pi put dup 113 /theta put dup 114 /rho put dup 115 /sigma put dup 116 /tau put dup 117 /upsilon put dup 118 /omega1 put dup 119 /omega put dup 120 /xi put dup 121 /psi put dup 122 /zeta put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /similar put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /.notdef put dup 131 /.notdef put dup 132 /.notdef put dup 133 /.notdef put dup 134 /.notdef put dup 135 /.notdef put dup 136 /.notdef put dup 137 /.notdef put dup 138 /.notdef put dup 139 /.notdef put dup 140 /.notdef put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /.notdef put dup 146 /.notdef put dup 147 /.notdef put dup 148 /.notdef put dup 149 /.notdef put dup 150 /.notdef put dup 151 /.notdef put dup 152 /.notdef put dup 153 /.notdef put dup 154 /.notdef put dup 155 /.notdef put dup 156 /.notdef put dup 157 /.notdef put dup 158 /.notdef put dup 159 /.notdef put dup 160 /.notdef put dup 161 /Upsilon1 put dup 162 /minute put dup 163 /lessequal put dup 164 /fraction put dup 165 /infinity put dup 166 /florin put dup 167 /club put dup 168 /diamond put dup 169 /heart put dup 170 /spade put dup 171 /arrowboth put dup 172 /arrowleft put dup 173 /arrowup put dup 174 /arrowright put dup 175 /arrowdown put dup 176 /degree put dup 177 /plusminus put dup 178 /second put dup 179 /greaterequal put dup 180 /multiply put dup 181 /proportional put dup 182 /partialdiff put dup 183 /bullet put dup 184 /divide put dup 185 /notequal put dup 186 /equivalence put dup 187 /approxequal put dup 188 /ellipsis put dup 189 /arrowvertex put dup 190 /arrowhorizex put dup 191 /carriagereturn put dup 192 /aleph put dup 193 /Ifraktur put dup 194 /Rfraktur put dup 195 /weierstrass put dup 196 /circlemultiply put dup 197 /circleplus put dup 198 /emptyset put dup 199 /intersection put dup 200 /union put dup 201 /propersuperset put dup 202 /reflexsuperset put dup 203 /notsubset put dup 204 /propersubset put dup 205 /reflexsubset put dup 206 /element put dup 207 /notelement put dup 208 /angle put dup 209 /gradient put dup 210 /registerserif put dup 211 /copyrightserif put dup 212 /trademarkserif put dup 213 /product put dup 214 /radical put dup 215 /dotmath put dup 216 /logicalnot put dup 217 /logicaland put dup 218 /logicalor put dup 219 /arrowdblboth put dup 220 /arrowdblleft put dup 221 /arrowdblup put dup 222 /arrowdblright put dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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