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 hRRz5}U4kD4'U׵=?DCYuk}?Kt;GSԯX-,t 8溼{khi]c?jK3(#.i\_kxR}?|@4a[7EHӒݡT䕓zMKPs(ڷ> , 1VzH/A1}~e;?[__ϳ?:Zo[Mo Uk?o&4[TާV~$CjVZ|9_AYLf^,|ekML$vZ?b]G鿰XiW/Jt> V8m"E H(O ো8`|4.lGGq|Gg9rL.Y ӧ9UWb+թC ,-jUzjTG?xF}ޞ^԰40 3ԨRYKҧHB1ERRr|Tg1OT+_Y O߆gO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Yg1OT+_Y O߆F >γ:+bfWG1OT+$kF7 ?2I|gtWݟ?RbfWGH'?o~d50:τ读?]?RO4?3kE'au _vK7º?] K_4iѐgO>)otK7º?A>i{ |'E} SU/, )otĂ}-FA_)?N_Y SU/, ZѧO#?R?Y߳G/nEw  '?c/hjy~Ծg+3~žPϸk^3b/ٖX*؜'5j> (VJPx̸_m7 [?kf*:VRTg4(J<((((W#4Se i h?=g5N㴲p[CƠ*FWyUݹڻٽyV]EU(((((((((((((((((((((((((((((((((((((( endstream endobj 4 0 obj <>stream 0 J q 546.75 0 0 62.25 28.35 0 cm /img0 Do Q q 553.5 0 0 108 28.35 678.35 cm /img1 Do Q /F1 14 Tf 0.75294 0.75294 0.75294 rg BT 0.75294 0.75294 0.75294 RG 0.5 w 2 Tr 1 0 0 1 129.91 657.28 Tm (Inspecting for better lives)Tj ET 0.001 w 0 Tr /F1 36 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 72.25 618.16 Tm (Random )Tj ET 0.001 w 0 Tr /F1 36 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 233.68 618.16 Tm (inspection report)Tj ET 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 17 w 22.95 572.94 m 580.6 572.94 l S 0.001 w /F1 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 537.82 Tm (Care homes for adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 511.91 m 164.46 511.91 l S 0.001 w 1 1 1 RG 20.58 w 166.71 511.91 m 580.25 511.91 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 453.92 m 164.46 453.92 l S 0.001 w 1 1 1 RG 90.9 w 166.71 453.92 m 580.25 453.92 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 523.32 m 582.46 523.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 500.49 m 582.46 500.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.34 m 582.46 407.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 524.4 m 30.07 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 165.58 524.4 m 165.58 406.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 524.4 m 581.38 406.27 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 507.14 Tm (Name:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 507.14 Tm (Howson Care Centre)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 484.31 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 484.31 Tm (Howson Care Centre )Tj ET /F1 12 Tf BT 1 0 0 1 169.56 466.73 Tm (Willingham by Stow)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 449.15 Tm (Gainsborough)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 431.57 Tm (Lincolnshire)Tj ET /F1 12 Tf BT 1 0 0 1 169.56 413.99 Tm (DN21 5JZ)Tj ET /F1 8 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 397.05 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 375.55 m 391.05 375.55 l S 0.001 w 1 1 1 RG 20.58 w 393.3 375.55 m 580.25 375.55 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 352.72 m 391.05 352.72 l S 0.001 w 1 1 1 RG 20.58 w 393.3 352.72 m 580.25 352.72 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 364.14 m 582.46 364.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.97 m 582.46 386.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 364.14 m 582.46 364.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.31 m 582.46 341.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 388.05 m 30.07 340.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 392.17 388.05 m 392.17 340.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 388.05 m 581.38 340.23 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 370.78 Tm (The quality rating for this care home is:)Tj ET /F1 12 Tf BT 1 0 0 1 396.14 370.78 Tm (two star good service)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.95 Tm (The rating was made on:)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 310 Tm (A quality rating is our assessment of how well a care home, agency or scheme is meeting )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 293 Tm (the needs of the people who use it. We give a quality rating following a full assessment of )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 276 Tm (the service. We call this a key inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 242 Tm (This is a report of a )Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 150.58 242 Tm (random)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 200.47 242 Tm (inspection)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 261.38 242 Tm ( of this care home. A )Tj ET /F1 12 Tf BT 1 0 0 1 392.12 242 Tm (random inspection is a short, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 225 Tm (focussed inspection. Details of how to get other inspection reports for this care home, )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 208 Tm (including the last key inspection report, can be found on the last page of this report.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 173.52 m 315.25 173.52 l S 0.001 w 20.58 w 317.5 173.52 m 565.9 173.52 l S 0.001 w 1 1 1 RG 20.58 w 317.5 150.69 m 346.55 150.69 l S 0.001 w 20.58 w 348.8 150.69 m 377.9 150.69 l S 0.001 w 20.58 w 380.15 150.69 m 409.2 150.69 l S 0.001 w 20.58 w 411.45 150.69 m 440.55 150.69 l S 0.001 w 20.58 w 442.8 150.69 m 471.9 150.69 l S 0.001 w 20.58 w 474.15 150.69 m 503.2 150.69 l S 0.001 w 20.58 w 505.45 150.69 m 534.55 150.69 l S 0.001 w 20.58 w 536.8 150.69 m 565.9 150.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 162.1 m 568.1 162.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 184.93 m 568.1 184.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.1 m 568.1 162.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.27 m 568.1 139.27 l S 0.001 w [] 0 d [] 0 d 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BT 1 0 0 1 392.28 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 145.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 145.92 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 145.92 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 145.92 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Information about the care home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.1 m 267.21 774.1 l S 0.001 w 1 1 1 RG 20.58 w 269.46 774.1 m 563.65 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 90.9 w 31.2 716.11 m 267.21 716.11 l S 0.001 w 1 1 1 RG 90.9 w 269.46 716.11 m 563.65 716.11 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 658.12 m 267.21 658.12 l S 0.001 w 1 1 1 RG 20.58 w 269.46 658.12 m 563.65 658.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 635.29 m 267.21 635.29 l S 0.001 w 1 1 1 RG 20.58 w 269.46 635.29 m 563.65 635.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 612.46 m 267.21 612.46 l S 0.001 w 1 1 1 RG 20.58 w 269.46 612.46 m 563.65 612.46 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 589.63 m 267.21 589.63 l S 0.001 w 1 1 1 RG 20.58 w 269.46 589.63 m 563.65 589.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.52 m 565.85 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.69 m 565.85 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 669.54 m 565.85 669.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 646.71 m 565.85 646.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 623.88 m 565.85 623.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 601.05 m 565.85 601.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 578.22 m 565.85 578.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.6 m 30.07 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 268.34 786.6 m 268.34 577.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 786.6 m 564.78 577.14 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 769.33 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 769.33 Tm (Howson Care Centre)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 746.5 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 746.5 Tm (Howson Care Centre )Tj ET /F1 12 Tf BT 1 0 0 1 272.31 728.92 Tm (Willingham by Stow)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 711.34 Tm (Gainsborough)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 693.76 Tm (Lincolnshire)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 676.18 Tm (DN21 5JZ)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 653.35 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 653.35 Tm (01427788283)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.52 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 630.52 Tm (01427787567)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 607.69 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 272.31 607.69 Tm (lous@howsoncare.fsbusiness.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 584.86 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 548.92 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 529.43 m 353.25 529.43 l S 0.001 w 1 1 1 RG 20.58 w 355.5 529.43 m 565.9 529.43 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 506.6 m 353.25 506.6 l S 0.001 w 1 1 1 RG 20.58 w 355.5 506.6 m 565.9 506.6 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 483.77 m 353.25 483.77 l S 0.001 w 1 1 1 RG 20.58 w 355.5 483.77 m 565.9 483.77 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 518.01 m 568.1 518.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 495.18 m 568.1 495.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 540.84 m 568.1 540.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.01 m 568.1 518.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 495.18 m 568.1 495.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 472.35 m 568.1 472.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 541.92 m 30.07 471.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 541.92 m 354.37 471.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 541.92 m 567.02 471.28 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 524.66 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 524.66 Tm (Howson Care Centre Limited)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.83 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 501.83 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 479 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 479 Tm (78)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 460.05 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 440.56 m 565.6 440.56 l S 0.001 w 41.16 w 31.2 407.44 m 297.2 407.44 l S 0.001 w 20.58 w 299.45 417.73 m 565.6 417.73 l S 0.001 w 20.58 w 299.45 397.15 m 432.52 397.15 l S 0.001 w 20.58 w 432.52 397.15 m 565.6 397.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 429.15 m 567.8 429.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 451.98 m 567.8 451.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 429.15 m 567.8 429.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.74 m 567.8 385.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 453.06 m 30.07 384.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 430.23 m 298.32 384.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 453.06 m 566.72 384.66 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 435.79 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.96 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 412.96 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 392.38 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 435.37 392.38 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 370.95 m 297.25 370.95 l S 0.001 w 20.58 w 299.5 370.95 m 429.25 370.95 l S 0.001 w 20.58 w 431.5 370.95 m 565.9 370.95 l S 0.001 w 20.58 w 31.2 348.12 m 297.25 348.12 l S 0.001 w 20.58 w 299.5 348.12 m 429.25 348.12 l S 0.001 w 20.58 w 431.5 348.12 m 565.9 348.12 l S 0.001 w 35.16 w 31.2 318 m 297.25 318 l S 0.001 w 35.16 w 299.5 318 m 429.25 318 l S 0.001 w 35.16 w 431.5 318 m 565.9 318 l S 0.001 w 35.16 w 31.2 280.59 m 297.25 280.59 l S 0.001 w 35.16 w 299.5 280.59 m 429.25 280.59 l S 0.001 w 35.16 w 431.5 280.59 m 565.9 280.59 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 359.53 m 568.1 359.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.7 m 568.1 336.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.29 m 568.1 299.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 382.36 m 568.1 382.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 359.53 m 568.1 359.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 336.7 m 568.1 336.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 299.29 m 568.1 299.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 261.88 m 568.1 261.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 383.44 m 30.07 260.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 383.44 m 298.37 260.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 383.44 m 430.37 260.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 383.44 m 567.02 260.81 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 366.18 Tm (dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 366.18 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 366.18 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 343.35 Tm (learning disability)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 343.35 Tm (44)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 343.35 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 320.52 Tm (mental disorder, excluding learning )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 305.94 Tm (disability or dementia)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 320.52 Tm (44)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 320.52 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 283.11 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 268.53 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 283.11 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 283.11 Tm (25)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 231.22 m 565.6 231.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 219.8 m 567.8 219.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.97 m 568.1 196.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.14 m 568.1 174.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 92.99 m 568.1 92.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 242.63 m 567.8 242.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 219.8 m 568.1 219.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.97 m 568.1 196.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.14 m 568.1 174.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 92.99 m 568.1 92.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 58.4 m 568.1 58.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 243.71 m 30.07 57.32 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 243.71 m 566.72 57.32 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 226.45 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 203.62 Tm (Residents admitted in the DE category must be fifty years of age or over.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 180.79 Tm (The maximum number of people who can be accommodated is 78.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.96 Tm (The Registered Person may provide the following category of service only: Care Home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 143.38 Tm (with Nursing to service users of the follwoing gender: Either, whose primary care needs )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 128.8 Tm (on admission are within the following category: Dementia - code DE \(Maximum number )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.22 Tm (9\) Learning Disability \(Maximum number 44\) Mental Disorder \( Maximum number 44\) )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 99.64 Tm (Old age not falling within any other category code OP.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.81 Tm (The registered persons may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 62.23 Tm (with nursing - Code N to service users of the following gender: Either whose primary )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 9 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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 568.1 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 764.66 m 568.1 764.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 763.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 763.59 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (care needs on admission are within the following category: Dementia - code DE )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Learning disabilities - Code LD Mental Disability - Code MD. Old Age not falling within )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (any other category - code OP.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 752.12 m 315.25 752.12 l S 0.001 w 1 1 1 RG 20.58 w 317.5 752.12 m 346.55 752.12 l S 0.001 w 20.58 w 348.8 752.12 m 377.9 752.12 l S 0.001 w 20.58 w 380.15 752.12 m 409.2 752.12 l S 0.001 w 20.58 w 411.45 752.12 m 440.55 752.12 l S 0.001 w 20.58 w 442.8 752.12 m 471.9 752.12 l S 0.001 w 20.58 w 474.15 752.12 m 503.2 752.12 l S 0.001 w 20.58 w 505.45 752.12 m 534.55 752.12 l S 0.001 w 20.58 w 536.8 752.12 m 565.9 752.12 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.54 m 568.1 763.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 740.71 m 568.1 740.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.62 m 30.07 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 764.62 m 316.37 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 764.62 m 347.67 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 764.62 m 379.02 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 764.62 m 410.32 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 764.62 m 441.67 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 764.62 m 473.02 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 764.62 m 504.32 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 764.62 m 535.67 739.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 764.62 m 567.02 739.63 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.35 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 727.71 m 565.9 727.71 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 718.08 m 568.1 718.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 719.16 m 30.07 289.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 719.16 m 567.02 289.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 737.33 m 568.1 737.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 718.08 m 568.1 718.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 290.83 m 568.1 290.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 738.41 m 30.07 717.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 738.41 m 567.02 717.01 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 724.15 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 724.15 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 704.9 Tm (Howson Care Centre is situated at the edge of the village of Willingham By Stow and is )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 687.9 Tm (set in landscaped grounds with car parking spaces to the front of the building. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 670.9 Tm (home is owned by Howson Care Centre Limited and is managed by Mrs. C. Horne. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 653.9 Tm (accommodation comprises of four areas; ''The Flat" offers first floor accommodation for )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 636.9 Tm (up to 8 service users who have a Learning Disability and who are working towards )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 619.9 Tm (supported living placements. "The Main House", provides services for up to 22 people )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 602.9 Tm (with Mental Health problems. "The Wing" provides accommodation for up to 7 older )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 585.9 Tm (people and 2 younger adults with a Learning Disability. "The Court" provides both )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 568.9 Tm (nursing and residential services for up to 25 older people.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 551.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 534.9 Tm (The newly registered unit, known as 'The Laurels', is a separate, two-storey, )Tj ET /F1 12 Tf BT 1 0 0 1 503.63 534.9 Tm (purpose-)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 517.9 Tm (built)Tj ET /F1 12 Tf BT 1 0 0 1 61.87 517.9 Tm ( unit for up to 15 people with a learning disability.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 500.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 483.9 Tm (Each unit is self-contained with a kitchen, bathroom and lounge/dining facilities. The )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 466.9 Tm (kitchen in the main house area provides all meals, and drinks and snacks can be )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 449.9 Tm (prepared in two smaller kitchen areas. The majority of the accommodation with the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 432.9 Tm (exception of "The Flat" area is situated on ground level comprising single and double )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 415.9 Tm (bedrooms, some of which have en-suite facilities, 9 toilets, 4 bathrooms and 1 shower )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 398.9 Tm (unit.)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 381.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 35.5 364.9 Tm (At the time of the inspection the home confirmed that the weekly fees ranged from )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 347.9 Tm (351 to 500 pounds, depending on the assessed needs of the resident. Additional )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 330.9 Tm (charges are made for services such as chiropody and hairdressing. Information about )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 313.9 Tm (these costs as well as the day-to-day operation of the home, including a copy of the )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 296.9 Tm (last inspection report is available in the administrator's office.)Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> 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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 772.57 Tm (What we found:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 698.48 w 31.2 413.27 m 563.65 413.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 763.63 m 565.85 763.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 764.71 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 764.71 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 747.45 Tm (This was an unannounced random inspection. This type of inspection can take place )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 732.87 Tm (between key inspections for various reasons, such as to check that requirements have )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 718.29 Tm (been addressed or to look at areas of concern. This visit was carried out jointly with )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 703.71 Tm (social services following 12 notifications about incidents between people living at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.13 Tm (home over a 5 week period.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 674.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 659.97 Tm (We spoke to the manager, her deputy and the nurse in charge, but on this occasion no )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.39 Tm (residents were interviewed. We also looked at various documentation including, care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 630.81 Tm (plans, risk assessments, the accident and incident records, the owners monthly )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.23 Tm (reports, staffing rotas and training records.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 601.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.07 Tm (The main findings of the visit are set out below under the standard headings we looked )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 572.49 Tm (at.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 543.33 Tm (Choice of Home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 528.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.17 Tm (We looked at the assessment record for one of the newer residents and found that it )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 499.59 Tm (reflected his needs on admission in satisfactory detail. It identified potential risks and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.01 Tm (gave staff some good information about potential risks associated with his care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 470.43 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 455.85 Tm (Individual Needs and Choices)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 441.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 426.69 Tm (We looked at the care plans for the people involved in the incidents reported to us by )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 412.11 Tm (the home. The plans we saw outlined the residents assessed needs but they varied in )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 397.53 Tm (the information recorded about the level of support they required and how they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 382.95 Tm (preferred their care to be delivered. For example one file said that the resident could )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 368.37 Tm (exhibit unpredictable behaviour, but it did not tell staff if there were any triggers they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 353.79 Tm (could watch for so they could minimise incidents. Risk assessments were in place, but )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 339.21 Tm (they did not contain enough information about minimising and management )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 324.63 Tm (strategies. This meant that staff did not have access to comprehensive information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 310.05 Tm (about how to best support people. Some care plans referred to staff completing an )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 295.47 Tm (ABC form to monitor residents behaviour, however none were seen on files. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 280.89 Tm (deputy said these had been discontinued due to duplicating information, but plans had )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 266.31 Tm (not been updated to reflect this.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 251.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 237.15 Tm (The majority of the plans we looked at did not tell staff about peoples likes and dislikes )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 222.57 Tm (or how they preferred their care delivering. There were no social plans to tell staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 207.99 Tm (about the residents individual hobbies or what they liked to do in their leisure time. A )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 193.41 Tm (separate file contained details about what activities had taken place and who had been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 178.83 Tm (involved, but there was no evidence that these were the things that people wanted to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 164.25 Tm (do. None of the files highlighted peoples individual goals and aspirations. The manager )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 149.67 Tm (said that there was no audit system in place to monitor the content of care plans to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 135.09 Tm (assess if they contained sufficient information.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 120.51 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 105.93 Tm (Some files contain old information, such as a plan from 2003 about introducing the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 91.35 Tm (resident to the home, therefore files did not give staff easy access to current )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 76.77 Tm (information.)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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 748.5 w 31.2 438.28 m 563.65 438.28 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 565.85 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 61.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (Care plan reviews were spasmodic and did not always evaluate the effectiveness of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (planned care. For example one plan identified that the resident suffered from )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (constipation, but the evaluation continually said 'no change'. It did not say whether the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (planned care was effective or not. Another plan had been formulated to help the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (resident lose weight but it did not identify a goal weight.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm (In one file there was evidence that the home had considered the content of the Mental )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (Capacity Act, which is aimed at protecting people rights and choices. However this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (not included in any of the support plans examined. The manager said that they were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (planning to include this information and confirmed that training in this subject had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (been provided.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 627.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 613.18 Tm (The staff we spoke to demonstrated a good awareness about the management of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 598.6 Tm (peoples needs and potential risks, but acknowledged that the documentation in care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 584.02 Tm (plans could be more comprehensive.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 569.44 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 554.86 Tm (Complaints and Protection)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 540.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 525.7 Tm (The home has procedures concerning the protection of vulnerable adults. Records )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 511.12 Tm (showed that they had followed these procedures by reporting incidents to Social )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 496.54 Tm (Services and the Commission promptly. Most staff had received training in this subject )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 481.96 Tm (and the manager said that further training was planned.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 467.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 452.8 Tm (Staffing)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 438.22 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 423.64 Tm (On the day of the visit there were 64 people living at the home. We looked at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 409.06 Tm (staffing rota to evaluate the number of staff on duty during the day and night. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 394.48 Tm (staff we spoke to said that the current numbers were adequate to meet peoples needs. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 379.9 Tm (The manager said that she monitored the numbers of staff needed against the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 365.32 Tm (dependency levels of the people living at the home. However she could not provide )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 350.74 Tm (any information to evidence that this was being formally monitored. Some residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 336.16 Tm (are funded for one to one support, but this was not highlighted on the rota. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 321.58 Tm (deputy manager said that this was arranged on a day to day basis rotating staff round )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 307 Tm (so they did not become tired.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 292.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 277.84 Tm (We looked at the staff records and found that most staff had completed training in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 263.26 Tm (mandatory subjects such as protecting people from abuse and health and safety. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 248.68 Tm (However there was minimal evidence of specialist training being provided in subjects )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 234.1 Tm (such as mental health issues, medical conditions, challenging behaviour and risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 219.52 Tm (management. The manager said that two challenging behaviour sessions were to take )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 204.94 Tm (place in the near future.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 190.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 175.78 Tm (Conduct and Management of the Home)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 161.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 146.62 Tm (We looked at how the home recorded and reported accidents and incidents. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 132.04 Tm (accident book detailed incidents between residents and these had been recorded in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 117.46 Tm (care plans. However the section pertaining to recommendations for avoiding further )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 102.88 Tm (incidents had not been completed in any of the ones we checked. The manager said )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 88.3 Tm (that they did monitor incidents but this was not documented. The home has informed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 73.72 Tm (us of incidents that have occurred but when we cross checked the notifications against )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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 177.96 w 31.2 723.55 m 563.65 723.55 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 633.44 m 565.85 633.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 632.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 632.37 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (the care plans although they were recorded the content of the management strategies )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (were inconsistent.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm (A monthly visit by the home owners had been carried out and a report provided which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (outlining their findings. The content highlighted areas that had been considered but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (lacked detail about who had been spoken with and any actions needed to address any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (issues. The manager was advised to consult the guidance we provide on our website.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 700.66 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 686.08 Tm (We discussed the management of incidents at the home and minimising strategies )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 671.5 Tm (used with the manager and her deputy. They demonstrated a good understanding of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 656.92 Tm (managing people with very unpredictable needs, but acknowledged that current )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 642.34 Tm (documentation was inadequate.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 615.37 Tm (What the care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 615.37 Tm (does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 108.06 w 31.2 550.15 m 563.65 550.15 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 605.31 m 565.85 605.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 495 m 565.85 495 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 606.39 m 30.07 493.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 606.39 m 564.78 493.92 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 589.12 Tm (At the inspection in November 2008 people who live at the home all said they enjoyed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.54 Tm (living there. The people we spoke with made comments such as 'I can choose what I )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 559.96 Tm (want to do' and 'They look after me well'. The staff are supportive to people and treat )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 545.38 Tm (them with respect. People are able to make choices about their daily lives, such as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 530.8 Tm (what they want to eat, how and where they want to spend their time and what )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 516.22 Tm (activities they want to pursue. Incidents involving residents wellbeing are reported )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 501.64 Tm (promptly to us and social services.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 474.68 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 1 1 1 RG 401.71 w 31.2 263.76 m 563.65 263.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 465.74 m 565.85 465.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 565.85 61.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 466.82 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 466.82 m 564.78 60.7 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 449.55 Tm (The content of care plans need to be more person centred so that they provide )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 434.97 Tm (comprehensive details about resident's individual preferences, as well as their goals )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 420.39 Tm (and aspirations for the future. They should also demonstrate that residents have been )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 405.81 Tm (involved in the planning of their care, if this is not possible the reason should be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 391.23 Tm (recorded. Reviews of the planned support need to be more meaningful so that they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 376.65 Tm (fully evaluate changes in the persons condition, such as any improvements or )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 362.07 Tm (deterioration and if the plan is working.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 347.49 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 332.91 Tm (Information about potential risks recorded in risk assessments and care plans needs to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 318.33 Tm (be improved so that staff have clearer information about what might trigger )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 303.75 Tm (challenging behaviour and how to minimise identified risks.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 289.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 274.59 Tm (Each resident needs to be consulted about his or her social interests, this information )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 260.01 Tm (should then be included in person centred care plans which outlines how staff will )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 245.43 Tm (support them to have the lifestyle they wish. This information can then be used to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 230.85 Tm (formulate a programme of activities that meets the needs of people currently living at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 216.27 Tm (the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 201.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 187.11 Tm (Although staff have attended essential training such as health and safety and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 172.53 Tm (protecting people from abuse, it needs to provide specialist training to meet the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 157.95 Tm (individual needs of the people who live there. This may include topics such as )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 143.37 Tm (challenging behaviour, mental health, risk assessment, dementia awareness and )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 128.79 Tm (medical conditions, such as diabetes.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 114.21 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 99.63 Tm (Other areas that would benefit from some attention include the following.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 85.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 70.47 Tm (Care plans should contain information about recent legislation that is designed to )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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 105.06 w 31.2 760 m 563.65 760 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 813.65 m 565.85 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 706.34 m 565.85 706.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 705.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 814.73 m 564.78 705.27 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 802.72 Tm (protect people's rights and choices. This is so the home can show they have looked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 788.14 Tm (the effects the legislation has on the resident's lives and planned their care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 773.56 Tm (accordingly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 758.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 744.4 Tm (The number of staff on duty should be formally assessed using information gathered )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 729.82 Tm (about peoples dependency levels to make sure that enough staff are on duty to meet )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 715.24 Tm (peoples changing needs.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 690.28 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 690.28 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 674.28 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 29.47 780 m 564.97 780 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 28.35 771.5 m 422.1 771.5 l S 0.001 w 17 w 424.35 771.5 m 467.1 771.5 l S 0.001 w 1 1 1 RG 17 w 469.35 771.5 m 494.1 771.5 l S 0.001 w 0.99608 0.9451 0.76078 RG 17 w 496.35 771.5 m 539.1 771.5 l S 0.001 w 1 1 1 RG 17 w 541.35 771.5 m 566.1 771.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 800.38 m 568.3 800.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 781.13 m 568.3 781.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 761.88 m 568.3 761.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 801.46 m 27.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 782.21 m 423.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 782.21 m 468.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 782.21 m 495.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 782.21 m 540.22 760.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 801.46 m 567.22 760.8 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 787.19 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 767.94 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 769.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 501.75 767.94 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 548.37 769.89 Tm (5)Tj ET 0.99608 0.9451 0.76078 RG 69.18 w 31.2 671.79 m 566.2 671.79 l S 0.001 w 30.3 w 31.2 619.8 m 91 619.8 l S 0.001 w 30.3 w 93.25 619.8 m 197.4 619.8 l S 0.001 w 30.3 w 199.65 619.8 m 289.5 619.8 l S 0.001 w 30.3 w 291.75 619.8 m 473.9 619.8 l S 0.001 w 30.3 w 476.15 619.8 m 566.2 619.8 l S 0.001 w 1 1 1 RG 20.58 w 31.2 592.11 m 91.05 592.11 l S 0.001 w 20.58 w 93.3 592.11 m 197.4 592.11 l S 0.001 w 20.58 w 199.65 592.11 m 289.45 592.11 l S 0.001 w 20.58 w 291.7 592.11 m 473.8 592.11 l S 0.001 w 20.58 w 476.05 592.11 m 566.1 592.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 604.6 m 30.07 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 604.6 m 567.22 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.3 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 604.6 m 92.17 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 604.6 m 198.52 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 604.6 m 290.57 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 604.6 m 474.92 579.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 707.5 m 568.4 707.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 636.07 m 568.4 636.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 603.52 m 568.4 603.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 580.69 m 568.3 580.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 708.58 m 30.07 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 637.15 m 92.12 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 637.15 m 198.52 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 637.15 m 290.62 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 637.15 m 475.02 602.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 708.58 m 567.32 602.45 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 690.3 Tm (Outstanding statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 671.88 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 657.3 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 657.3 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 657.3 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 642.72 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 642.72 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 624.9 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 621.9 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 621.9 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 621.9 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 621.9 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 609.75 Tm (action)Tj ET endstream endobj 21 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 22 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 /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 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 /F1 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 1 1 1 RG 20.58 w 31.2 677.13 m 91.05 677.13 l S 0.001 w 20.58 w 93.3 677.13 m 197.4 677.13 l S 0.001 w 20.58 w 199.65 677.13 m 289.45 677.13 l S 0.001 w 20.58 w 291.7 677.13 m 473.8 677.13 l S 0.001 w 20.58 w 476.05 677.13 m 566.1 677.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.07 689.63 m 30.07 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 689.63 m 567.22 664.64 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 568.3 688.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 689.63 m 92.17 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 689.63 m 198.52 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 689.63 m 290.57 664.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 689.63 m 474.92 664.64 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 28.99 665.72 m 568.3 665.72 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 /F1 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 /F1 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 /F1 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET 0.99608 0.9451 0.76078 RG 66.74 w 31.2 594.97 m 566.2 594.97 l S 0.001 w 30.3 w 31.2 544.2 m 91 544.2 l S 0.001 w 30.3 w 93.25 544.2 m 197.4 544.2 l S 0.001 w 30.3 w 199.65 544.2 m 289.5 544.2 l S 0.001 w 30.3 w 291.75 544.2 m 473.9 544.2 l S 0.001 w 30.3 w 476.15 544.2 m 566.2 544.2 l S 0.001 w 1 1 1 RG 169.38 w 31.2 442.11 m 91.05 442.11 l S 0.001 w 169.38 w 93.3 442.11 m 197.4 442.11 l S 0.001 w 169.38 w 199.65 442.11 m 289.45 442.11 l S 0.001 w 169.38 w 291.7 442.11 m 473.8 442.11 l S 0.001 w 169.38 w 476.05 442.11 m 566.1 442.11 l S 0.001 w 125.64 w 31.2 292.35 m 91.05 292.35 l S 0.001 w 125.64 w 93.3 292.35 m 197.4 292.35 l S 0.001 w 125.64 w 199.65 292.35 m 289.45 292.35 l S 0.001 w 125.64 w 291.7 292.35 m 473.8 292.35 l S 0.001 w 125.64 w 476.05 292.35 m 566.1 292.35 l S 0.001 w 154.8 w 31.2 149.88 m 91.05 149.88 l S 0.001 w 154.8 w 93.3 149.88 m 197.4 149.88 l S 0.001 w 154.8 w 199.65 149.88 m 289.45 149.88 l S 0.001 w 154.8 w 291.7 149.88 m 473.8 149.88 l S 0.001 w 154.8 w 476.05 149.88 m 566.1 149.88 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 356.3 m 568.3 356.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.41 m 568.3 228.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.3 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 529.01 m 92.17 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 70.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 629.47 m 568.4 629.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 560.48 m 568.4 560.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 527.93 m 568.4 527.93 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.3 m 568.3 356.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 228.41 m 568.3 228.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 71.36 m 568.3 71.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 630.55 m 30.07 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 561.56 m 92.12 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 561.56 m 198.52 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 561.56 m 290.62 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 561.56 m 475.02 526.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 630.55 m 567.32 526.85 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 616.28 Tm (Statutory requirements)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 596.28 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 581.7 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 567.12 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 511.74 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 511.74 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 511.74 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 511.74 Tm (Care plans must fully reflect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 497.16 Tm (peoples individual )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 482.58 Tm (preferences and abilities, as )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 468 Tm (well as their aims and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 453.42 Tm (aspirations.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 435.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 421.26 Tm (This will help to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 406.68 Tm (that staff have access to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.1 Tm (detailed information about )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 377.52 Tm (how people prefer to be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 362.94 Tm (supported.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 511.74 Tm (01/06/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 340.11 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 340.11 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 340.11 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 340.11 Tm (The assessment of potential )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 325.53 Tm (risks must be recorded in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.95 Tm (more detail.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 293.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 278.79 Tm (So that staff have a clearer )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 264.21 Tm (picture of their role in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 249.63 Tm (managing and minimising )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.05 Tm (any highlighted risks.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 340.11 Tm (27/04/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 212.22 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 212.22 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 212.22 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 212.22 Tm (Records must demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 197.64 Tm (people's daily routines and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 183.06 Tm (recreational needs and what )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 168.48 Tm (support staff need to provide )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153.9 Tm (to meet these needs.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 136.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 121.74 Tm (This will help to make sure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 107.16 Tm (that staff know what people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 92.58 Tm (want to do and their role in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 78 Tm (supporting them)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 212.22 Tm (04/05/2009)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 66.74 w 31.2 779.16 m 566.2 779.16 l S 0.001 w 30.3 w 31.2 728.39 m 91 728.39 l S 0.001 w 30.3 w 93.25 728.39 m 197.4 728.39 l S 0.001 w 30.3 w 199.65 728.39 m 289.5 728.39 l S 0.001 w 30.3 w 291.75 728.39 m 473.9 728.39 l S 0.001 w 30.3 w 476.15 728.39 m 566.2 728.39 l S 0.001 w 1 1 1 RG 154.8 w 31.2 633.59 m 91.05 633.59 l S 0.001 w 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This is to ensure that their rights and choices )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 388.17 Tm (are protected.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 365.34 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 365.34 Tm (27)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 365.34 Tm (Information about residents dependency levels and the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 350.76 Tm (layout of the home should be used to assess the number of )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 336.18 Tm (staff needed on each shift. This will help to demonstrate )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 321.6 Tm (that adequate staffing levels are being maintained.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 298.77 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 298.77 Tm (36)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 298.77 Tm (Staff should have regular supervision and appraisal )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 284.19 Tm (sessions to help to make sure that they have the right level )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 269.61 Tm (of support to carry out their role.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 246.78 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 246.78 Tm (39)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 246.78 Tm (The home's audit system should be reviewed to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 232.2 Tm (it includes the satisfactory completion of care plans. This )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 217.62 Tm (will help the management team evaluate if staff are )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 203.04 Tm (including sufficient detail so that peoples needs can be fully )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 188.46 Tm (met. )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 35.56 m 566.93 35.56 l S 0.001 w /F1 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Adults \(18-65 years\))Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 795.58 Tm (Reader Information)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.1 m 223.34 774.1 l S 0.001 w 1 1 1 RG 20.58 w 225.59 774.1 m 565 774.1 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.27 m 223.34 751.27 l S 0.001 w 1 1 1 RG 20.58 w 225.59 751.27 m 565 751.27 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.44 m 223.34 728.44 l S 0.001 w 1 1 1 RG 20.58 w 225.59 728.44 m 565 728.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.61 m 223.34 705.61 l S 0.001 w 1 1 1 RG 20.58 w 225.59 705.61 m 565 705.61 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.69 m 567.2 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.52 m 567.2 785.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.69 m 567.2 762.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.86 m 567.2 739.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.03 m 567.2 717.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.2 m 567.2 694.2 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.6 m 27.22 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 224.46 786.6 m 224.46 693.12 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.13 786.6 m 566.13 693.12 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 769.33 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 769.33 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 746.5 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 746.5 Tm (CSCI)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 723.67 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 723.67 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 700.84 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 228.43 700.84 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 329.28 700.84 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 679.89 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 665.31 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 650.73 Tm ()Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr 0.98431 0.78824 0.08627 RG 78.9 w 25.8 608.76 m 563.3 608.76 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 633.15 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 618.57 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 618.57 Tm (Care Homes for Adults \(18-65 years\) can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.99 Tm (be found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 589.41 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 574.83 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 554.25 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 536.67 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 522.09 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 507.51 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 34.16 w 25.8 487.91 m 563.3 487.91 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 482.39 Tm (Helpline:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 448.23 Tm (Telephone:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 448.23 Tm (03000 616161)Tj ET /F1 20 Tf BT 1 0 0 1 301.95 448.23 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 416.57 Tm (Textphone)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 134.15 416.57 Tm (:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 150.27 416.57 Tm (or)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 384.91 Tm (Email:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 384.91 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 353.25 Tm (Web:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 100.35 353.25 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 323.6 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 294.86 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 272.14 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 254.65 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 228.62 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 205.9 Tm (Copyright \()Tj ET /F1 12 Tf BT 1 0 0 1 112.69 205.9 Tm (2009)Tj ET /F1 12 Tf BT 1 0 0 1 143.22 205.9 Tm (\) Commission for Social Care Inspection \(CSCI\). This publication may )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 188.41 Tm (be reproduced in whole or in part, free of charge, in any format or medium provided )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 170.91 Tm (that it is not used for commercial gain. This consent is subject to the material being )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 153.42 Tm (reproduced accurately and on proviso that it is not used in a derogatory manner or )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 135.92 Tm (misleading context. 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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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