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9LA=:c'֝_Ns9T7Rs|MzZjשRjZrܥ)7vmՅQH(((((((((((((((((((((((((((((((( endstream endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 59.55 w 22.95 46.39 m 561.53 46.39 l S 0.001 w /F1 10 Tf 0 0 0 rg BT 1 0 0 1 28.35 67.25 Tm ()Tj ET q 170.25 0 0 54 28.35 751.65 cm /img0 Do Q /F2 28 Tf BT 1 0 0 1 147.05 643.14 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 599.07 m 557.15 599.07 l S 0.001 w /F3 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.37 Tm (Care homes for older people)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 6 Tf BT 1 0 0 1 28.35 540.33 Tm ()Tj ET /F2 6 Tf BT 1 0 0 1 28.35 533.09 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 519.31 m 160.38 519.31 l S 0.001 w 1 1 1 RG 20.58 w 162.63 519.31 m 563.65 519.31 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 470.11 m 160.38 470.11 l S 0.001 w 1 1 1 RG 73.32 w 162.63 470.11 m 563.65 470.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 507.9 m 565.85 507.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 530.73 m 565.85 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well a care home)Tj ET /F3 12 Tf BT 1 0 0 1 389.13 340.81 Tm (is meeting the needs of the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 323.81 Tm (people who use it.)Tj ET /F3 12 Tf BT 1 0 0 1 138.93 323.81 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 147.37 323.81 Tm (We give a quality rating following a full review of the service.)Tj ET /F3 12 Tf BT 1 0 0 1 517.67 323.81 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 526.12 323.81 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 306.81 Tm (call this full review a key inspection.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 289.81 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 272.33 m 315.25 272.33 l S 0.001 w 20.58 w 317.5 272.33 m 565.9 272.33 l S 0.001 w 1 1 1 RG 20.58 w 317.5 249.5 m 346.55 249.5 l S 0.001 w 20.58 w 348.8 249.5 m 377.9 249.5 l S 0.001 w 20.58 w 380.15 249.5 m 409.2 249.5 l S 0.001 w 20.58 w 411.45 249.5 m 440.55 249.5 l S 0.001 w 20.58 w 442.8 249.5 m 471.9 249.5 l S 0.001 w 20.58 w 474.15 249.5 m 503.2 249.5 l S 0.001 w 20.58 w 505.45 249.5 m 534.55 249.5 l S 0.001 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We )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 769.53 Tm (believe high quality care should)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 749.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 749.53 Tm (Be safe)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 733.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 733.53 Tm (Have the right outcomes, including clinical outcomes)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 717.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 717.53 Tm (Be a good experience for the people that use it)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 701.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 701.53 Tm (Help prevent illness, and promote healthy, independent living)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 685.53 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 685.53 Tm (Be available to those who need it when they need it.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 651.03 Tm (The first part of the review gives the overall quality rating for the )Tj ET /F3 12 Tf BT 1 0 0 1 427.6 651.03 Tm (care home:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 631.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 631.04 Tm (3 stars - excellent)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 615.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 615.04 Tm (2 stars - good)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 599.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 599.04 Tm (1 star - adequate)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 583.04 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 583.04 Tm (0 star - poor)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 551.04 Tm (There is also a bar chart that gives a quick way of seeing the quality of care that the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 534.04 Tm (home provides under key areas that matter to people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 500.04 Tm (There is a summary of what we think this service does well, what they have improved )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 483.04 Tm (on and, where it applies, what they need to do better.)Tj ET /F3 12 Tf BT 1 0 0 1 364.74 483.04 Tm (We use the national minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 466.04 Tm (standards to describe the outcomes that people should experience.)Tj ET /F3 12 Tf BT 1 0 0 1 443.2 466.04 Tm (National minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 449.04 Tm (standards are written by the Department of Health for each type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 409.54 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 392.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 383.86 m 572.15 383.86 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 50.22 m 572.15 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 383.86 m 22.7 50.22 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 383.86 m 572.15 50.22 l S 0.001 w [] 0 d /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 370.56 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 370.56 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 340.26 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 340.26 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 340.26 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 328.11 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 30.6 263.37 m 562.45 263.37 l S 0.001 w 0.95294 0.95294 0.95294 RG 39.99 w 29.47 285.61 m 563.57 285.61 l S 0.001 w 1 1 1 RG 39.99 w 29.47 243.37 m 563.57 243.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 306.73 m 565.77 306.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 264.49 m 565.77 264.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 222.25 m 565.77 222.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 307.81 m 28.35 221.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 307.81 m 564.7 221.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 291.05 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 273.55 Tm (inspection)Tj ET /F3 10 Tf BT 1 0 0 1 95.78 273.55 Tm (.)Tj ET /F3 12 Tf BT 1 0 0 1 34.87 248.81 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 231.31 Tm (key inspection.)Tj ET /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 191.8 Tm (This is what people )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 191.8 Tm (staying in this care home experience:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 154.64 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 123.34 m 562.45 123.34 l S 0.001 w 1 1 1 RG 39.99 w 29.47 124.46 m 563.57 124.46 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 145.58 m 565.77 145.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 103.34 m 565.77 103.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 146.66 m 28.35 102.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 146.66 m 564.7 102.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 129.9 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F3 12 Tf BT 1 0 0 1 517.79 129.9 Tm (We )Tj ET /F3 12 Tf BT 1 0 0 1 34.87 112.4 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 86.53 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 63.97 m 562.45 63.97 l S 0.001 w 1 1 1 RG 22.5 w 29.47 65.1 m 563.57 65.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 27.27 77.47 m 565.77 77.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 52.72 m 565.77 52.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 78.55 m 28.35 51.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 78.55 m 564.7 51.65 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.87 61.78 Tm (This box describes the information we used to come to our judgement.)Tj ET endstream endobj 11 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 12 0 obj<>>> endobj 13 0 obj <>stream 0 J 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 28.35 779.1 Tm (We review the quality of the service against outcomes from the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 762.1 Tm (Standards \(NMS\).)Tj ET /F3 12 Tf BT 1 0 0 1 144.87 762.1 Tm (Those standards are written by the Department of Health for each )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 745.1 Tm (type of care service.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 705.6 Tm (Copies of the)Tj ET /F3 12 Tf BT 1 0 0 1 111.71 705.6 Tm (National Minimum Standards )Tj ET /F3 12 Tf BT 1 0 0 1 290.49 705.6 Tm ( )Tj ET /F3 12 Tf BT 1 0 0 1 302.34 705.6 Tm (Care Homes for Older People)Tj ET /F3 12 Tf BT 1 0 0 1 477.18 705.6 Tm ( can be found )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 688.11 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 670.61 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 653.11 Tm (Stationery Office is also available: )Tj ET /F3 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 653.11 Tm (www.tso.co.uk/bookshop)Tj ET /F3 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 613.12 Tm (The mission of the Care Quality Commission is to make care better for people by:)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 596.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 596.12 Tm (Regulating health and adult social care services to ensure quality and safety )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 580.12 Tm (standards, drive improvement and stamp out bad practice)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 564.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 564.12 Tm (Protecting the rights of people who use services, particularly the most )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 548.12 Tm (vulnerable and those detained under the Mental Health Act 1983)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 532.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 532.12 Tm (Providing accessible, trustworthy information on the quality of care and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 516.12 Tm (services so people can make better decisions about their care and so that )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 500.12 Tm (commissioners and providers of services can improve services.)Tj ET /F5 12 Tf BT 1 0 0 1 85.05 484.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 100.35 484.12 Tm (Providing independent public accountability on how commissioners and )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 468.12 Tm (providers of services are improving the quality of care and providing value )Tj ET /F3 12 Tf BT 1 0 0 1 99.25 452.12 Tm (for money.)Tj ET /F2 14 Tf BT 1 0 0 1 28.35 390.28 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 28.35 368.85 m 224.05 368.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 368.85 m 567 368.85 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 346.02 m 224.05 346.02 l S 0.001 w 1 1 1 RG 20.58 w 226.3 346.02 m 567 346.02 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 323.19 m 224.05 323.19 l S 0.001 w 1 1 1 RG 20.58 w 226.3 323.19 m 567 323.19 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 300.36 m 224.05 300.36 l S 0.001 w 1 1 1 RG 20.58 w 226.3 300.36 m 567 300.36 l S 0.001 w 0.95294 0.95294 0.95294 RG 128.64 w 28.35 223.5 m 224.05 223.5 l S 0.001 w 1 1 1 RG 128.64 w 226.3 223.5 m 567 223.5 l S 0.001 w 0.95294 0.95294 0.95294 RG 38.16 w 28.35 137.85 m 224.05 137.85 l S 0.001 w 1 1 1 RG 38.16 w 226.3 137.85 m 567 137.85 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 380.26 m 569.2 380.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 357.43 m 569.2 357.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 334.6 m 569.2 334.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 311.77 m 569.2 311.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 288.94 m 569.2 288.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 158.05 m 569.2 158.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 117.64 m 569.2 117.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 381.34 m 27.22 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 381.34 m 225.17 116.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 381.34 m 568.12 116.57 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 31.2 364.08 Tm (Document Purpose)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 364.08 Tm (Inspection report)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 341.25 Tm (Author)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 341.25 Tm (Care Quality Commission)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 318.42 Tm (Audience)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 318.42 Tm (General public)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 295.59 Tm (Further copies from)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 295.59 Tm (0870 240 7535 \(telephone order line\))Tj ET /F3 12 Tf BT 1 0 0 1 31.2 272.76 Tm (Copyright)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 272.76 Tm ( Care Quality Commission 2010)Tj ET /F3 12 Tf BT 1 0 0 1 229.15 255.18 Tm (This publication may be reproduced in whole or in part )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 240.6 Tm (in any format or medium for non-commercial purposes, )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 226.02 Tm (provided that it is reproduced accurately and not used )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 211.44 Tm (in a derogatory manner or in a misleading context. The )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 196.86 Tm (source should be acknowledged, by showing the )Tj ET /F3 12 Tf BT 1 0 0 1 229.15 182.28 Tm (publication title and Care Quality Commission 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 31.2 141.87 Tm (Internet address)Tj ET /F3 12 Tf 1 0 0 rg BT 1 0 0 1 229.15 141.87 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 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 766.93 m 267.95 766.93 l S 0.001 w 1 1 1 RG 35.16 w 270.2 766.93 m 565.65 766.93 l S 0.001 w 0.95294 0.95294 0.95294 RG 73.32 w 31.2 710.44 m 267.95 710.44 l S 0.001 w 1 1 1 RG 73.32 w 270.2 710.44 m 565.65 710.44 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 661.24 m 267.95 661.24 l S 0.001 w 1 1 1 RG 20.58 w 270.2 661.24 m 565.65 661.24 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 638.41 m 267.95 638.41 l S 0.001 w 1 1 1 RG 20.58 w 270.2 638.41 m 565.65 638.41 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 615.58 m 267.95 615.58 l S 0.001 w 1 1 1 RG 20.58 w 270.2 615.58 m 565.65 615.58 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 592.75 m 267.95 592.75 l S 0.001 w 1 1 1 RG 20.58 w 270.2 592.75 m 565.65 592.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 748.22 m 567.85 748.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.65 m 567.85 672.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.82 m 567.85 649.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.99 m 567.85 626.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.16 m 567.85 604.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.22 m 567.85 748.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 672.65 m 567.85 672.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 649.82 m 567.85 649.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.99 m 567.85 626.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 604.16 m 567.85 604.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 581.33 m 567.85 581.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 580.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 580.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 580.26 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Saltshouse Haven Nursing And Residential )Tj ET /F3 12 Tf BT 1 0 0 1 273.05 754.87 Tm (Home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 732.04 Tm (Address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 732.04 Tm (71 Saltshouse Road )Tj ET /F3 12 Tf BT 1 0 0 1 273.05 714.46 Tm (Kingston Upon Hull)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 696.88 Tm (East Yorkshire)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 679.3 Tm (HU8 9EH)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 656.47 Tm (Telephone number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 656.47 Tm (01482706636)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 633.64 Tm (Fax number:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 633.64 Tm (01482376216)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 610.81 Tm (Email address:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 587.98 Tm (Provider web address:)Tj ET /F3 12 Tf BT 1 0 0 1 273.05 587.98 Tm (www.bupa.com)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 569.03 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 111.9 w 32.32 502.76 m 564.77 502.76 l S 0.001 w 1 1 1 RG 20.58 w 355.5 549.54 m 565.9 549.54 l S 0.001 w 20.58 w 31.2 503.88 m 565.9 503.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 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 568.1 492.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 562.03 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 28.99 560.96 m 568.1 560.96 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 568.1 515.3 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 30.07 562.03 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 567.02 562.03 m 567.02 445.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 544.77 Tm (Name of registered provider\(s\):)Tj ET /F3 12 Tf BT 1 0 0 1 355.5 544.77 Tm (BUPA Care Homes \(CFHCare\) Ltd)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 521.94 Tm (Name of registered manager \(if applicable\))Tj ET /F3 12 Tf BT 1 0 0 1 34.05 499.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.05 476.28 Tm (Type of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 476.28 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 453.45 Tm (Number of places registered:)Tj ET /F3 12 Tf BT 1 0 0 1 358.35 453.45 Tm (150)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 434.51 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 417.51 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 63.99 w 32.32 375.19 m 564.47 375.19 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 386.6 m 567.8 386.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 409.43 m 567.8 409.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 386.6 m 567.8 386.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 343.19 m 567.8 343.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 410.51 m 30.07 342.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 387.68 m 298.32 342.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 410.51 m 566.72 342.11 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 393.25 Tm (Conditions of registration:)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 370.42 Tm (Category\(ies\) :)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 370.42 Tm (Number of places \(if applicable\):)Tj ET /F3 12 Tf BT 1 0 0 1 302.3 349.84 Tm (Under 65)Tj ET /F3 12 Tf BT 1 0 0 1 435.37 349.84 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 328.4 m 297.3 328.4 l S 0.001 w 20.58 w 299.55 328.4 m 431.45 328.4 l S 0.001 w 20.58 w 433.7 328.4 m 565.6 328.4 l S 0.001 w 35.16 w 31.2 298.28 m 297.3 298.28 l S 0.001 w 35.16 w 299.55 298.28 m 431.45 298.28 l S 0.001 w 35.16 w 433.7 298.28 m 565.6 298.28 l S 0.001 w 20.58 w 31.2 268.16 m 297.3 268.16 l S 0.001 w 20.58 w 299.55 268.16 m 431.45 268.16 l S 0.001 w 20.58 w 433.7 268.16 m 565.6 268.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 245.33 m 565.6 245.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279.58 m 567.8 279.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.75 m 567.8 256.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.92 m 567.8 233.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.51 m 568.1 196.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 159.1 m 568.1 159.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 339.82 m 567.8 339.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 316.99 m 567.8 316.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 279.58 m 567.8 279.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 256.75 m 567.8 256.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 233.92 m 568.1 233.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 196.51 m 568.1 196.51 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 159.1 m 568.1 159.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 121.69 m 568.1 121.69 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 340.89 m 30.07 120.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 340.89 m 298.42 255.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 340.89 m 432.57 255.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 340.89 m 566.72 120.61 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 323.63 Tm (dementia)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 323.63 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 323.63 Tm (150)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 300.8 Tm (old age, not falling within any other )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 286.22 Tm (category)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 300.8 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 300.8 Tm (150)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 263.39 Tm (physical disability)Tj ET /F3 12 Tf BT 1 0 0 1 302.4 263.39 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 436.55 263.39 Tm (150)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 240.56 Tm (Additional conditions: )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 217.73 Tm (A maximum of 5 people under 65 years of age may be accommodated in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 203.15 Tm (intermediate care facility in Preston Lodge.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 180.32 Tm (A maximum of 7 people under 65 years of age, excluding those people referred to in )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 165.74 Tm (condition 1 & 3, may be accommodated in PD, DE or TI categories.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 142.91 Tm (Registration includes one younger disabled person Preston Lodge, two younger )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 128.33 Tm (disabled in Coniston Lodge)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 106.9 m 315.25 106.9 l S 0.001 w 1 1 1 RG 20.58 w 317.5 106.9 m 346.55 106.9 l S 0.001 w 20.58 w 348.8 106.9 m 377.9 106.9 l S 0.001 w 20.58 w 380.15 106.9 m 409.2 106.9 l S 0.001 w 20.58 w 411.45 106.9 m 440.55 106.9 l S 0.001 w 20.58 w 442.8 106.9 m 471.9 106.9 l S 0.001 w 20.58 w 474.15 106.9 m 503.2 106.9 l S 0.001 w 20.58 w 505.45 106.9 m 534.55 106.9 l S 0.001 w 20.58 w 536.8 106.9 m 565.9 106.9 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 118.31 m 568.1 118.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 95.48 m 568.1 95.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 119.39 m 30.07 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 119.39 m 316.37 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 119.39 m 347.67 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 119.39 m 379.02 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 119.39 m 410.32 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 119.39 m 441.67 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 119.39 m 473.02 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 119.39 m 504.32 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 119.39 m 535.67 94.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 119.39 m 567.02 94.4 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 102.13 Tm (Date of last inspection)Tj ET /F3 12 Tf BT 1 0 0 1 328.2 102.13 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 359.53 102.13 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 390.86 102.13 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 422.18 102.13 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 453.53 102.13 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 484.86 102.13 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 516.18 102.13 Tm (0)Tj ET /F3 12 Tf BT 1 0 0 1 547.53 102.13 Tm (9)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 0.8 0.8 0.8 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.8 0.8 0.8 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 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 30.07 298.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 298.08 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 28.99 299.15 m 568.1 299.15 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 /F3 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F3 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 781.22 Tm (Saltshouse Haven is a large care home with nursing, caring for people with a wide )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 764.22 Tm (range of needs including dementia and physical disabilities. It is part of the BUPA )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 747.22 Tm (group of care homes, is situated in a residential area and is close to public transport )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 730.22 Tm (routes into the city of Hull.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 713.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 696.22 Tm (The home has six separate lodges; all connected by footpaths and covered walkways. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 679.22 Tm (Since the last key inspection in July 2009 Sutton Lodge, which was for nursing care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 662.22 Tm (and intermediate care, has closed. The main lodge contains the laundry, kitchen, staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 645.22 Tm (training, administration and management functions. Four lodges are individually )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 628.22 Tm (named and can accommodate up to thirty people in each.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 611.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 594.22 Tm (Preston Lodge and Meaux Lodge provide residential care, Coniston Lodge provides )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 577.22 Tm (nursing care and Bilton Lodge provides support for people with dementia care needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 560.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 543.22 Tm (All Lodges have ground floor, single bedroom accommodation, a large communal )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 526.22 Tm (lounge/dining area with a built on conservatory and a smaller quiet room for those )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 509.22 Tm (people that wish to smoke. The home is nicely decorated and well equipped. )Tj ET /F3 12 Tf BT 1 0 0 1 502.51 509.22 Tm (Well-)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 492.22 Tm (maintained,)Tj ET /F3 12 Tf BT 1 0 0 1 107.09 492.22 Tm ( landscaped grounds surround each lodge and there is ample car parking )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 475.22 Tm (facilities.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 458.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 441.22 Tm (Information about the home and its service can be found in the statement of purpose )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 424.22 Tm (and service user guide, which are available from the manager of the home. A copy of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 407.22 Tm (the latest inspection report for the home is on display in the reception area of the main )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 390.22 Tm (lodge.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 373.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 356.22 Tm (The homes' weekly rate is dependent on need and ranges between 363.50 to 609. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 339.22 Tm (People receiving nursing care will have a specified amount deducted from the total, as )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 322.22 Tm (this will be paid for by the Health Authority for the nursing part of their care. People )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 305.22 Tm (will pay additional costs for optional extras such as hairdressing and private chiropody.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 19 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 535/Matrix [1 0 0 1 0 0]>>stream xTMo1 ϯ.K|A*8U07ġN[U[Vϯ;e"Vyc=`<AvղVe^ᖶ#d4ޓb4.xy}Հ$1IJ4!gFH1C,SS/1X z=^ VՀ5[h\cabkW'bg |DW/"qoUKlaʆ#Ԟ&o|&`KP#--[2P*G]K35%ǝ͖N*q۲0{+n61'h0t=]xy;/8ah7ksJNEwК,q={W:7lQq6 ]i>|wAc; ތû_q:_LJbꞺ Lm.!MV8|b,$KUiISgU0E: `ieh?i&6> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F2 14 Tf BT 1 0 0 1 28.35 795.65 Tm (6XPPDU\\)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 774.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 754.22 m 381.05 754.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 754.22 m 566.2 754.22 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 765.64 m 568.4 765.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 742.81 m 568.4 742.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 766.71 m 30.07 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 766.71 m 382.17 741.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 766.71 m 567.32 741.73 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 34.05 749.45 Tm (The quality rating for this )Tj ET /F3 12 Tf BT 1 0 0 1 191.92 749.45 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 255.59 749.45 Tm ( is:)Tj ET /F3 12 Tf BT 1 0 0 1 398 749.45 Tm (one star adequate service)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F3 10 Tf BT 1 0 0 1 212.29 641.27 Tm (Choice of home)Tj ET /F3 10 Tf BT 1 0 0 1 164.41 601.02 Tm (Health and personal care)Tj ET /F3 10 Tf BT 1 0 0 1 145.18 560.77 Tm (Daily life and social activities)Tj ET /F3 10 Tf BT 1 0 0 1 157.95 520.52 Tm (Complaints and protection)Tj ET /F3 10 Tf BT 1 0 0 1 226.36 480.27 Tm (Environment)Tj ET /F3 10 Tf BT 1 0 0 1 251.17 440.02 Tm (Staffing)Tj ET /F3 10 Tf BT 1 0 0 1 127.47 399.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 334.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 283.08 m 567.85 283.08 l S 0.001 w 206.51 w 32.32 167.28 m 566.72 167.28 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 271.66 m 567.85 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 271.66 m 568.92 271.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 62.9 m 568.92 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 272.74 m 31.2 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 272.74 m 567.85 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 278.3 Tm (How we did our inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 35.17 255.48 Tm (The quality rating for this service is 1 star. This means that the people that use this )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 240.9 Tm (service experience adequate quality outcomes.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 226.32 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 211.74 Tm (This inspection report is based on information received by the Care Quality Commission )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 197.15 Tm (\(CQC\) since the last key unannounced inspection on 24th July 2009 and random )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 182.57 Tm (inspections on 25th November 2009 and 27th January 2010. Due to the size of the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 167.99 Tm (home we completed site visits to the home with two inspectors on 28th and 29th of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 153.41 Tm (April 2010.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 138.84 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 124.25 Tm (Since the last inspection one of the lodges has closed. This leaves four individual )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 109.68 Tm (lodges with space for thirty residents and each has a unit manager. There is also a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 95.1 Tm (general manager for the whole home. The way we inspect means that the home as a )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 80.51 Tm (whole receives one quality rating. People may experience a differing quality of care in )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 65.93 Tm (each of the lodges but the quality rating may not fully reflect this. The company is )Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 571.62 w 32.32 526.72 m 566.72 526.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 239.78 m 568.92 239.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 238.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 238.71 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 32.92 802.72 Tm (reviewing the way the home is currently registered to address this.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 788.14 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 773.56 Tm (Throughout the days we spoke to people that lived in the home to gain a picture of )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 758.98 Tm (what life was like at Saltshouse Haven. We also had discussions with the registered )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 744.4 Tm (manager, a member of the company's quality management team, staff members, )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 729.82 Tm (relatives, two health professionals and a social care professional. Information was also )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 715.24 Tm (obtained from surveys received from two residents, two relatives and staff members. )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 700.66 Tm (Comments from the surveys and discussions have been used in the report.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 686.08 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 671.5 Tm (We fed back our findings of the inspection to the area manager and senior staff team.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 656.92 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 642.34 Tm (We looked at assessments of need made before people were admitted to the home, )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 627.76 Tm (and the home's care plans to see how those needs were met while they were living )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 613.18 Tm (there. Also examined were medication practices, activities provided, nutrition, )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 598.6 Tm (complaints management, staffing levels, staff training, induction and supervision, how )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 584.02 Tm (the home monitored the quality of the service it provided and how the home was )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 569.44 Tm (managed overall.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 554.86 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 540.28 Tm (We also checked with people to make sure that privacy and dignity was maintained, )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 525.7 Tm (that people could make choices about aspects of their lives and that the home ensured )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 511.12 Tm (they were protected and safe in a clean environment. We observed the way staff spoke )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 496.54 Tm (to people and supported them, and checked out with them their understanding of how )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 481.96 Tm (to maintain privacy, dignity, independence and choice.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 467.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 452.8 Tm (The providers had returned their annual quality assurance assessment \(AQAA\) within )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 438.22 Tm (the required timescale. The AQAA is a self-assessment that focuses on how well )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 423.64 Tm (outcomes are being met for people using the service. It also gave us some numerical )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 409.06 Tm (information about the service.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 394.48 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 379.9 Tm (We would like to thank the people that live in Saltshouse Haven, the staff team and )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 365.32 Tm (management for their hospitality during the visit, and also thank the people who )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 350.74 Tm (completed surveys and had discussions with us.)Tj ET /F3 12 Tf BT 1 0 0 1 32.92 336.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 32.92 321.58 Tm (We have reviewed our practice when making requirements, to improve national )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 307 Tm (consistency. Some requirements from previous inspection reports may have been )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 292.42 Tm (deleted or carried forward into this report as recommendations, but only when it is )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 277.84 Tm (considered that people who use the services are not being put at significant risk of )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 263.26 Tm (harm. In future if a requirement is repeated it is likely that enforcement action will be )Tj ET /F3 12 Tf BT 1 0 0 1 32.92 248.68 Tm (taken. )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 786.36 m 567.85 786.36 l S 0.001 w 457.98 w 32.32 544.83 m 566.72 544.83 l S 0.001 w 20.58 w 32.7 303.3 m 569.35 303.3 l S 0.001 w 180.96 w 33.82 200.28 m 568.22 200.28 l S 0.001 w 20.58 w 33.45 97.26 m 570.1 97.26 l S 0.001 w 20.7 w 34.57 74.38 m 568.97 74.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.2 774.95 m 567.85 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 774.95 m 568.92 774.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 314.72 m 568.92 314.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 776.03 m 31.2 313.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 314.72 m 569.35 314.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 291.89 m 569.35 291.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 291.89 m 570.42 291.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 108.68 m 570.42 108.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 85.85 m 570.1 85.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 108.68 m 570.1 108.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 85.85 m 571.17 85.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 62.9 m 571.17 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 292.97 m 32.7 107.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 86.93 m 33.45 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 776.03 m 567.85 313.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 292.97 m 569.35 107.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 86.93 m 570.1 61.82 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 781.59 Tm (What the )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 781.59 Tm (care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 781.59 Tm ( does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 567.85 784.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.76 Tm (The home provides a well planned and purpose-built accommodation for people. There )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.18 Tm (was plenty of communal space, which was light and airy and nicely decorated. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.6 Tm (grounds were well maintained and provided people with areas to sit and enjoy the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.02 Tm (fresh air.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.44 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 685.86 Tm (People were only admitted to the home after a full assessment of their needs had been )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.28 Tm (completed. This enabled people to be sure the home was able to meet their needs.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.7 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.12 Tm (Staff were clear about how they promoted peoples' independence and choice. The staff )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.54 Tm (members knew the residents well and were observed speaking to people in a courteous )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 612.96 Tm (manner. People described staff as 'friendly', 'superb' and told us they did a 'good job'.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.38 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 583.8 Tm (There are activities provided on each of the lodges and people have the opportunity to )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.22 Tm (participate if they choose.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.06 Tm (On the whole people enjoy the meals provided by the home, the menus provide )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.48 Tm (choices and there are alternatives available.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 510.9 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.32 Tm (The home tries to deal with complaints quickly and always tells the Care Quality )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.74 Tm (Commission or the local authority of any reportable incident. This enable us to monitor )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.16 Tm (situations and check how the home is dealing with them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.58 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438 Tm (The company has a good training and induction programme. However, staff changes )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 423.42 Tm (on the nursing lodge means that there is a shortfall in some of the skills required and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 408.84 Tm (an overall shortfall of people trained in first aid.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 394.26 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 379.68 Tm (Despite the lack of formal staff supervision, staff told us they felt supported and could )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 365.1 Tm (talk to their line manager about any problems knowing they would be sorted out for )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 350.52 Tm (them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 335.94 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 321.36 Tm (The home manages peoples' finances well.)Tj ET /F3 10 Tf BT 1 0 0 1 568.97 543.28 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 301.19 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 298.53 Tm (What has improved since the last inspection?)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 569.35 301.75 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 198.73 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 275.7 Tm (The management of medication has improved and senior staff in the home are )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 261.12 Tm (continuing to audit it, to ensure any minor issues are picked up and addressed straight )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 246.54 Tm (away.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 231.96 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 217.38 Tm (Staff told us they manage to find time to read care plans and this helps them to know )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 202.8 Tm (the residents needs and provides them with information when they return from annual )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 188.22 Tm (leave.)Tj ET /F3 12 Tf BT 1 0 0 1 36.67 173.64 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.67 159.06 Tm (There have been very recent improvements in the recruitment of nurses to the the )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 144.48 Tm (nursing lodge. A lodge manager, deputy manager and a staff nurse are now in place )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 129.9 Tm (and further recruitment is underway. This means there will be less reliance on agency )Tj ET /F3 12 Tf BT 1 0 0 1 36.67 115.32 Tm (nurses and more continuity of care for people.)Tj ET /F3 10 Tf BT 1 0 0 1 570.47 198.73 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 31.2 95.71 Tm ()Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 92.49 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 10 Tf BT 1 0 0 1 31.2 72.82 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 37.42 69.66 Tm (Care plans need to be more personalised and updated when changes are made to the )Tj ET endstream endobj 26 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 27 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 515.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 600.78 w 34.57 512.14 m 568.97 512.14 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 210.62 m 571.17 210.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 209.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 209.55 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.17 802.72 Tm (care people receive. Also people must have clear wound care management plans so )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 788.14 Tm (nursing staff know exactly the treatment regime they are to follow.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 773.56 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 758.98 Tm (There had been an issue in the past when pressure-relief monitoring charts were not )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 744.4 Tm (completed as thoroughly as they should be. At a random inspection in November 2009, )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 729.82 Tm (this had improved but there has been some slippage again. It is very difficult to audit )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 715.24 Tm (that the care has been provided if monitoring charts are not completed thoroughly and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 700.66 Tm (staff should take care to complete them when the pressure-relief task is completed.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 686.08 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 671.5 Tm (Staff must follow instructions for treatment from health professionals. This will ensure )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 656.92 Tm (that peoples' health and welfare are not compromised.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 642.34 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 627.76 Tm (There is a good system of identifying when shortfalls occur in care practices and )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 613.18 Tm (documentation but ther is no follow up to check that the tasks have been carried out )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 598.6 Tm (and the shortfall addressed. It would also be useful if the home canvassed the views of )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 584.02 Tm (visiting professionals to the home so that any problems they encounter can be quickly )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 569.44 Tm (sorted out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 554.86 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 540.28 Tm (There has been slippage in formal staff supervision. Care staff should be provided with )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 525.7 Tm (a minimum of six formal supervision sessions a year so they are able to discuss issues )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 511.12 Tm (of concern and so that their practice can be monitored.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 496.54 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 481.96 Tm (New lodge managers should complete the more in-depth safeguarding of adults )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 467.38 Tm (training specifically for the managers' role in referral and investigation. This will ensure )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 452.8 Tm (they have up to date knowledge of local procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 438.22 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 423.64 Tm (There should be a system in place to verify the training and skills of agency nurses. )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 409.06 Tm (This will provide management and the residents with confidence that peoples' needs )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 394.48 Tm (can be met. The home must have more staff trained in first aid and must audit the )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 379.9 Tm (training and skills of the newly recruited nursing staff, to ensure they have the skills )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 365.32 Tm (required to meet the more complex needs of the residents on Coniston Lodge.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 350.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 336.16 Tm (There has been slippage regarding the robust recruitment practices required to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 321.58 Tm (full checks are in place prior to the start of employment. Care staff were routinely )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 307 Tm (employed following the return of an initial check against the register barring people )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 292.42 Tm (from working with vulnerable adults but prior to the return of a full criminal record )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 277.84 Tm (bureau check. This must only be in exceptional circumstances and not routine practice.)Tj ET /F3 12 Tf BT 1 0 0 1 35.17 263.26 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.17 248.68 Tm (The home needs to put in place a system to routinely check the suction machines on )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 234.1 Tm (the nursing lodge to ensure they are clean and working effectively, and ready for use )Tj ET /F3 12 Tf BT 1 0 0 1 35.17 219.52 Tm (in an emergency.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 196.06 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 176.07 Tm (If you want to know what action the person responsible for this )Tj ET /F3 12 Tf BT 1 0 0 1 416.37 176.07 Tm (care home)Tj ET /F3 12 Tf BT 1 0 0 1 480.04 176.07 Tm ( is taking )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 158.57 Tm (following this report, you can contact them using the details on page 4.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 138.58 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 118.58 Tm (The report of this inspection is available from our website )Tj ET /F3 12 Tf BT 1 0 0 1 380.85 118.58 Tm (www.cqc.org.uk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 98.58 Tm (You can get printed copies from )Tj ET /F3 12 Tf BT 1 0 0 1 225.22 98.58 Tm (enquiries@cqc.org.uk or by telephoning our)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 78.59 Tm (order line 0870 240 7535.)Tj ET endstream endobj 28 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 777.09 Tm (Details of our findings)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 26 w 31.2 744.15 m 565.9 744.15 l S 0.001 w /F2 12 Tf BT 1 0 0 1 34.05 741.14 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.15 m 566.93 700.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 696.09 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.15 m 566.93 678.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 674.09 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.15 m 566.93 656.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 652.09 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.15 m 566.93 634.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 630.09 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.15 m 566.93 612.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 608.09 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.15 m 566.93 590.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 586.09 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.15 m 566.93 568.15 l S 0.001 w /F3 12 Tf BT 1 0 0 1 28.35 564.09 Tm (Management and administration \(standards 31 - 38\))Tj ET /F3 12 Tf BT 1 0 0 1 28.35 544.09 Tm (Outstanding statutory requirements)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 522.22 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 32 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Choice of home )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 610.38 m 562.53 610.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 119 w 31.2 567.88 m 563.65 567.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.25 m 565.85 507.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 506.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 506.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 513.32 Tm (provides for the money.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 489 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 467 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 467 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 444.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 378 m 562.54 378 l S 0.001 w 1 1 1 RG 22.5 w 32.35 431.17 m 564.79 431.17 l S 0.001 w 101.85 w 33.47 366.75 m 563.66 366.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 418.8 m 565.87 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 419.88 m 32.35 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 419.88 m 564.79 313.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 418.8 m 564.79 418.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 314.7 m 565.87 314.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 427.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 403.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 403.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 403.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 385.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.75 Tm (The home continues to ensure that peoples' needs are assessed thoroughly prior to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 341.25 Tm (admission. This ensures that staff and the resident can be sure that the home is able )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.76 Tm (to meet their needs.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 299.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.8 w 34.6 185.43 m 562.54 185.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 279.83 m 564.79 279.83 l S 0.001 w 185.43 w 33.47 173.62 m 563.66 173.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 267.45 m 565.87 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 268.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 268.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 267.45 m 564.79 267.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 276.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 251.77 Tm (We looked at eight care files in detail during the visit, some of which were for people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 234.27 Tm (recently admitted to the home. In all cases the home continued to ensure that people )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.78 Tm (had their needs assessed prior to admission. Initial assessments were completed by )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 199.28 Tm (each lodge manager or sometimes the overall general manager. The home always )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.79 Tm (obtained assessments and care plans completed by care management teams for )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 164.29 Tm (people funded by the local authority.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 129.3 Tm (People admitted for nursing care on Coniston Lodge have an assessment completed by )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.8 Tm (a nurse employed by the primary care trust regarding the level of nursing care they )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 94.31 Tm (require. This will determine the health authority's financial contribution to the persons' )Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 178.84 w 34.6 721.99 m 562.54 721.99 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 157.46 w 33.47 710.18 m 563.66 710.18 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 629.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 630.32 m 565.87 630.32 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (care. Health professionals also completed continuing health care assessments for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (people requiring extra funding for specific health needs.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The information gathered in assessments completed by the home or visiting )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (professionals was used when formulating care plans for people. The assessment )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (documentation used by the home prompted staff to keep it under review and update it )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (when significant changes occurred.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (The home does not provide intermediate care services so standard 6 does not apply.)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Health and personal care )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 627.38 m 562.53 627.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 102 w 31.2 663.63 m 563.65 663.63 l S 0.001 w 1 1 1 RG 68 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.5 m 565.85 611.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 541.25 m 565.85 541.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 540.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 540.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (dignity.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (take account of their spiritual and cultural wishes. )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 523 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 501 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 501 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 478.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 385.75 m 562.54 385.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 465.17 m 564.79 465.17 l S 0.001 w 154.34 w 33.47 374.51 m 563.66 374.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 452.8 m 565.87 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 453.88 m 32.35 295.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 453.88 m 564.79 295.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 452.8 m 564.79 452.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 296.21 m 565.87 296.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 461.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 437.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 437.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 437.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 419.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 392.75 Tm (Although the overall care provided to residents has improved, the documentation )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.25 Tm (underpinning the care must be more detailed. This is especially in relation to wound )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 357.76 Tm (care, pressure relief monitoring and the personalising of care plans.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.26 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 322.77 Tm (The management of medication has improved, which means that people will receive )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.27 Tm (the medicines as prescribed for them.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 280.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 188.31 w 34.6 176.18 m 562.54 176.18 l S 0.001 w 1 1 1 RG 22.5 w 32.35 261.34 m 564.79 261.34 l S 0.001 w 166.94 w 33.47 164.37 m 563.66 164.37 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 248.97 m 565.87 248.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 250.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 250.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 248.97 m 564.79 248.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 258.03 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 233.28 Tm (Care plans were examined in each of the four lodges. The home continues to use )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 215.79 Tm (documentation called, 'Quest', which enabled the staff to work seamlessly from )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.29 Tm (assessment of needs to planning of care. The documentation also provided separate )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 180.79 Tm (recording sheets for health and social care activities. There was a separate care plan )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.3 Tm (written for each identified need and also evidence of short term care plans for specific )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 145.8 Tm (areas. Some of the care plans were comprehensive, included preferences for care, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.31 Tm (encouraged independence and gave clear guidance to staff. However, there were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 110.81 Tm (others that could contain more personalised information about how people wished to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.31 Tm (be cared for.)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (Residents on the nursing lodge did not have wound care plans. This meant that there )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (was no clear record of the dressing required nor the frequency it must be changed. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (One of the residents required extensive dressings and pain management in advance of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (them being changed. Clear care planning is essential to ensure consistent and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (effective wound care management. There has been particular nursing staff shortages )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (on the lodge resulting in the use of agency nurses for many of the shifts day and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (night. Despite attempting to use the same nurses as often as possible, it has directly )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (affected some management processes and care practices within the lodge. However, a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (new manager has been in post for two weeks, a deputy manager for six weeks and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (recruitment is well underway for other nursing positions, so the shortfalls should be )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (addressed in time. By the time we arrived for the second day of inspection, all three )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (residents had good plans of care for their wound care management.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (There had recently been a care plan audit completed by the company's quality audit )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (team and it was clear they had highlighted the issues that needed improvement such )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (as updates when needs changed, inputting more individualised care and the need for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (wound care plans. It was encouraging that the company's audit was picking up )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (shortfalls, however, these need to be actioned in a more timely way.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (Care plans had a monthly review page after each section so staff could comment on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (the continued effectiveness of the plan. Care plans were signed by the resident or )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (their representative when possible.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Food and fluid intake charts were completed but monitoring charts for people requiring )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (pressure relief had some gaps. We were assured that these were recording, rather )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (than care deficits. This has been an intermittent problem noted at previous inspections )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (and staff need to ensure that monitoring charts are completed consistently and in line )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (with the persons' care plan. Staff told us in discussions that they now made time to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (read the care plans and they evidenced that they knew the residents' needs well and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (tried to maintain privacy and dignity. One staff member stated, 'when we are washing )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (people we speak to them so they feel at ease - keep people covered'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Risk assessments were completed and held in the care file next to the related care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (need. This made for ease of access and the care file flowed well. Risk assessments )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (covered a range of needs, for example, falls, moving and handling, bed rails, nutrition, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (pressure areas, and for behaviours that could be challenging to others. The risk )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (assessments were reviewed each month.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (Residents had access to a range of health professionals for advice, guidance and )Tj ET endstream endobj 40 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 41 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (treatment. A visiting health professional told us that care staff had nursed a specific )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (resident very well. We found from a discussion with another health professional and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (examination of one of the care files that staff had, on two occasions, not carried out )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (specific instructions. These related to a change in nutritional regime for one person )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (despite information faxed through to the home, and an update in nutritional )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (supplements for another. It is important that staff promptly carry out treatment )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (prescribed by health professionals in order to ensure the health and welfare of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (residents.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (It was also expressed that the staff were not always prepared with ready information )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (needed by visiting health professionals, for example information about the residents' )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (weight. As information about weight loss or gain could affect treatment plans it was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (essential this was available. There was also a positive comment that the staff appear )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (to know the residents needs well.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (On the whole we found that the care people received had improved since the last )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (inspection. There were no comments to the contrary during the two days of the site )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (visit. Comments from discussions were, 'they don't rush us', 'they knock on the door )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (and always check in the night', 'it's better than being at home - I feel safe here and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (everything is done for you', 'I like the home - they look after us well', 'I feel he is well )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (looked after - I come every other day', 'very caring and enthusiastic to achieve what is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (expected', 'they help me to wash and dress and help with creams', 'she is happy and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (content at the home', 'on the whole the care given is how we wish it to be' and 'I love )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (it and am very settled'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (We received one survey from a resident and two from relatives. Both relatives stated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (they were happy with the care provided. When asked what the home could do better, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (the resident commented, 'could answer buzzers more quickly' and 'sometimes there )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (does not seem to be enough carers on'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (There has been a general improvement in the management of medication. We )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (completed a random inspection in November 2009 and found medication practices had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (not improved in key areas. The home received a Statutory Requirement Notice that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (required them to improve practices within a designated timeframe. A follow-up )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (inspection in January 2010 found the home to be compliant with requirements.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (The company's quality audit team have been closely monitoring the management of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (medication on each of the lodges and has kept the Care Quality Commission and the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (local authority informed when their audits find any shortfalls. There are still some )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (delivery issues to sort out with the supplying pharmacy and prescribing amounts with )Tj ET endstream endobj 42 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 43 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 126.35 w 34.6 748.23 m 562.54 748.23 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 104.98 w 33.47 736.42 m 563.66 736.42 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 681.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 682.81 m 565.87 682.81 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (a GP surgery but the manager has meetings in hand with them. This had affected the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (supply of two residents medication. The use of agency staff on the nursing lodge had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (also affected the smooth administration of medication, as on one occasion they were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (unable to locate medicines yet there was evidence they had been received into the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (home. This had caused the resident to miss two doses. There were some minor )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (recording errors mentioned to the operations manager during feedback.)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Daily life and social activities )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 644.38 m 562.53 644.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 119 w 31.2 655.13 m 563.65 655.13 l S 0.001 w 1 1 1 RG 17 w 31.2 584.88 m 563.65 584.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.5 m 565.85 594.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.25 m 565.85 575.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 574.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 574.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 617.57 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 600.57 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 557 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 535 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 535 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 512.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 124.35 w 34.6 446 m 562.54 446 l S 0.001 w 1 1 1 RG 22.5 w 32.35 499.17 m 564.79 499.17 l S 0.001 w 101.85 w 33.47 434.75 m 563.66 434.75 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 486.8 m 565.87 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 487.88 m 32.35 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 487.88 m 564.79 381.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 486.8 m 564.79 486.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 382.7 m 565.87 382.7 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 495.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 471.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 471.12 Tm (good)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 292.92 471.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 453.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 426.75 Tm (The quality of life had improved for residents by the provision of social stimulation in )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 409.25 Tm (all the lodges, respecting and maintaining individual choices and by action to address )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 391.76 Tm (any nutritional issues.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 367.01 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 274.8 w 34.6 219.43 m 562.54 219.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 347.83 m 564.79 347.83 l S 0.001 w 253.43 w 33.47 207.62 m 563.66 207.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 335.45 m 565.87 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 336.53 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 336.53 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 335.45 m 564.79 335.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 344.52 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 319.77 Tm (Each lodge had an activity coordinator and there was evidence of a range of activities )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 302.27 Tm (provided. These were determined by the needs of the residents, for example, small )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 284.78 Tm (group sessions and one to one support. We observed people enjoying a game of )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 267.28 Tm (dominoes with staff.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 249.79 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 232.29 Tm (There was a weekly activity plan on each of the lodges and staff recorded the number )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 214.79 Tm (of people that had attended but not always their names. It would also be useful to )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 197.3 Tm (record how successful the activity was and whether the residents enjoyed it. This )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 179.8 Tm (would help for future planning. Activities recorded for Bilton Lodge were, crafts, nail )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 162.31 Tm (and hair care, gardening, a film afternoon, reminiscence, sing-a-longs, a tea party, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 144.81 Tm (games such as dominoes and cards, and one to one sessions with people. Coniston )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 127.31 Tm (lodge activities included, a clothes party, one to one chats, quizzes, exercises, games, )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 109.82 Tm (current affairs, bingo, reading newspapers and magazines and an entertainer to play )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 92.32 Tm (the organ. Other lodges had similar activities arranged and there were also visiting )Tj ET endstream endobj 46 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 47 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (entertainers and an exchange of library books. The lodges indicated that there were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (church services but a resident spoken with on Preston Lodge stated they used to go to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (church but had no opportunity now and they were not aware of any church services in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (the home. This needs to be checked out and people made aware if services take place )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (and staff should look into any support residents may need to attend church and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (whether this is possible for them.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (Those staff members spoken with were aware of peoples' needs and how to ensure )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (that people were able to make choices about their lives, 'talking to people is very )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (important', 'we will open the wardrobe and ask people what they want to wear - hold )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (up items', 'we have to get people to go as much as they can for themselves', 'we ask )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (people things like what to wear, what to do, what to eat and whether they want to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (stay in their room' and 'it's fine for people to have a lie-in, there are no restrictions on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (times'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (People were encouraged to make choices where possible, for example, in personalising )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (their bedrooms, managing their own finances and, in some instances, managing parts )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (of their medication. Routines were flexible about rising and retiring and a key worker )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (system ensured that relationships between residents and staff were developed. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (Relatives were welcomed at any time. One resident told us how their relatives had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (painted and decorated their bedroom for them and installed their own furniture and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (carpet to make it like home. A resident spoke of really enjoying a glass of Bailey's )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (every night and another resident chose to have two hamsters in their bedroom.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Generally people liked the meals provided. We saw breakfast being served as people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (wandered into the dining rooms throughout the morning. One resident spoken with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (told us they could have a cooked breakfast every morning if they liked. There were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (choices at each meal and referrals to dieticians made as required. Comments were, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm ('it's very good food', 'we make choices the day before', 'the food is great' and ' the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (food is very nice and warm - they come around the day before and ask what we want'. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (A relative told us they had been offered a meal and it was quite nice.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (There were one or two comments about the food that indicated not everyone was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (completely happy, however, the home was very large and there were avenues for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (residents or their relatives to take their suggestions forward.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (Tables were individually set out and had condiments and menus on them. Care staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (received prepared food from the main kitchen in bain-maries and served it )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (themselves, which enabled them to provide portions in line with their knowledge about )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (residents' needs and wishes.)Tj ET endstream endobj 48 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 49 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 73.86 w 34.6 774.47 m 562.54 774.47 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 52.49 w 33.47 762.66 m 563.66 762.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 734.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 735.29 m 565.87 735.29 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (A recent audit had indicated weight loss in some residents so the menu's had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (altered, staff made aware of the issues and support arranged for specific residents.)Tj ET endstream endobj 50 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 51 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Complaints and protection )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 669.88 m 562.53 669.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 68 w 31.2 680.63 m 563.65 680.63 l S 0.001 w 1 1 1 RG 17 w 31.2 635.88 m 563.65 635.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 645.5 m 565.85 645.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 626.25 m 565.85 626.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 625.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 625.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (allegations.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 608 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 586 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 586 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 563.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 246.82 w 34.6 435.76 m 562.54 435.76 l S 0.001 w 1 1 1 RG 22.5 w 32.35 550.17 m 564.79 550.17 l S 0.001 w 224.33 w 33.47 424.51 m 563.66 424.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 537.8 m 565.87 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 538.88 m 32.35 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 538.88 m 564.79 310.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 537.8 m 564.79 537.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 311.23 m 565.87 311.23 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 546.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 522.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 522.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 522.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 504.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 477.75 Tm (People are able to make complaints in the knowledge that they will be addresed.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.25 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 442.76 Tm (Not all staff in management positions have received the more indepth safeguarding of )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.26 Tm (adults training specific to their management role. This may mean that they do not )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 407.77 Tm (have full knowledge of local procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 390.27 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 372.77 Tm (The risk of insufficient care has been partially addressed by staff recruitment and the )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 355.28 Tm (auditing of training needs. However, plans now need to be carried out fully out to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 337.78 Tm (enable confidence that health and wefare is not compromised and residents placed at )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 320.29 Tm (risk.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 295.54 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 203.33 w 34.6 183.69 m 562.54 183.69 l S 0.001 w 1 1 1 RG 22.5 w 32.35 276.36 m 564.79 276.36 l S 0.001 w 181.96 w 33.47 171.88 m 563.66 171.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 263.98 m 565.87 263.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 265.06 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 265.06 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 263.98 m 564.79 263.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 273.04 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.3 Tm (The home had a complaints policy and procedure that continues to be displayed in the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 230.8 Tm (main reception and in each of the lodges. We also saw complaints forms at the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.31 Tm (entrance to each lodge. Documentation evidenced that complaints were recorded and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 195.81 Tm (every effort made to try and resolve them quickly at lodge level but some were )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.31 Tm (escalated to the general manager to address. There has been a reduction in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 160.82 Tm (complaints about care issues. Staff spoken with knew how to deal with any concern )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.32 Tm (and what documentation to use. This was also confirmed in staff surveys.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 125.83 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.33 Tm (Residents spoken with said they knew how to make a complaint and identified specific )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 90.83 Tm (staff they would speak with if they were unhappy about anything. One resident )Tj ET endstream endobj 52 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 53 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 668.72 w 34.6 477.04 m 562.54 477.04 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 647.35 w 33.47 465.23 m 563.66 465.23 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 139.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 139.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 140.43 m 565.87 140.43 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (mentioned that they had made a complaint recently but had not had any response )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (yet. This was mentioned to the manager to check out. One relative spoken with was )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (also not sure of the complaints process so it may be useful to highlight this at the next )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (residents/relatives meeting or in the next newsletter. Comments were, 'I would tell )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (the staff or my family' and 'I don't bother complaining - I would go to them if I'm )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (unhappy'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (The home uses the multi-agency policy and procedures for safeguarding vulnerable )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (people from abuse and consistently sends any alerts through to the safeguarding team )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (for a decision about how to proceed and whether to investigate. We spoke to a local )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (authority investigating officer, who was present at the home during the second day of )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (the site visit. They confirmed that there had been a reduction in complaints about care )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (issues that had previously been escalated to safeguarding of adults investigations. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (They had recently investigated concerns that there was a shortfall in the care for )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (people with percutaneous endoscopic gastostromy sites. Apparently the tubes were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (becoming blocked. However, the cause was identified as a specific medication issue )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (but there was also a training need identified. See the section on staff training.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (The majority of staff had received training in how to safeguard vulnerable adults from )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (abuse. In discussions staff were clear about what constituted abuse and what to do )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (should they witness any abuse or poor practice. New lodge managers should complete )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (the local authority training, specifically for managers, regarding their role in the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (referral and investigation of safeguarding adults from abuse procedures.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (Severe shortages of qualified nurses on Coniston lodge and the reliance of agency )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (nurses to manage shifts has had an impact on some care issues. There has also been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (a lack of specific skills in the agency staff, which has resulted in the out of hours )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (district nursing service contacted for some nursing tasks to be completed. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (inconsistency of nursing staff, the shortfall in agency staff skills and the lack of good )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (clear wound care plans placed the residents at risk of harm and of receiving )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (insufficient care. However, it is acknowledged that the shortfalls are mostly addressed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (with the recruitment of qualified nurses in the roles of lodge manager, deputy )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (manager and lodge nurse. Further recruitment is underway for more qualified nurses. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (Training needs are to be identified for the nurses.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (We will continue to monitor the home until the staffing and training issues have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (stabilised and we can be sure the residents needs are being fully met.)Tj ET endstream endobj 55 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 56 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Environment )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 34 w 31.2 697.63 m 563.65 697.63 l S 0.001 w 1 1 1 RG 68 w 31.2 644.38 m 563.65 644.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 679.5 m 565.85 679.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (hygienic. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 666.32 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 649.32 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 632.32 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 89.36 w 34.6 497.49 m 562.54 497.49 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 66.86 w 33.47 486.24 m 563.66 486.24 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 450.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 450.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 451.69 m 565.87 451.69 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (excellent)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 317.11 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (The home provided a clean, warm and well maintained environment for people.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 436 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 343.79 w 34.6 253.92 m 562.54 253.92 l S 0.001 w 1 1 1 RG 22.5 w 32.35 416.82 m 564.79 416.82 l S 0.001 w 322.42 w 33.47 242.11 m 563.66 242.11 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 404.45 m 565.87 404.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 405.52 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 405.52 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 404.45 m 564.79 404.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 413.51 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 388.76 Tm (The company has a redecoration and refurbishment plan and there is a continual )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 371.27 Tm (process of renewals. The home provides purpose built, single storey accommodation in )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 353.77 Tm (four lodges. A fifth lodge, that was used for a mixture of intermediate care services )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 336.27 Tm (and nursing care closed last year. The sixth, and main lodge, contains the central )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 318.78 Tm (facilities of laundry, kitchen, staff training, administration and management functions.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 301.28 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (Preston Lodge and Meaux Lodge provide residential care, Bilton Lodge provides )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (support for people with dementia care needs and Coniston Lodge provides nursing )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (care. All Lodges have ground floor, single bedroom accommodation, sufficient bathing )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (and showering facilities and large communal lounge/dining areas with a built on )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (conservatory. There is also a small kitchen for staff to use, which is entered from the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (dining area. The lounge areas are provided with wide screen televisions, music centres )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (and comfortable furnishings. There is also a smaller quiet room for those people that )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (wish to smoke at the entrance to each lodge. The home continues to be nicely )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (decorated and well equipped throughout. Well-maintained, landscaped grounds )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm (surround each lodge and there is ample car parking facilities. Each lodge has a key )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (pad entry system to enhance security.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm ()Tj ET endstream endobj 57 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 58 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 353.8 w 34.6 634.51 m 562.54 634.51 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 332.42 w 33.47 622.7 m 563.66 622.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 454.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 455.36 m 565.87 455.36 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (We visited each of the lodges and generally areas were clean and fresh. Domestic and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (care staff work hard to maintain standards. One bedside table had liquids spilled on it, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (that had been there some days, and was very sticky. Also one of the bedrooms had a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (malodour. These points were mentioned to the staff so they could address them. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (Relatives inform staff if they find bedroom cleanliness falls short of expectations and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (this is quickly sorted out.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (People spoken with were happy with the home in general and with their bedrooms. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (Surveys stated the home was fresh and clean either, 'always or usually'.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (People told us they were able to bring in personal items and small pieces of furniture )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (with which to personalise their bedrooms and this was seen to varying degrees. Some )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (people had installed telephones to keep in touch with family and friends. One resident )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (told how their relative had decorated and carpeted their room for them and they were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (very pleased with the result.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (The laundry was well equipped with industrial washing machines and driers. Each )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (lodge has colour coded bags and all clothes are marked by the home to aid )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (identification.)Tj ET endstream endobj 59 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 60 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Staffing )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 661.38 m 562.53 661.38 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 17 w 31.2 618.88 m 563.65 618.88 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.25 m 565.85 609.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 608.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 608.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (managers.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (There are no additional outcomes.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 591 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 569 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 569 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 546.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 194.33 w 34.6 445.01 m 562.54 445.01 l S 0.001 w 1 1 1 RG 22.5 w 32.35 533.17 m 564.79 533.17 l S 0.001 w 171.84 w 33.47 433.76 m 563.66 433.76 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 520.8 m 565.87 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 521.88 m 32.35 345.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 521.88 m 564.79 345.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 520.8 m 564.79 520.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 346.71 m 565.87 346.71 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 529.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 505.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 505.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 505.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 487.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 460.75 Tm (Shortfalls in staff consistency in one of the lodges and the reliance on agency staff to )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 443.25 Tm (manage the lodge has affected care for some residents.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 425.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 408.26 Tm (Although the company has a good training programme, there were noted shortfalls in )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 390.77 Tm (first aid on all the lodges and, due to the turnover of nursing staff on Coniston Lodge, )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 373.27 Tm (shortfalls in specific nursing skills. This could place residents at risk of insufficient or )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 355.77 Tm (delayed care.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 331.03 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 238.82 w 34.6 201.43 m 562.54 201.43 l S 0.001 w 1 1 1 RG 22.5 w 32.35 311.84 m 564.79 311.84 l S 0.001 w 217.45 w 33.47 189.62 m 563.66 189.62 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 299.47 m 565.87 299.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 300.55 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 300.55 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 299.47 m 564.79 299.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 308.53 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 283.79 Tm (There were sufficient care staff on duty in the residential lodges to meet assessed )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 266.29 Tm (needs and each lodge had designated ancillary staff and an activity coordinator. There )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 248.79 Tm (were catering, laundry, administration and maintenance staff based in the main lodge. )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 231.3 Tm (The staffing difficulties have arisen in the nursing lodge, where, due to recruitment )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 213.8 Tm (difficulties, there has been a reliance on agency nurses to manage shifts. This has )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 196.31 Tm (caused inconsistencies and some shortfalls in care practices. However, the recruitment )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 178.81 Tm (of a lodge manager, deputy manager and another nurse has improved the continuity )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 161.31 Tm (of care. There is still a shortfall of nursing hours but permanent staff, and some )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 143.82 Tm (agency staff, are filling the gaps until the recruitment process is complete.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 126.32 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 108.83 Tm (The clinical services manager had responsibility for auditing the training needs of staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 91.33 Tm (and arranging induction for new staff, and ongoing training for all staff. New staff )Tj ET endstream endobj 61 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 62 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (members complete a comprehensive induction and foundation training programme )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (when they first start at the home and they complete several shifts as supernumerary )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (staff.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (The company had a good staff training programme in place that offered access to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (mandatory training and some subjects linked to the needs of the people using the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (service. It was noted that there were gaps in first aid training in all four lodges, which )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (needs to be addressed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (In the past there have been courses specifically for nurses to ensure they completed )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (their registration requirements and that they had sufficient nursing skills to meet the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (needs of residents in their care. The nursing staff changes on Coniston Lodge means )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (that not all the nurses have specific skills required. A primary care trust nurse has )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (arranged specific training in the management of gastrostomy sites but other training )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (in areas such as, male catheterisation, venepuncture, the use of syringe drivers, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (wound care updates and management of supra-pubic catheters is required.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (The home used agency staff to provide nursing care to residents. There was no )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (system in place to verify their skills and the training courses they had completed. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (When the home requested nurses, they stated the residents specific nursing needs, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (however, there were instances when the agency nurses were unable to complete )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (specific nursing tasks and the out of hours district nursing service had to called. This )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (could lead to a delay in treatment for the resident. Nurses in charge of shifts must )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (have the required skills to meet the residents nursing needs.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (Community health professionals such as the tissue viability nurse and infection control )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (nurse have provided advice and guidance, and staff have contacted McMillan nurses )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (for additional support when required. The home can access training courses facilitated )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (by the local authority.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (The clinical services manager told us that fifty-one care staff had completed a national )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (vocational qualification in care at level 2 or above with additional staff working )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (towards the qualification at level 2 and 3. This equated to 63% of care staff trained to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (this level and has exceeded the standard. This demonstrated the company's' )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm (commitment to supporting staff to gain a qualification in care.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (There were positive comments about the staff team in surveys and in discussions with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (people. These were, 'on the whole very affable', 'they are honest girls - I prefer them )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (to speak their mind, it's ok when we get to know everyone as the girls become )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (themselves','the staff are alright', 'I feel he is very well looked after - very kind staff', )Tj ET endstream endobj 63 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 64 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 441.27 w 34.6 590.77 m 562.54 590.77 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 419.9 w 33.47 578.96 m 563.66 578.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 366.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 367.88 m 565.87 367.88 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm ('all the staff are very nice - I can't grumble at all', 'the staff are very nice - if you are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (nice to people they are nice to you' and 'the carers are wonderful - they do a good job )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm (and they are helpful'. However, other people stated, 'when you buzz for help the only )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (thing that annoys me is when staff finally come, they always have an excuse' and, 'the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (staff are ok but sometimes they wash me at 2pm - they are busy'. The person wished )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (for support earlier in the morning. This was mentioned to the manager.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (It was clear from discussions with staff and from surveys that they enjoyed their job, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (despite its description as, 'challenging'. Those spoken with said they had a good team )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (and took pride in caring for people. Comments were, 'overall the home is one of the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (best I have worked for but it has to be more efficient with communication', 'I do like )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (coming to work' and 'it's a friendly place - good staff, good team work and we get )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (feedback from residents'. One person did write that they would like to see more staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (and improvements in how information is disseminated. Other staff told us that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (handovers could be longer when they have returned from annual leave, as there is a )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (lot of information to catch up with. There used to be handover sheets but the reliance )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (now is mostly on a verbal exchange.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Recruitment practices were examined and checks were carried out prior to the start of)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (employment. It was noted that staff were employed after a check of the register )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (barring people for working with vulnerable adults but prior to the return of the full )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (criminal record bureau check. This must only occur in exceptional circumstances and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (not be routine practice. The manager stated that the care staff always worked with )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (another staff member until the return of the full CRB.)Tj ET endstream endobj 65 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 66 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 1 1 1 RG 13.6 w 29.55 794.85 m 566.93 794.85 l S 0.001 w /F3 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 785.57 Tm (Management and administration )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 29.55 766 Tm ()Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 747.89 Tm (These are the outcomes that people )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 747.89 Tm (staying in care homes)Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 747.89 Tm ( should experience. They )Tj ET 1 1 1 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.4 Tm (reflect the things that people have said are important to them:)Tj ET 1 1 1 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 717.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 618.88 m 562.53 618.88 l S 0.001 w 0.95294 0.95294 0.95294 RG 85 w 31.2 672.13 m 563.65 672.13 l S 0.001 w 1 1 1 RG 102 w 31.2 576.38 m 563.65 576.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 715.75 m 565.85 715.75 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.5 m 565.85 628.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.25 m 565.85 524.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 716.83 m 30.07 523.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 716.83 m 564.78 523.17 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 702.57 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 685.57 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 668.57 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 651.57 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 634.57 Tm (and safety practices are carried out.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 615.32 Tm (People get the right support from the care home because the manager runs it )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 598.32 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 581.32 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 564.32 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 547.32 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F3 12 Tf BT 1 0 0 1 35.5 530.32 Tm (supervised and supported by their managers.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 506 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 484 Tm (7KLVLVZKDWSHRSOHVWD\\LQJLQWKLVFDUHKRPHH[SHULHQFH)Tj ET /F2 12 Tf BT 1 0 0 1 369.04 484 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 28.35 461.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 176.84 w 34.6 368.75 m 562.54 368.75 l S 0.001 w 1 1 1 RG 22.5 w 32.35 448.17 m 564.79 448.17 l S 0.001 w 154.34 w 33.47 357.51 m 563.66 357.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 435.8 m 565.87 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 436.88 m 32.35 278.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 436.88 m 564.79 278.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 435.8 m 564.79 435.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 279.21 m 565.87 279.21 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 444.86 Tm (Judgement:)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 420.12 Tm (People using this service experience )Tj ET /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 259.17 420.12 Tm (adequate)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 319.4 420.12 Tm (quality outcomes in this area. We have )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 402.62 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 375.75 Tm (We are unable to test the fitness of the acting manager until the application process )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 358.25 Tm (for her to be registered with the Care Quality Commission has been completed.)Tj ET /F3 12 Tf BT 1 0 0 1 36.62 340.76 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.62 323.26 Tm (Shortfalls in staff supervision, quality audit actions, wound care planning, some staff )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 305.77 Tm (training and staff recruitment need to be addressed to be sure peoples' welfare is not )Tj ET /F3 12 Tf BT 1 0 0 1 36.62 288.27 Tm (compromised.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 263.52 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 171.31 w 34.6 167.68 m 562.54 167.68 l S 0.001 w 1 1 1 RG 22.5 w 32.35 244.34 m 564.79 244.34 l S 0.001 w 149.94 w 33.47 155.87 m 563.66 155.87 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 231.97 m 565.87 231.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 233.04 m 32.35 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 233.04 m 564.79 78.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 231.97 m 564.79 231.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 79.78 m 565.87 79.78 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 241.03 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 216.28 Tm (There has been a recent change in management for the home and the new post holder )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 198.79 Tm (has yet to apply for registration with the Care Quality Commission. However, the )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 181.29 Tm (manager is a qualified nurse and has previous experience of managing nursing and )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 163.79 Tm (residential homes. She has completed her Registered Managers Award and keeps )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 146.3 Tm (herself up to date with relevant training/briefing sessions.)Tj ET /F3 12 Tf BT 1 0 0 1 36.57 128.8 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 36.57 111.31 Tm (The regional manager, as the 'responsible individual' visits the home and the manager )Tj ET /F3 12 Tf BT 1 0 0 1 36.57 93.81 Tm (has avenues of support she could use when required. The company also has a quality )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 728.25 w 34.6 447.28 m 562.54 447.28 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 706.88 w 33.47 435.47 m 563.66 435.47 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 79.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 80.9 m 565.87 80.9 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (group that has been completing audits on systems, and providing guidance to staff on )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (how to improve practices and documentation.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (The home is very large and continues to be difficult to manage as one unit. There are )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (four individual lodges with space for thirty residents and each has a unit manager. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (way we inspect means that the home as a whole receives one quality rating. Shortfalls )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (in one of the lodges may affect the quality rating of the home as a whole. The )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (company has been reviewing the way the home is registered and is considering )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (registering each lodge as a single home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (Staff spoken with and surveys received from them indicated the lodge managers were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (supportive of them, 'they are always there to explain things' and 'we are very happy )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm (with our new manager she is organised and delegates'. They also told us that they )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (were getting to know the new, overall manager and confirmed that she visited the )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (lodges each day to check that there were no issues she needed to be aware of. One )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (person mentioned that it would be nice to have more positive feedback when she )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (visits their lodge so they know everything is ok with their work. Another senior staff )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (member commented that they received, 'good support' from the new home manager. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (Staff also had the opportunity to speak with the area manager and regional manager )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm (when they visited.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (The home has an up to date quality assurance award from the local authority's quality )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (development scheme. 'Investors in People' status has also been achieved and is )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (ongoing. The home has a quality assurance system that consists of audits and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (questionnaires. The audits cover a range of topics and it was clear that shortfalls have )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (already been identified in some documentation, for example in care plans and wound )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm (care management plans. The auditor gave clear directions on what was required to )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (rectify the shortfalls. However, there did not appear to be a system of checking that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (the shortfalls had been addressed, as there were no wound care management plans in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (the three care files we examined. Previous audits in medication management had )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (identified where practice needed to be improved and further training had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (completed. Also audits around nutrition had identified some weight loss and resulted )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 219.23 Tm (in menu changes, staff discussions to heighten awareness and an increase in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 201.73 Tm (individual one to one time for one resident during meals.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 184.23 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 166.74 Tm (Surveys were sent to residents in February 2010 but the views of visiting professionals )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 149.24 Tm (have not been obtained yet, nor of relatives this year unless they assisted a resident )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 131.75 Tm (to complete theirs. However, the manager is available to speak with relatives and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 114.25 Tm (completes a daily, walk around the home. She is also available monthly on Saturdays )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 96.75 Tm (to speak with relatives. Staff surveys were completed in 2009. Meetings for staff and )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 0.75294 0.75294 0.75294 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 456.46 52.04 Tm ()Tj ET /F3 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 581.24 w 34.6 520.78 m 562.54 520.78 l S 0.001 w 1 1 1 RG 22.5 w 32.35 802.41 m 564.79 802.41 l S 0.001 w 559.87 w 33.47 508.97 m 563.66 508.97 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 31.27 790.03 m 565.87 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 791.11 m 32.35 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.79 791.11 m 564.79 226.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.35 790.03 m 564.79 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.27 227.91 m 565.87 227.91 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 35.5 799.09 Tm (Evidence:)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 779.1 Tm (residents/relatives take place and a newsletter is completed quarterly providing people )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 761.6 Tm (with information about staff changes, events and local news.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 744.11 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 726.61 Tm (There has been no change to the way residents' finances are managed and they were )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 709.11 Tm (not assessed at this inspection. Financial information was recorded on a computerised )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 691.62 Tm (system. Money left for safekeeping for any resident was maintained in one specific )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 674.12 Tm (account. Each person usually receives interest from the account, on a monthly basis, )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 656.63 Tm (according to the amount of money each of them has in the bank. Each person has )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 639.13 Tm (their own individual account record and receipts were issued for monies in and out. )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 621.63 Tm (People were able to access their money when they needed to. Residents or the person )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 604.14 Tm (managing their finances were invoiced for hairdressing and chiropody services should )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 586.64 Tm (they receive them.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 569.15 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 551.65 Tm (Staff supervision records indicated that not all care staff received the required )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 534.15 Tm (minimum of six formal one to one sessions each year. Formal staff supervision has )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 516.66 Tm (slipped over the last year and staff were receiving varying amounts. The acting )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 499.16 Tm (manager is aware of this and is to put in place a supervision plan to ensure it is )Tj ET /F3 12 Tf BT 1 0 0 1 520.77 499.16 Tm (re-)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 481.67 Tm (started)Tj ET /F3 12 Tf BT 1 0 0 1 76.99 481.67 Tm ( fully. This was a recommendation from the last inspection and will remain in )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 464.17 Tm (the report.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 446.67 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 429.18 Tm (Accident books were filled in appropriately and audited for patterns, and risk )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 411.68 Tm (assessments were carried out for the home in general and for individual residents' )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 394.19 Tm (needs. Maintenance certificates were in place and up to date for all the utilities and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 376.69 Tm (equipment within the building. Regular fire drills and, alarm and fire equipment )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 359.19 Tm (checks, are carried out. The home notified the appropriate agencies of incidents that )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 341.7 Tm (affected the health and welfare of people living in the home.)Tj ET /F3 12 Tf BT 1 0 0 1 34.32 324.2 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 34.32 306.71 Tm (There needs to be a checking system in place for the suction machines on the lodge )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 289.21 Tm (providing nursing care. Both machines were found out of their carrying cases and )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 271.71 Tm (under a sink in the treatment room. They would need to be cleaned prior to any use )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 254.22 Tm (and tubing had been compromised. This could have been an issue if they had been )Tj ET /F3 12 Tf BT 1 0 0 1 34.32 236.72 Tm (needed in an emergency.)Tj ET endstream endobj 71 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 73 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 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 0.95294 0.95294 0.95294 RG 17 w 28.35 804.03 m 566.1 804.03 l S 0.001 w 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 0.95294 0.95294 0.95294 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 0.75294 0.75294 0.75294 RG 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 813.65 m 568.3 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 794.4 m 568.3 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 775.15 m 568.3 775.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 814.73 m 27.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 795.48 m 423.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 795.48 m 468.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 795.48 m 495.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 795.48 m 540.22 774.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 814.73 m 567.22 774.08 l S 0.001 w [] 0 d /F3 12 Tf BT 1 0 0 1 33.75 800.47 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F3 12 Tf BT 1 0 0 1 429.75 781.22 Tm (Yes)Tj ET /F7 12 Tf BT 1 0 0 1 476.37 783.16 Tm ()Tj ET /F3 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 0.95294 0.95294 0.95294 RG 124.56 w 32.32 655.12 m 564.97 655.12 l S 0.001 w 1 1 1 RG 20.58 w 31.2 604.26 m 91.05 604.26 l S 0.001 w 20.58 w 93.3 604.26 m 197.4 604.26 l S 0.001 w 20.58 w 199.65 604.26 m 289.45 604.26 l S 0.001 w 20.58 w 291.7 604.26 m 473.8 604.26 l S 0.001 w 20.58 w 476.05 604.26 m 566.1 604.26 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 616.75 m 30.07 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 616.75 m 567.22 591.77 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 568.3 615.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 616.75 m 92.17 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 616.75 m 198.52 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 616.75 m 290.57 591.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 616.75 m 474.92 591.77 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 28.99 592.84 m 568.3 592.84 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 /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 669.45 Tm (been met.)Tj ET /F3 12 Tf BT 1 0 0 1 95.57 669.45 Tm ( )Tj ET /F3 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 /F3 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 /F3 10 Tf BT 1 0 0 1 31.2 637.05 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 634.05 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 634.05 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 634.05 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 634.05 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 621.9 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 602.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 599.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 599.49 Tm ()Tj ET endstream endobj 74 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 75 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (31)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 108.12 w 32.32 719.78 m 564.97 719.78 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 0.75294 0.75294 0.75294 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 /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 727.74 Tm (The registered person had to meet these within 48 hours.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 709.92 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 706.92 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 706.92 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 706.92 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 706.92 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 694.77 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 675.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 96.15 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 202.5 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 294.55 672.36 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 478.9 672.36 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 563.19 w 32.32 345.62 m 564.97 345.62 l S 0.001 w 1 1 1 RG 204 w 31.2 424.8 m 91.05 424.8 l S 0.001 w 204 w 93.3 424.8 m 197.4 424.8 l S 0.001 w 204 w 199.65 424.8 m 289.45 424.8 l S 0.001 w 204 w 291.7 424.8 m 473.8 424.8 l S 0.001 w 204 w 476.05 424.8 m 566.1 424.8 l S 0.001 w 119 w 31.2 261.05 m 91.05 261.05 l S 0.001 w 119 w 93.3 261.05 m 197.4 261.05 l S 0.001 w 119 w 199.65 261.05 m 289.45 261.05 l S 0.001 w 119 w 291.7 261.05 m 473.8 261.05 l S 0.001 w 119 w 476.05 261.05 m 566.1 261.05 l S 0.001 w 136.4 w 31.2 131.1 m 91.05 131.1 l S 0.001 w 136.4 w 93.3 131.1 m 197.4 131.1 l S 0.001 w 136.4 w 199.65 131.1 m 289.45 131.1 l S 0.001 w 136.4 w 291.7 131.1 m 473.8 131.1 l S 0.001 w 136.4 w 476.05 131.1 m 566.1 131.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 321.68 m 568.3 321.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 200.43 m 568.3 200.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 529.01 m 30.07 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 529.01 m 567.22 60.7 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 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 529.01 m 198.52 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 529.01 m 290.57 60.7 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 529.01 m 474.92 60.7 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 28.99 321.68 m 568.3 321.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 200.43 m 568.3 200.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 61.78 m 568.3 61.78 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 /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 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 /F3 12 Tf BT 1 0 0 1 34.05 581.7 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 581.7 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 567.12 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 549.3 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 546.3 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 546.3 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 546.3 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 546.3 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 534.15 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 514.74 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 514.74 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 514.74 Tm (15)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 514.74 Tm (People requiring dressings to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 497.74 Tm (treat their wounds must )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 480.74 Tm (have clear plans of care in )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 463.74 Tm (place.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 446.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 429.74 Tm (This will ensure that nursing )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 412.74 Tm (staff have clear guidance )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 395.74 Tm (about the dressing required )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 378.74 Tm (and the frequency of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 361.74 Tm (changes. Wound care plans )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 344.74 Tm (must be produced in a more )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 327.74 Tm (timely manner.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 514.74 Tm (31/05/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 514.74 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 308.49 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 308.49 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 308.49 Tm (13)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 308.49 Tm (Staff must follow )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 291.49 Tm (instructions for treatment )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 274.49 Tm (from health professionals.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 257.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 240.49 Tm (This will ensure that peoples' )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 223.49 Tm (health and welfare is not )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 206.49 Tm (compromised.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 308.49 Tm (31/05/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 308.49 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 187.24 Tm (3)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 187.24 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 187.24 Tm (12)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 187.24 Tm (People must be protected )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 170.24 Tm (from poor or insufficient )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 153.24 Tm (care by consistent staff, )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 136.24 Tm (skilled nurses and good care )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 119.24 Tm (planning.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 102.24 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 85.24 Tm (This will ensure peoples' )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 68.24 Tm (health and welfare is not )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 187.24 Tm (30/06/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 187.24 Tm ()Tj ET endstream endobj 77 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 78 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 746.25 w 32.32 438.28 m 564.97 438.28 l S 0.001 w 1 1 1 RG 51 w 31.2 685.49 m 91.05 685.49 l S 0.001 w 51 w 93.3 685.49 m 197.4 685.49 l S 0.001 w 51 w 199.65 685.49 m 289.45 685.49 l S 0.001 w 51 w 291.7 685.49 m 473.8 685.49 l S 0.001 w 51 w 476.05 685.49 m 566.1 685.49 l S 0.001 w 255 w 31.2 530.24 m 91.05 530.24 l S 0.001 w 255 w 93.3 530.24 m 197.4 530.24 l S 0.001 w 255 w 199.65 530.24 m 289.45 530.24 l S 0.001 w 255 w 291.7 530.24 m 473.8 530.24 l S 0.001 w 255 w 476.05 530.24 m 566.1 530.24 l S 0.001 w 204 w 31.2 298.49 m 91.05 298.49 l S 0.001 w 204 w 93.3 298.49 m 197.4 298.49 l S 0.001 w 204 w 199.65 298.49 m 289.45 298.49 l S 0.001 w 204 w 291.7 298.49 m 473.8 298.49 l S 0.001 w 204 w 476.05 298.49 m 566.1 298.49 l S 0.001 w 130.21 w 31.2 129.13 m 91.05 129.13 l S 0.001 w 130.21 w 93.3 129.13 m 197.4 129.13 l S 0.001 w 130.21 w 199.65 129.13 m 289.45 129.13 l S 0.001 w 130.21 w 291.7 129.13 m 473.8 129.13 l S 0.001 w 130.21 w 476.05 129.13 m 566.1 129.13 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 658.86 m 568.3 658.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.61 m 568.3 401.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.36 m 568.3 195.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 713.19 m 30.07 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 713.19 m 290.57 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 713.19 m 474.92 61.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.4 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 658.86 m 568.3 658.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 401.61 m 568.3 401.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.36 m 568.3 195.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 62.9 m 568.3 62.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 745.74 m 92.12 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 745.74 m 198.52 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 745.74 m 290.62 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 745.74 m 475.02 711.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 711.04 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 800.47 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 780.47 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 765.89 Tm (Standards Act 2000, Care Homes)Tj ET /F3 12 Tf BT 1 0 0 1 239.77 765.89 Tm (Regulations 2001 and the National Minimum )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 751.31 Tm (Standards. The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 701.18 Tm (compromised and staff have )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 684.18 Tm (the skills and competence to )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 667.18 Tm (care for people.)Tj ET /F3 12 Tf BT 1 0 0 1 35.5 645.68 Tm (4)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 645.68 Tm (29)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 645.68 Tm (19)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 645.68 Tm (Full criminal record bureau )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 628.68 Tm (checks must be in place )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 611.68 Tm (prior to the start of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 594.68 Tm (employment. The practice of )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 577.68 Tm (employing care staff after an )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 560.68 Tm (initial check against the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 543.68 Tm (barring register but prior to )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 526.68 Tm (the full return of the CRB )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 509.68 Tm (should be in exceptional )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 492.68 Tm (circumstances and not be )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 475.68 Tm (routine practice.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 458.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 441.68 Tm (This will help to ensure only )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 424.68 Tm (appropriate staff work with )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 407.68 Tm (vulnerable people.)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 645.68 Tm (31/05/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 645.68 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 388.43 Tm (5)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 388.43 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 388.43 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 388.43 Tm (Nurses must receive the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 371.43 Tm (training required to care for )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 354.43 Tm (people with specific nursing )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 337.43 Tm (needs.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 320.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 303.43 Tm (This will ensure that peoples' )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 286.43 Tm (assessed needs are met by )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 269.43 Tm (staff within the home and )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 252.43 Tm (provide nurses with the )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 235.43 Tm (confidence and skills )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 218.43 Tm (required to support people )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 201.43 Tm (fully)Tj ET /F3 12 Tf BT 1 0 0 1 482.1 388.43 Tm (31/07/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 388.43 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 35.5 182.18 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 99.3 182.18 Tm (30)Tj ET /F3 12 Tf BT 1 0 0 1 201.55 182.18 Tm (18)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 182.18 Tm (There must be a programme )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 165.18 Tm (in place to ensure staff )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 148.18 Tm (receive training in first aid.)Tj ET /F3 12 Tf BT 1 0 0 1 298.05 131.18 Tm ()Tj ET /F3 12 Tf BT 1 0 0 1 298.05 114.18 Tm (This will ensure that each )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 97.18 Tm (lodge has a first aider on )Tj ET /F3 12 Tf BT 1 0 0 1 298.05 80.18 Tm (each shift with the skills )Tj ET /F3 12 Tf BT 1 0 0 1 482.1 182.18 Tm (30/06/2010)Tj ET /F3 12 Tf BT 1 0 0 1 554.05 182.18 Tm ()Tj ET endstream endobj 79 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 80 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 133.29 w 32.32 744.76 m 564.97 744.76 l S 0.001 w 1 1 1 RG 34 w 31.2 693.99 m 91.05 693.99 l S 0.001 w 34 w 93.3 693.99 m 197.4 693.99 l S 0.001 w 34 w 199.65 693.99 m 289.45 693.99 l S 0.001 w 34 w 291.7 693.99 m 473.8 693.99 l S 0.001 w 34 w 476.05 693.99 m 566.1 693.99 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 30.07 713.19 m 30.07 674.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 713.19 m 567.22 674.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.66 m 568.4 744.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 712.11 m 568.3 712.11 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 713.19 m 92.17 674.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 713.19 m 198.52 674.79 l S 0.001 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F3 10 Tf BT 1 0 0 1 31.2 733.49 Tm (No.)Tj ET /F3 10 Tf BT 1 0 0 1 96.1 730.49 Tm (Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.5 730.49 Tm (Regulation)Tj ET /F3 10 Tf BT 1 0 0 1 294.6 730.49 Tm (Requirement)Tj ET /F3 10 Tf BT 1 0 0 1 479 730.49 Tm (Timescale for )Tj ET /F3 10 Tf BT 1 0 0 1 479 718.34 Tm (action)Tj ET /F3 12 Tf BT 1 0 0 1 295.8 701.18 Tm (required to deal with )Tj ET /F3 12 Tf BT 1 0 0 1 295.8 684.18 Tm (emergency situations.)Tj ET 0.95294 0.95294 0.95294 RG 589.99 w 32.32 361.62 m 564.97 361.62 l S 0.001 w 1 1 1 RG 49.74 w 31.2 544.02 m 91.05 544.02 l S 0.001 w 49.74 w 93.3 544.02 m 197.4 544.02 l S 0.001 w 49.74 w 199.65 544.02 m 566.1 544.02 l S 0.001 w 108.06 w 31.2 462.87 m 91.05 462.87 l S 0.001 w 108.06 w 93.3 462.87 m 197.4 462.87 l S 0.001 w 108.06 w 199.65 462.87 m 566.1 462.87 l S 0.001 w 49.74 w 31.2 381.72 m 91.05 381.72 l S 0.001 w 49.74 w 93.3 381.72 m 197.4 381.72 l S 0.001 w 49.74 w 199.65 381.72 m 566.1 381.72 l S 0.001 w 64.32 w 31.2 322.44 m 91.05 322.44 l S 0.001 w 64.32 w 93.3 322.44 m 197.4 322.44 l S 0.001 w 64.32 w 199.65 322.44 m 566.1 322.44 l S 0.001 w 64.32 w 31.2 255.87 m 91.05 255.87 l S 0.001 w 64.32 w 93.3 255.87 m 197.4 255.87 l S 0.001 w 64.32 w 199.65 255.87 m 566.1 255.87 l S 0.001 w 49.74 w 31.2 196.59 m 91.05 196.59 l S 0.001 w 49.74 w 93.3 196.59 m 197.4 196.59 l S 0.001 w 49.74 w 199.65 196.59 m 566.1 196.59 l S 0.001 w 49.74 w 31.2 144.6 m 91.05 144.6 l S 0.001 w 49.74 w 93.3 144.6 m 197.4 144.6 l S 0.001 w 49.74 w 199.65 144.6 m 566.1 144.6 l S 0.001 w 49.74 w 31.2 92.61 m 91.05 92.61 l S 0.001 w 49.74 w 93.3 92.61 m 197.4 92.61 l S 0.001 w 49.74 w 199.65 92.61 m 566.1 92.61 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 518.03 m 568.3 518.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.72 m 568.3 407.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 355.73 m 568.3 355.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.16 m 568.3 289.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 222.59 m 568.3 222.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.6 m 568.3 170.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 118.61 m 568.3 118.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 571.1 m 30.07 65.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 571.1 m 567.22 65.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 589.29 m 568.4 589.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 570.02 m 568.3 570.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 571.1 m 92.17 65.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 571.1 m 198.52 65.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 658.86 m 568.4 658.86 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 589.29 m 568.4 589.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.03 m 568.3 518.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 407.72 m 568.3 407.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 355.73 m 568.3 355.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 289.16 m 568.3 289.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 222.59 m 568.3 222.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.6 m 568.3 170.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 118.61 m 568.3 118.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 66.62 m 568.3 66.62 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 659.94 m 30.07 568.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 590.37 m 92.17 570.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 590.37 m 198.47 570.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 659.94 m 567.32 568.94 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 642.68 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 625.1 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 610.52 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 595.94 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 575.12 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 575.12 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 575.12 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 553.83 Tm (1)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 553.83 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 553.83 Tm (Care plans should include more personalised information )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 539.25 Tm (about preferences for care. This will help staff to have a )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 524.67 Tm (better understanding of how people prefer to be supported.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 501.84 Tm (2)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 501.84 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 501.84 Tm (Pressure relief monitoring charts, obviously in place for a )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 487.26 Tm (reason, should be completed consistently when a task has )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 472.68 Tm (been completed. This enables a clear audit trail of care. 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This will provide management and )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 243.81 Tm (the residents with confidence that peoples' needs can be )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 229.23 Tm (met. )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 206.4 Tm (6)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 206.4 Tm (31)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 206.4 Tm (The acting manager needs to apply for registration with the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 191.82 Tm (Care Quality Commission so their fitness to be the )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 177.24 Tm (registered manager can be tested.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 154.41 Tm (7)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 154.41 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 154.41 Tm (There should be a system in place to follow up actions )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 139.83 Tm (required from quality audits. This would ensure that tasks )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 125.25 Tm (are completed.)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 102.42 Tm (8)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 102.42 Tm (33)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 102.42 Tm (The views of professional visitors to the home should be )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 87.84 Tm (gathered as part of the quality monitoring system. This will )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 73.26 Tm (enable any issues to be addressed quickly.)Tj ET endstream endobj 81 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 82 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F3 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 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (34)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F3 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 219.74 w 32.32 701.54 m 564.97 701.54 l S 0.001 w 1 1 1 RG 78.9 w 31.2 684.23 m 91.05 684.23 l S 0.001 w 78.9 w 93.3 684.23 m 197.4 684.23 l S 0.001 w 78.9 w 199.65 684.23 m 566.1 684.23 l S 0.001 w 49.74 w 31.2 617.66 m 91.05 617.66 l S 0.001 w 49.74 w 93.3 617.66 m 197.4 617.66 l S 0.001 w 49.74 w 199.65 617.66 m 566.1 617.66 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 643.66 m 568.3 643.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 725.89 m 30.07 590.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 725.89 m 567.22 590.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 724.81 m 568.3 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 725.89 m 92.17 590.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 725.89 m 198.52 590.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 813.65 m 568.4 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 744.08 m 568.4 744.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 643.66 m 568.3 643.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 591.67 m 568.3 591.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 723.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 745.16 m 92.17 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 745.16 m 198.47 724.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 814.73 m 567.32 723.73 l S 0.001 w [] 0 d /F3 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 797.47 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F3 12 Tf BT 1 0 0 1 34.05 779.89 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 765.31 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F3 12 Tf BT 1 0 0 1 34.05 750.73 Tm (improving their service.)Tj ET /F3 10 Tf BT 1 0 0 1 34.05 729.91 Tm (No)Tj ET /F3 10 Tf BT 1 0 0 1 96.15 729.91 Tm (Refer to Standard)Tj ET /F3 10 Tf BT 1 0 0 1 202.45 729.91 Tm (Good Practice Recommendations)Tj ET /F3 12 Tf BT 1 0 0 1 34.05 708.62 Tm (9)Tj ET /F3 12 Tf BT 1 0 0 1 96.15 708.62 Tm (36)Tj ET /F3 12 Tf BT 1 0 0 1 202.5 708.62 Tm (Care and nursing staff should receive a minimum of six )Tj ET /F3 12 Tf BT 1 0 0 1 202.5 694.04 Tm (formal staff supervision sessions each year. 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If you would like a summary in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 662.12 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F3 12 Tf BT 1 0 0 1 28.35 622.13 Tm ( Care Quality Commission 2010 )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 602.13 Tm (This publication may be reproduced in whole or in part in any format or medium for )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 584.63 Tm (non-commercial purposes, provided that it is reproduced accurately and not used in a )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 567.14 Tm (derogatory manner or in a misleading context.)Tj ET /F3 12 Tf BT 1 0 0 1 318.88 567.14 Tm (The source should be acknowledged, by )Tj ET /F3 12 Tf BT 1 0 0 1 28.35 549.64 Tm (showing the publication title and Care Quality Commission 2010.)Tj ET endstream endobj 85 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 86 0 obj[6 0 R/XYZ 0 318.87 0] endobj 87 0 obj <>stream  cvt gxfpgm;_glyfˬ ^head< H6hhea$ $hmtx ploca76maxp 1t prepF 8}11c1bbDu1c111D1>}1(111{-1(3c1J`7]1bP2Jb2(11124bb(()_b{8P>2;IV`bbz!&BF7>>TtNmmn{{(hxAYiU\.t/J\cx{{{ ""(/23>CFHPSfijkrsx,.88AMP\ik| ,,Alx=>o:BX~9`/111:<JJLWstx  ((-WYZZZZprr."+`x =.:WX]]SlCcM*SclAq],C]"D>;KeJPBQLQLT7Z\WU:rrE@78743210/.-,+*)('&%$#"!  ,E#F` &`&#HH-,E#F#a &a&#HH-,E#F` a F`&#HH-,E#F#a ` &a a&#HH-,E#F`@a f`&#HH-,E#F#a@` &a@a&#HH-, <<-, E# D# ZQX# D#Y QX# MD#Y &QX# D#Y!!-, EhD ` EFvhE`D-, C#Ce -, C#C -,F#pF>F#pFE: -,EJ#DEI#D-, E%EadPQXED!!Y-,Cc#b#B+-, EC`D-,CCe -, i@a ,b`+ d#da\XaY-,E+G#DGz-,TX CTXJIDDYY-,CXE+#DzEi #D QX+#Dz!zYY-,-,KRX!ED#E %ERXD!!YY-,/-, %EI#DEJ#DEe#E %`j #B#hj`a Ry!J@JE TX#!?#YaDRyI@ IE TX#!?#YaD-,C#C -,C#C -, C#C -, C#Ce -,C#Ce -,C#Ce -,KRXED!!Y-, %#I@` c RX#%8#%e8c8!!!!!Y-,Ei C`:-,%# `#-,%# a#-,%-, ` <<-, a <<-,++**-,CC -,>**-,5-,vK#p KE PXaY:/-,!! d#d@b-,!QX d#d b@/+Y`-,!QX d#dUb/+Y`-, d#d@b`#!-,&&&&Eh:-,&&&&Ehe:-,E# E %PX&a&`YD-,F#F`F# F`ab# #KKpE` PXa@Yh:-,3+**-,CXY-,CXY-#@/?103!%!!8 P@+  { /999?999/10&''&&'632!!!!67`,9) KgJ*JJ&J (""" """ zJzJee") """"!!""+ ]+PV =`9PPPP""""""""""""""""""""""kk4!!!!!!!!!!!!o!!!!!!!o!!!!!!!!!po==!!!!!!!!!!!!!!!!!!b!Q!?!.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!}!&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&`9_@ FF@H H2 %H2 #H2 "H2 !H2  H2 H2 H2 H2 @[H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 yH2 nH2 dH2 _H2 ]H2 ZH2 XH2 H2 H2 H2 H2 H2 H2 H2 @LH2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 H2 \H2& & 7E@CzweaWU$"   KKSBKcKb S# QZ#BKKTB8+TXCXYY++++++++++++++++++++++++++++++++KPyAP*&+++++KSyAP*&+++++P2Ka`+++++++++++++++++++++++++++++++++++++++++++++++++++++++++EiSBKPXBYC\XBY CX`!YBp>CX;!~ +Y #B #BCX-A-A +Y#B#BCX~;! +Y#B#B endstream endobj 88 0 obj<> endobj 89 0 obj<>/Subtype/CIDFontType2/Type/Font/W [53[891]133[891]]/CIDToGIDMap/Identity/DW 1000>> endobj 90 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0035><0085> endcodespacerange 2 beginbfrange <0035><0035><0052> <0085><0085><00a3> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 72 0 obj<> endobj 91 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 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/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 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C <RG<29Ap@AC6/?o /?o 7 9999PKKTBKKSB 2+KdRBKRXYKTXYKSXY++++st+ststEEha#DsEEha#DEEha#DEh#D+s+++++++++++++st++++++ssssssss+ss+s+++++st++++u++++++++++++++++++++t+st+sst+st+t+ss++st+s+++ss+++s++++s+++++++++++sttu++++++++++++++++++++++++++s+++++qEhq#Dstu++++ endstream endobj 94 0 obj<> endobj 95 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[312]]/CIDToGIDMap/Identity/DW 1000>> endobj 96 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><0003> endcodespacerange 1 beginbfrange <0003><0003><00a0> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 5 0 obj<> endobj 97 0 obj <>stream %!PS-AdobeFont-1.0: Verdana Typeface and data 1996 Microsoft Corporation. All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute 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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 100 0 obj<> endobj 101 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633 612]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640]90[889 604 575]]/CIDToGIDMap/Identity/DW 1000>> endobj 102 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 31 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> <0037><0037><0054> <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> <005a><005a><0077> <005b><005b><0078> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 103 0 obj <>stream %!PS-AdobeFont-1.0: ArialMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Thu Oct 09 15:49:19 2008 % Converted from TrueType font 'ARIAL.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Arial) readonly def /FamilyName (Arial) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -106 def /UnderlineThickness 73 def end readonly def /FontName /ArialMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-46 -210 1000 896} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T13҂uGFsnA S1_ z.H@sV-umQ/ rgrVFcSctóinuk̾uA M[\b y9_ )(ib]o7PaZk=JI4wr QeR-ӐhX}Qt 1ݫja@K^ }= j"D3XU:*u?| 6&f]'(VY k?YODn7Or>TɩZfZvZ7N-N}.^1>dL,͝0n8^|0~ZPFP^̵x} Tj9th ?H2wr=\aK&cE"*X8)nXZI- Rҿ mRdokh_`V#wp; նגdRyf,jL%>lzr{,V\d6koXp a~( q;(I9zF<2(u4Z+(9%%W# )3Z+B gmMJۿ;5t2&M}wP-B*' lC7AEÐ-XaTu:RD/ ~Xmv@JO"Ⲕ!d #\8_A#~#aMzNNZ2>ieec5+#TMg]Ⴤ]p9jqe^alǣ̏:Ϯ6~O(SW™^tpTeͦVzĻ[ u}R'S;W`W^3OYEcN,&$/A90O &&!g.˚ޅהB ,x#*jMn6̰HU9͌%|mv0QU>>&9zTLJG]ˁ6=0.PKjzc ۟7]y"5zCVD't(rK!uۥe-w8=cI\AZGd!6Mel xMgh5DJxCj0=QFDO$nIxS%~Wtm?$Ӻa8#c3zω̥/b &wEMMэnŨy)e!}{5y`$[ldxNp>A.|@+j`edyeɘHjxG}i d ϕa˻y: !#F*a0SJf3J(WkS4O1^Հ3c%bL(g.s!QS+ Ui)!;*DDP=<pQUCIKSYaMBG#a!Qke ԮVV V:T \݋qnaY<[IC=ǃJ$R@N߀'pH͎{Y!^^e-8)Ic A$`KPy 5v,'w[ԜWo oP%WV8*vg i?Aא5Np+EO8Gf:f-6JK;E@wOv}w{LB{DQ/2Znf#UL8ц]Asy9$xUOg'.̺}'l68[}{."׼_N& e.%&;JL)G]VPtVZO%eznh+p갦~̱ډ o?w)+VäaOTwۑƔmwE4u*8iARNx)Df"m4%{36/« wQ43֖U/hu~Vy{ +< ^{65yyaP>g(:4xW23,f{rƝBρzWܚP$`'Iҕbu:N&f^^2em77;Lf`'l  f3|g|e;PF+gy^/K6>5// |B~eU[zr:j<C}WĆ1DY܂ڒ)Sc<6iJ$_«wDq't]{O tFU&1A%Ą7y&< PHҞĹɠ1B<>^{[4QH 1drVkyX,rs:H^zD?ـ[ d. nJώ&i\h|iAufbi;t?cL{KˍMlbTi-dߴ!_=s*dHhG8k ,H,f㳃󕴿1UozdmW&׿DOԙ20zQXH2TF &&Y*=EI`{2 G] h*V\ֳkx=_U1$ˠH;҆1*BeÔFuǝ/ـA秳pZ*ۇ{+0Ei'a{}v%}SoG߲0$iE炕/pKAVS >C_xS/KMWE/9 uqD$`l׎:D$@^P04'(ZU,uw{/U=-ü =é^ͣ5F G;W=+wf{ԗH$[sR^ ۯP^}"ZOlz9x[A5^"UN['4 *&I=H@(92(ZnVmW&l(;}}uyFex0iGC7ٿ×;."&^\$UX_vл$`,['"g[,X9< W~TAB X@;Ldk5 7ȵҺ*&0V~"])|+2)\aU|~aڍO@7Q 5 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5F#]2mNǑ|q鍛x,lW+ؓy"0tEΪz".D犿v5T`c!L];Tzeд}앑JZ qUk٣|CCW뇵Ȱ$:@D?^h>:,bt `Jea&iM:M+I~;!XEr;PF@ݴ#HkgQ@ B &abXPxNIԎ9YW {" L_Ee8+7@z M^k0^Ɏ^|opkP.Tv߳c:M.unA~F#kdž}>7VvZ!: ɨݘՕc>q:C.Hn)|7U)> ւXfJ86HW/jה mG]k8e .( Q1u??zOb_fV֊ٷ| LX2MT3h>!6s0`$S$e(grRCPy7&^xOvumڽiY3sЈݴu8n旵.Uhǖ*6muѕR@E)jIB!<Gcv׾VǑAUD~E kYxƿc8@zaSϚ21uw6>/yp@J "6:Wi,wԏj*l])qoIz9R1|%cb72JH냷~t>v}۟l}-Sa\FA1>R#fe6,qW瞖lT5[' e. ^?*+KO>]+3u/Ģy]a{=5cb3T#8I}oEI_t7iI? #.4M alGa ҷ4ހ[#[1w# >v[B1j/*fcJwq}J`UC4$hI ҲaYFGEO ٝoo#xM ?t.3|I`EAAEUv|W7x?;U(MܗEJfNd ]rJP R 12; ׆n1Gu^o"i"@f/ 7-NQ6Z->YSi."Ctt3\Sׄ:iC()_Ĥ܈r]k\יJjU L$]3>Z8Hs[2X"ҦW-uoY1/Hauw Ӊ#IF &|Nv}fɢ@hnɍ)]3}5t3(}]5ʔ nbV_DniF@G)${3{ԭ{ÛNRK(".ñ9.IZ%l|@}HMnL7pU<(ʘ8zaХ z9Vvbn0VXIGR>НSN5^8f=GO:lϡt+nN㷁,xW#XGX} W$.,n,F$+j6^ q[5\k1r;fRQv&k̃nYtRȪEkgQ`ֹ n{Ev @hFlM(8yS CōV fK -+p刍@;vp7_dDTD6:Ndˁ7>z1q Np潥p舮zDZr1}U?=:*+ ϧfŪ6O- ݡWќ0` bld}e 0tw[rZ-D s_=7zl v6[f)DRI܂ȍK9L QD`rO"pBtKs` HKS){V̊Ew."@_@l<K]r^d<}AiFKL/{D%PRfEFKBe?|yQFCc{_4yNZ͉RYܼǡc 6uleG$m衲"ҎG`~ԹS r ,|> ٤+uנcX(37Cms/ UDu/i}P=,%e.nۼaP]q{YAD.~gM5MS0C -êGgjItM! ) E'bTv'Kz߬BN"xсmQO[,s!]wx@ k}ŝ6+IKg]VF`F«+%(Je>YcHAU-gZDc34J,Rh>x-~4C1:,YČxhVw^Pn#"yUTYSo=tM[R5-,#o ぞBZn'r& &EO/v5H");$8Ӵpp32A%20w>qY5t<ڝNnԠ0'zG*y7}sGcŦ W ^+s{yXPnLGN-fLL*p'' b B-8C as҆Rs_|]H$ס-ˊKp9٩0GV|>" Xe\}l&6gPȊKdaY^w.,)~:ŭ!.&-K '"]ʲlg/ S Tn9l#&!5/ZUwƁ~m8{*ton5S5+Oqv;Blmb5dЈMQHfxпF?j:stFAрm\.M*)ZGJ&96i+;,H.Ҳ^T jÐQa+IxxHڕ1Cŕ9Oy HHE\)֠ߛzmfEW+w Gϣ1` ջ9 ik;~. ]"E5KMٚq-j p/Hڽ7|/__Kp 4leB\E)0O aɱϾyb.F%Tv-78\=)6ePK%}Űz@u$2eA4eR`b9CϽ@<ѴtzN:4"@)MEb(wl SG^_M=W@mF5H.Z8p;qXlvVK"A<![#3tJY3,ŝHPujc@ˊcx6-FrS3R0 Ѫ(+`4"_6axUkuZI˓.VEӠ^1||PeXu =h0 yسxอ"oQr#_X׀#hr&b0-}0V㸰?^0d4:X[C21N<"EW{" k.4Ǝ<&@⺜Vؾ *xn;0\=r"(z79[dLޡu 0oLѐHe_&2i&#Z"?tJ-—1b4)T3虣!W6"U|3Bn>عѩszevLWu;^jUPtqiE$WJW OoK ֲF/xfmyfc^e81D Zz6Q#kh@X<25BX?.-h^CsR9I [ f0'y 2PIM!OD;lCe␢ڿa,b)\>g:߱S8uJ|)>=֝tCO vU*P< :43? #f$|H+Nё3 =ϑ\U"͟H L8%ٽ|"5σ_wl(4F 2b[*H p~Ds4twÊυpQw ykUЭJI"Zj " *0+X@{L +" ?ӪєRL#Wy}ɴk6-*? jP"9=rTaPg!A)&>`hX팻 ~|U+iaNAݤ"L7DžDD+4 㷿:@g`S b&Bjԋ%.(3[glxAx>K,G-MsL88ʧPGaf,8_r#hDeXgag|.kiQ-od iLhl) UHe[?CޛfRqk3b2,kf'9}t ␄J6K.eUG"hW|]dN0R]:lp"O8n{vtʌUꠣ|q6 szx88v3H12q!]7F _i^ɡc#0 yPp͂kҜR_!TɃ޿Wnfp_[<4_y+o… @?ޔ'ܴn̵L^akv/V=o AQ{ |zf2)_!ɝQ%/1mD';4o6!c ҙLSws5Kn+Ȅ@[ Tk44W9OuI n<,wUڠWc4!qo39tmi D%QlLֆ^&P2ȹft.NhVy=ȶ/-Q5bPxee6d7E)_MW?̮˩A-}5V7nETlC>)ioӊ?N{pl*g WZ+t)dQbۨS  F𶍁/]҅.U̞>˼C&}`4_N^a%nyL`J*#0n='j<ťRfKo=>]A }3LRb), :T%4R`>6 dMTO܄iVnia^Xf/o9 oG-xQ`X:OԮ/QbH$ci'h[ EUI9/tN wEpWl2jτ3#AkO0 Նp3xEBȏugw,Y!# ^k@Aʵ/Am}~XPŬFs{bG *м+*! w鸚 _ >ea^U򽗷4s۔y&9.\ufeD[{R :5^wg k)?NxߢVwFh7zMHÍ]W+k"dD[9Y*uud N΂,!5)e"x]+I|j96RNj;-q*Zz4iVXd.G/EwQ9*R'(=O^`~+ V#Nɠ"-kobjG13& 5f]T#dhY L`K1seE:FH{pcl+Hh 28YJ62bq{f3(eJ\ST2kk2TV{x{I+P"K"y3{e[9AI\Ar2jzDv h(+Ƴy%NvHeE79n5x+z-sޑ6R:|62^^3ݱ+0J<מ3E5 S3٧*=ރYqu,1z Ťh^_/rڐx K 〷 zI)'|nNlk!M=m);AVw3e?y GHFY $N0rHRt't: jCKd^1vDe\+hqPiگ ktT_[ ZeQ Ii%˩{R C+4D=ƜiP0?T&곉 ]״SGQ/H ;jȀ]r!ۜ&}' -_7=峴=1 ص8^M -(=}Zo z*y&?L ;-Ùޔz\VNXh 0w9 Iq0:y)[eQ<Nf-ޖ\N=Ůwc.7q EVu)5A ws>ln> ih|lr$X1ʴYg˝엔 ۞Q+iRUI/~ j&vO|N]!*Bny 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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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