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*{;i?})2De+1>pq C3pj4ZjL&y n36#NkStY TUB5(b}Bi'Bhn>9ZZ^ gZv5v7Z4M*ď$h")`]Ao/>?ö9[[kW_ 5=[X$ 5čL/soƥ_GNK _cZDo hW4PǧhvhB +gOȕ |I_^s<1b+Ѩy=_aPqYʞ"p=tiC!uG ,J)0p] (TR|cƷ4»B/׾*ьůI-?诫8?ۯwW |#xwúϊMCB.񵥾[kY]G%u-c_XZ Q>stream 0 J q 538.5 0 0 61.5 28.35 14.2 cm /img0 Do Q 0.98431 0.78824 0.08627 RG 135.75 w 24.07 742.4 m 558.15 742.4 l S 0.001 w [] 0 d 2.25 w 20.74 812.53 m 561.48 812.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 20.74 674.53 m 561.48 674.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 21.82 813.61 m 21.82 673.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 560.4 813.61 m 560.4 673.45 l S 0.001 w [] 0 d q 191.25 0 0 117.75 28.35 685.65 cm /img1 Do Q /F1 12 Tf 0.6 0.6 0.6 rg BT 1 0 0 1 136.35 656.27 Tm (,QVSHFWLQJIRUEHWWHUOLYHV)Tj ET /F1 28 Tf 0 0 0 rg BT 1 0 0 1 147.05 596.27 Tm (.H\\LQVSHFWLRQUHSRUW)Tj ET 20.58 w 27.33 552.19 m 557.15 552.19 l S 0.001 w /F2 24 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 504.5 Tm (Care homes for older people)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 6 Tf BT 1 0 0 1 28.35 493.46 Tm ()Tj ET /F1 6 Tf BT 1 0 0 1 28.35 486.22 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 472.44 m 160.38 472.44 l S 0.001 w 1 1 1 RG 20.58 w 162.63 472.44 m 563.65 472.44 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 423.24 m 160.38 423.24 l S 0.001 w 1 1 1 RG 73.32 w 162.63 423.24 m 563.65 423.24 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 483.85 m 565.85 483.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 461.02 m 565.85 461.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 385.45 m 565.85 385.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 484.93 m 30.07 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 161.5 484.93 m 161.5 384.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 484.93 m 564.78 384.38 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 467.67 Tm (Name:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 467.67 Tm (Down House Residential Care Home)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 444.84 Tm (Address:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 165.48 444.84 Tm (Alum Bay New Road )Tj ET /F2 12 Tf BT 1 0 0 1 165.48 427.26 Tm (Totland)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 409.68 Tm (Isle Of Wight)Tj ET /F2 12 Tf BT 1 0 0 1 165.48 392.1 Tm (PO39 0ES)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 373.2 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 356.2 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 336.66 m 358.95 336.66 l S 0.001 w 1 1 1 RG 20.58 w 361.2 336.66 m 565.9 336.66 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 348.08 m 568.1 348.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 325.25 m 568.1 325.25 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.15 m 30.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 360.07 349.15 m 360.07 324.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 349.15 m 567.02 324.17 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 331.89 Tm (The quality rating for this )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 191.92 331.89 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 255.59 331.89 Tm ( is:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 399.3 331.89 Tm (zero star poor service)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 312.99 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 293.94 Tm (A quality rating is our assessment of how well a care home, agency or scheme is )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 276.94 Tm (meeting the needs of the people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 295.2 276.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 303.65 276.94 Tm (We give a quality rating following a full )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 259.94 Tm (assessment of the service.)Tj ET /F2 12 Tf BT 1 0 0 1 189.22 259.94 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 197.67 259.94 Tm (We call this a key inspection.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 242.94 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 225.46 m 315.25 225.46 l S 0.001 w 20.58 w 317.5 225.46 m 565.9 225.46 l S 0.001 w 1 1 1 RG 20.58 w 317.5 202.63 m 346.55 202.63 l S 0.001 w 20.58 w 348.8 202.63 m 377.9 202.63 l S 0.001 w 20.58 w 380.15 202.63 m 409.2 202.63 l S 0.001 w 20.58 w 411.45 202.63 m 440.55 202.63 l S 0.001 w 20.58 w 442.8 202.63 m 471.9 202.63 l S 0.001 w 20.58 w 474.15 202.63 m 503.2 202.63 l S 0.001 w 20.58 w 505.45 202.63 m 534.55 202.63 l S 0.001 w 20.58 w 536.8 202.63 m 565.9 202.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 236.87 m 568.1 236.87 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 214.04 m 568.1 214.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 191.21 m 568.1 191.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 237.95 m 30.07 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 237.95 m 316.37 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 215.12 m 347.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 215.12 m 379.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 215.12 m 410.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 215.12 m 441.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 215.12 m 473.02 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 215.12 m 504.32 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 215.12 m 535.67 190.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 237.95 m 567.02 190.13 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 220.69 Tm (Lead inspector:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 320.35 220.69 Tm (Date:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 34.05 197.86 Tm (Annie Kentfield)Tj ET /F2 12 Tf BT 1 0 0 1 329.63 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 360.95 197.86 Tm (8)Tj ET /F2 12 Tf BT 1 0 0 1 392.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 423.61 197.86 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 454.95 197.86 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 486.28 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 517.6 197.86 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 548.96 197.86 Tm (9)Tj ET /F3 10 Tf BT 1 0 0 1 28.35 178.96 Tm ()Tj ET /F3 10 Tf BT 1 0 0 1 28.35 161.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 144.96 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 132.89 Tm ()Tj ET /F1 10 Tf BT 1 0 0 1 297.64 120.82 Tm ()Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 10 0 obj<>>> endobj 11 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (2)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 10 Tf BT 1 0 0 1 297.64 803.65 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 787.03 Tm (This is a report of an inspection where we looked at how well this )Tj ET /F2 12 Tf BT 1 0 0 1 428.32 787.03 Tm (care home is meeting )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 769.53 Tm (the needs of people who use it.)Tj ET /F2 12 Tf BT 1 0 0 1 226.66 769.53 Tm (There is a summary of what we think this service does )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 752.03 Tm (well, what they have improved on and, where it applies, what they need to do better.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 734.54 Tm (We use the national minimum standards to describe the outcomes that people should )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 717.04 Tm (experience.)Tj ET /F2 12 Tf BT 1 0 0 1 106.61 717.04 Tm (National minimum standards are written by the Department of Health for )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 699.54 Tm (each type of care service.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 679.55 Tm (After the summary there is more detail about our findings. The following table explains )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 662.05 Tm (what you will see under each outcome area.)Tj ET [] 0 d 0.5 w 0 0 0 RG 22.69 653.87 m 572.15 653.87 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.69 320.23 m 572.15 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 22.7 653.87 m 22.7 320.23 l S 0.001 w [] 0 d [] 0 d 0.5 w 572.15 653.87 m 572.15 320.23 l S 0.001 w [] 0 d /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 640.57 Tm (Outcome area \(for example )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 173.59 640.57 Tm (Choice of home\))Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 610.27 Tm (These are the outcomes that people )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 216.34 610.27 Tm (staying in care homes should experience.)Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 435.79 610.27 Tm (They reflect the things )Tj ET 0 0 0 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 598.12 Tm (that people have said are important to them:)Tj ET 0 0 0 RG 0.001 w 0 Tr 1 0.9451 0.76078 RG 82.23 w 30.6 533.38 m 562.45 533.38 l S 0.001 w 1 1 1 RG 39.99 w 29.47 513.38 m 563.57 513.38 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 576.74 m 565.77 576.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 534.5 m 565.77 534.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 492.26 m 565.77 492.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 577.82 m 28.35 491.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 577.82 m 564.7 491.18 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 561.06 Tm (This box tells you the outcomes that we will always inspect against when we do a key )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 543.56 Tm (inspection)Tj ET /F2 10 Tf BT 1 0 0 1 95.78 543.56 Tm (.)Tj ET /F2 12 Tf BT 1 0 0 1 34.87 518.82 Tm (This box tells you any additional outcomes that we may inspect against when we do a )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 501.32 Tm (key inspection.)Tj ET /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 461.81 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 131.32 461.81 Tm (staying in this care home experience:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 424.65 Tm (Judgement:)Tj ET 1 0.9451 0.76078 RG 39.99 w 30.6 393.35 m 562.45 393.35 l S 0.001 w 1 1 1 RG 39.99 w 29.47 394.47 m 563.57 394.47 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 415.59 m 565.77 415.59 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 373.35 m 565.77 373.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 416.67 m 28.35 372.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 416.67 m 564.7 372.27 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 399.91 Tm (This box tells you our opinion of what we have looked at in this outcome area.)Tj ET /F2 12 Tf BT 1 0 0 1 517.79 399.91 Tm (We )Tj ET /F2 12 Tf BT 1 0 0 1 34.87 382.41 Tm (will say whether it is excellent, good, adequate or poor.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 356.54 Tm (Evidence:)Tj ET 1 0.9451 0.76078 RG 22.5 w 30.6 333.98 m 562.45 333.98 l S 0.001 w 1 1 1 RG 22.5 w 29.47 335.11 m 563.57 335.11 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 27.27 347.48 m 565.77 347.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.27 322.73 m 565.77 322.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.35 348.55 m 28.35 321.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.7 348.55 m 564.7 321.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.87 331.79 Tm (This box describes the information we used to come to our judgement.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 285.18 Tm (Copies of the)Tj ET /F2 12 Tf BT 1 0 0 1 111.71 285.18 Tm (National Minimum Standards )Tj ET /F2 12 Tf BT 1 0 0 1 290.49 285.18 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 302.34 285.18 Tm (Care Homes for Older People)Tj ET /F2 12 Tf BT 1 0 0 1 477.18 285.18 Tm ( can be found )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 267.68 Tm (at www.dh.gov.uk or bought from The Stationery Office \(TSO\) PO Box 29, St Crispins, )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 250.18 Tm (Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 232.69 Tm (Stationery Office is also available: )Tj ET /F2 12 Tf 0 0 1 rg BT 1 0 0 1 238.73 232.69 Tm (www.tso.co.uk/bookshop)Tj ET /F2 12 Tf 0 0 0 rg BT 1 0 0 1 28.35 192.7 Tm (The Commission for Social Care Inspection aims to:)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 172.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 172.7 Tm (Put the people who use social care first)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 155.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 155.06 Tm (Improve services and stamp out bad practice)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 137.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 137.42 Tm (Be an expert voice on social care)Tj ET /F4 12 Tf BT 1 0 0 1 46.35 119.78 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 64.35 119.78 Tm (Practise what we preach in our own organisation)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 79.64 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 13 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (3)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (5HDGHU,QIRUPDWLRQ)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 28.35 774.22 m 224.05 774.22 l S 0.001 w 1 1 1 RG 20.58 w 226.3 774.22 m 567 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 751.39 m 224.05 751.39 l S 0.001 w 1 1 1 RG 20.58 w 226.3 751.39 m 567 751.39 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 728.56 m 224.05 728.56 l S 0.001 w 1 1 1 RG 20.58 w 226.3 728.56 m 567 728.56 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 705.73 m 224.05 705.73 l S 0.001 w 1 1 1 RG 20.58 w 226.3 705.73 m 567 705.73 l S 0.001 w 0.99608 0.9451 0.76078 RG 151.8 w 28.35 617.29 m 224.05 617.29 l S 0.001 w 1 1 1 RG 151.8 w 226.3 617.29 m 567 617.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 28.35 528.85 m 224.05 528.85 l S 0.001 w 1 1 1 RG 20.58 w 226.3 528.85 m 567 528.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 785.63 m 569.2 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 762.8 m 569.2 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 739.97 m 569.2 739.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 717.14 m 569.2 717.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 694.31 m 569.2 694.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 540.26 m 569.2 540.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 517.43 m 569.2 517.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 786.71 m 27.22 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 225.17 786.71 m 225.17 516.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 568.12 786.71 m 568.12 516.35 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 769.45 Tm (Document Purpose)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 769.45 Tm (Inspection report)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 746.62 Tm (Author)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 746.62 Tm (CSCI)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 723.79 Tm (Audience)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 723.79 Tm (General public)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 700.96 Tm (Further copies from)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 700.96 Tm (0870 240 7535 \(telephone order line\))Tj ET /F2 12 Tf BT 1 0 0 1 31.2 678.13 Tm (Copyright)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 678.13 Tm (Copyright \()Tj ET /F2 12 Tf BT 1 0 0 1 313.49 678.13 Tm (2009)Tj ET /F2 12 Tf BT 1 0 0 1 344.02 678.13 Tm (\) Commission for Social Care )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 663.55 Tm (Inspection \(CSCI\). This publication may be reproduced )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 648.97 Tm (in whole or in part, free of charge, in any format or )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 634.39 Tm (medium provided that it is not used for commercial )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 619.81 Tm (gain. This consent is subject to the material being )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 605.23 Tm (reproduced accurately and on proviso that it is not )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 590.65 Tm (used in a derogatory manner or misleading context. )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 576.07 Tm (The material should be acknowledged as CSCI )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 561.49 Tm (copyright, with the title and date of publication of the )Tj ET /F2 12 Tf BT 1 0 0 1 229.15 546.91 Tm (document specified.)Tj ET /F2 12 Tf BT 1 0 0 1 31.2 524.08 Tm (Internet address)Tj ET /F2 12 Tf BT 1 0 0 1 229.15 524.08 Tm (www.cqc.org.uk)Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 15 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (4)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F1 14 Tf BT 1 0 0 1 28.35 795.65 Tm (,QIRUPDWLRQDERXWWKHFDUHKRPH)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 774.22 m 267.95 774.22 l S 0.001 w 1 1 1 RG 20.58 w 270.2 774.22 m 565.65 774.22 l S 0.001 w 0.99608 0.9451 0.76078 RG 73.32 w 31.2 725.02 m 267.95 725.02 l S 0.001 w 1 1 1 RG 73.32 w 270.2 725.02 m 565.65 725.02 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 675.82 m 267.95 675.82 l S 0.001 w 1 1 1 RG 20.58 w 270.2 675.82 m 565.65 675.82 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 652.99 m 267.95 652.99 l S 0.001 w 1 1 1 RG 20.58 w 270.2 652.99 m 565.65 652.99 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 630.16 m 267.95 630.16 l S 0.001 w 1 1 1 RG 20.58 w 270.2 630.16 m 565.65 630.16 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 607.33 m 267.95 607.33 l S 0.001 w 1 1 1 RG 20.58 w 270.2 607.33 m 565.65 607.33 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 785.63 m 567.85 785.63 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 762.8 m 567.85 762.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 687.23 m 567.85 687.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 664.4 m 567.85 664.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 641.57 m 567.85 641.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 618.74 m 567.85 618.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 595.91 m 567.85 595.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 786.71 m 30.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 269.07 786.71 m 269.07 594.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.77 786.71 m 566.77 594.84 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 769.45 Tm (Name of care home:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 769.45 Tm (Down House Residential Care Home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 746.62 Tm (Address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 746.62 Tm (Alum Bay New Road)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 729.04 Tm (Totland)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 711.46 Tm (Isle Of Wight)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 693.88 Tm (PO39 0ES)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 671.05 Tm (Telephone number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 671.05 Tm (01983752730)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 648.22 Tm (Fax number:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 648.22 Tm (01983753624)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 625.39 Tm (Email address:)Tj ET /F2 12 Tf BT 1 0 0 1 273.05 625.39 Tm (clacktmc@aol.com)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 602.56 Tm (Provider web address:)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 564.12 m 353.25 564.12 l S 0.001 w 1 1 1 RG 20.58 w 355.5 564.12 m 565.9 564.12 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 541.29 m 353.25 541.29 l S 0.001 w 1 1 1 RG 20.58 w 355.5 541.29 m 565.9 541.29 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 518.46 m 353.25 518.46 l S 0.001 w 1 1 1 RG 20.58 w 355.5 518.46 m 565.9 518.46 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 575.54 m 568.1 575.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 552.71 m 568.1 552.71 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 529.88 m 568.1 529.88 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.05 m 568.1 507.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 576.61 m 30.07 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 576.61 m 354.37 505.97 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 576.61 m 567.02 505.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 559.35 Tm (Name of registered provider\(s\):)Tj ET /F2 12 Tf BT 1 0 0 1 355.5 559.35 Tm (Mrs )Tj ET /F2 12 Tf BT 1 0 0 1 381.21 559.35 Tm (Trina Marie )Tj ET /F2 12 Tf BT 1 0 0 1 453.16 559.35 Tm (Clack)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 536.52 Tm (Type of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 536.52 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 513.69 Tm (Number of places registered:)Tj ET /F2 12 Tf BT 1 0 0 1 358.35 513.69 Tm (17)Tj ET /F2 10 Tf BT 1 0 0 1 28.35 494.75 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 475.26 m 565.6 475.26 l S 0.001 w 41.16 w 31.2 442.14 m 297.2 442.14 l S 0.001 w 20.58 w 299.45 452.43 m 565.6 452.43 l S 0.001 w 20.58 w 299.45 431.85 m 432.52 431.85 l S 0.001 w 20.58 w 432.52 431.85 m 565.6 431.85 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 486.67 m 567.8 486.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 463.84 m 567.8 463.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 420.43 m 567.8 420.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 487.75 m 30.07 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 464.92 m 298.32 419.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 487.75 m 566.72 419.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 470.49 Tm (Conditions of registration:)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 447.66 Tm (Category\(ies\) :)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 447.66 Tm (Number of places \(if applicable\):)Tj ET /F2 12 Tf BT 1 0 0 1 302.3 427.08 Tm (Under 65)Tj ET /F2 12 Tf BT 1 0 0 1 435.37 427.08 Tm (Over 65)Tj ET 1 1 1 RG 20.58 w 31.2 405.64 m 297.3 405.64 l S 0.001 w 20.58 w 299.55 405.64 m 431.45 405.64 l S 0.001 w 20.58 w 433.7 405.64 m 565.6 405.64 l S 0.001 w 35.16 w 31.2 375.52 m 297.3 375.52 l S 0.001 w 35.16 w 299.55 375.52 m 431.45 375.52 l S 0.001 w 35.16 w 433.7 375.52 m 565.6 375.52 l S 0.001 w 20.58 w 31.2 345.4 m 297.3 345.4 l S 0.001 w 20.58 w 299.55 345.4 m 431.45 345.4 l S 0.001 w 20.58 w 433.7 345.4 m 565.6 345.4 l S 0.001 w 0.99608 0.9451 0.76078 RG 20.58 w 31.2 322.57 m 565.6 322.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 567.8 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 567.8 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.33 m 568.1 288.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 417.06 m 567.8 417.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 394.23 m 567.8 394.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 356.82 m 567.8 356.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 333.99 m 567.8 333.99 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 311.16 m 568.1 311.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 288.33 m 568.1 288.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 221.76 m 568.1 221.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 418.13 m 30.07 220.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.42 418.13 m 298.42 332.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.57 418.13 m 432.57 332.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 418.13 m 566.72 220.68 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 400.87 Tm (dementia)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 400.87 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 400.87 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 378.04 Tm (old age, not falling within any other )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 363.46 Tm (category)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 378.04 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 378.04 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 340.63 Tm (physical disability)Tj ET /F2 12 Tf BT 1 0 0 1 302.4 340.63 Tm (17)Tj ET /F2 12 Tf BT 1 0 0 1 436.55 340.63 Tm (0)Tj ET /F2 12 Tf BT 1 0 0 1 34.05 317.8 Tm (Additional conditions: )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 294.97 Tm (The maximum number of service users to be accommodated is 17. )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 272.14 Tm (The registered person may provide the following category/ies of service only: Care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 257.56 Tm (home only - \(PC\) to service users of the following gender: Either Whose primary care )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 242.98 Tm (needs on admission to the home are within the following categories: Dementia \(DE\) )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 228.4 Tm (Old age, not falling within any other category \(OP\) Physical disability \(PD\).)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 206.97 m 315.25 206.97 l S 0.001 w 1 1 1 RG 20.58 w 317.5 206.97 m 346.55 206.97 l S 0.001 w 20.58 w 348.8 206.97 m 377.9 206.97 l S 0.001 w 20.58 w 380.15 206.97 m 409.2 206.97 l S 0.001 w 20.58 w 411.45 206.97 m 440.55 206.97 l S 0.001 w 20.58 w 442.8 206.97 m 471.9 206.97 l S 0.001 w 20.58 w 474.15 206.97 m 503.2 206.97 l S 0.001 w 20.58 w 505.45 206.97 m 534.55 206.97 l S 0.001 w 20.58 w 536.8 206.97 m 565.9 206.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 218.38 m 568.1 218.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 195.55 m 568.1 195.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 219.46 m 30.07 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 219.46 m 316.37 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 219.46 m 347.67 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 219.46 m 379.02 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 219.46 m 410.32 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 219.46 m 441.67 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 219.46 m 473.02 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 219.46 m 504.32 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 219.46 m 535.67 194.48 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 219.46 m 567.02 194.48 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 202.2 Tm (Date of last inspection)Tj ET 0.99608 0.9451 0.76078 RG 17 w 31.2 183.68 m 565.9 183.68 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 174.05 m 568.1 174.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 175.13 m 30.07 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 175.13 m 567.02 39.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 193.3 m 568.1 193.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 174.05 m 568.1 174.05 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 40.22 m 568.1 40.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 194.38 m 30.07 172.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 194.38 m 567.02 172.98 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 180.12 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 180.12 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 160.87 Tm (Down House offers residential care for up to 17 older people. The new owner of Down )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 143.87 Tm (House took over the home in December 2007. The home is a period property set in )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 126.87 Tm (spacious grounds and provides bedrooms on the ground and first floors with a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 109.87 Tm (passenger lift to access the first floor. The home has two small sitting rooms and a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 92.87 Tm (dining room that has recently been extended and refurbished. Residents have access )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 75.87 Tm (to a sunny garden area with seating and tables. The fees vary according to the care )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 17 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 485.42 30.79 Tm (Page)Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 515.95 30.79 Tm (5)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 523.58 30.79 Tm ( of )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 541.88 30.79 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 17 w 31.2 804.03 m 565.9 804.03 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 794.4 m 568.1 794.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 795.48 m 30.07 757.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 795.48 m 567.02 757.08 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 28.99 758.15 m 568.1 758.15 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 814.73 m 30.07 793.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 814.73 m 567.02 793.33 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 800.47 Tm (Brief description of the )Tj ET /F2 12 Tf BT 1 0 0 1 177.31 800.47 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 33.25 783.47 Tm (provided with additional charges for chiropody and hairdressing. Other additional )Tj ET /F2 12 Tf BT 1 0 0 1 33.25 766.47 Tm (charges are listed in the service user guide.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 746.09 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 729.09 Tm ()Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 20 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Length 531/Matrix [1 0 0 1 0 0]>>stream xn0 ~ K&R%7+S6P4n"] C%E)3 Zψˢd05yJdYm{~sny>[ɸ`rV R QV2ѐ(D z`5%x9z1`//=WT7V Z[S{zWҩFRP N(Dn#2hY-`v--`V`ӒPg.OllN0BV NNU5`G]$/`^8P]%Gdt'- %uCjK38lYU3QPWClDVWIK:`\@9*&~,uI}K:thVӹ<t9vmrqY\.]85~|.)M`JcYTpS_iytwpf}Wl2SOZ(igh?if6=zT V2M``~[>sŲ> endobj 22 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 17.5 w 28.35 55.27 m 568.35 55.27 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.75 51.96 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 483.75 52.97 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 514.27 52.97 Tm (6)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 521.27 52.97 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 539.56 52.97 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F5 10 Tf BT 1 0 0 1 28.35 37.61 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 28.35 786.6 Tm ()Tj ET /F1 14 Tf BT 1 0 0 1 28.35 761.65 Tm (6XPPDU\\)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 740.7 Tm (This is an overview of what we found during the inspection.)Tj ET 0.99608 0.9451 0.76078 RG 20.58 w 31.2 720.22 m 381.05 720.22 l S 0.001 w 1 1 1 RG 20.58 w 383.3 720.22 m 566.2 720.22 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 731.64 m 568.4 731.64 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 708.81 m 568.4 708.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 732.71 m 30.07 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 382.17 732.71 m 382.17 707.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 732.71 m 567.32 707.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 34.05 715.45 Tm (The quality rating for this )Tj ET /F2 12 Tf BT 1 0 0 1 191.92 715.45 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 255.59 715.45 Tm ( is:)Tj ET /F2 12 Tf BT 1 0 0 1 410.5 715.45 Tm (zero star poor service)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 683.31 Tm (2XUMXGJHPHQWIRUHDFKRXWFRPH)Tj ET /F2 10 Tf BT 1 0 0 1 212.29 607.27 Tm (Choice of home)Tj ET /F2 10 Tf BT 1 0 0 1 164.41 567.02 Tm (Health and personal care)Tj ET /F2 10 Tf BT 1 0 0 1 145.18 526.77 Tm (Daily life and social activities)Tj ET /F2 10 Tf BT 1 0 0 1 157.95 486.52 Tm (Complaints and protection)Tj ET /F2 10 Tf BT 1 0 0 1 226.36 446.27 Tm (Environment)Tj ET /F2 10 Tf BT 1 0 0 1 251.17 406.02 Tm (Staffing)Tj ET /F2 10 Tf BT 1 0 0 1 127.47 365.77 Tm (Management and administration)Tj ET q 0.75227 0 0 0.75161 305.05 300.32 cm /Xf1 Do Q 1 1 1 RG 20.58 w 31.2 249.07 m 567.85 249.07 l S 0.001 w 171.39 w 32.32 150.84 m 566.72 150.84 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 237.66 m 567.85 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 237.66 m 568.92 237.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 64.02 m 568.92 64.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 238.74 m 31.2 62.94 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 238.74 m 567.85 62.94 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 244.3 Tm (How we did our inspection:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 35.17 221.48 Tm (We made an unannounced visit to the home on 28 April 2009. The visit lasted for 6 )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 206.9 Tm (hours and was with one inspector \(Annie Kentfield\). During the visit we spoke to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 192.32 Tm (owner \(registered provider\), the manager, and some of the staff and residents. We )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 177.74 Tm (looked at some of the communal areas of the home, the laundry and toilets and )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 163.15 Tm (bathrooms. We also looked at some of the home's records including care plans, )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 148.57 Tm (medication records, staff training and recruitment records and health and safety )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 133.99 Tm (records.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 119.42 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 104.83 Tm (We received the Annual Quality Assurance Assessment from the home. This is a )Tj ET /F2 12 Tf BT 1 0 0 1 523.74 104.83 Tm (self-)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 90.25 Tm (assessment)Tj ET /F2 12 Tf BT 1 0 0 1 105.69 90.25 Tm ( that tells us what the home does well, where improvements will be made )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 75.68 Tm (and gives us some numerical information about the service.)Tj ET endstream endobj 23 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 595 842]>> endobj 24 0 obj <>stream 0 J 1 1 1 RG 148.8 w 32.32 738.13 m 566.72 738.13 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 813.65 m 568.92 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 662.6 m 568.92 662.6 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 814.73 m 31.2 661.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 814.73 m 567.85 661.53 l S 0.001 w [] 0 d /F2 12 Tf 0 0 0 rg BT 1 0 0 1 32.92 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 788.14 Tm (Before the visit we sent surveys to 15 of the residents, 10 staff and 5 health and social )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 773.56 Tm (care professionals. We received comments from 8 residents, 4 staff and one health and )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 758.98 Tm (social care professional. We also sought feedback from Social Services on the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 744.4 Tm (outcomes of a recent safeguarding investigation about concerns with practice in the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 729.82 Tm (home and the safety of residents using the service. All of this information is included in )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 715.24 Tm (the body of the report.)Tj ET /F2 12 Tf BT 1 0 0 1 32.92 700.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 32.92 686.08 Tm (During the visit we made immediate requirements about poor practice in the )Tj ET /F2 12 Tf BT 1 0 0 1 32.92 671.5 Tm (administration of medication and poor infection control procedures in the home.)Tj ET endstream endobj 25 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 26 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (8)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 20.58 w 31.2 803.36 m 567.85 803.36 l S 0.001 w 122.64 w 32.32 729.5 m 566.72 729.5 l S 0.001 w 20.58 w 32.7 655.64 m 569.35 655.64 l S 0.001 w 49.74 w 33.82 618.23 m 568.22 618.23 l S 0.001 w 20.58 w 33.45 580.82 m 570.1 580.82 l S 0.001 w 477.31 w 34.57 329.63 m 568.97 329.63 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 31.2 791.95 m 567.85 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 791.95 m 568.92 791.95 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 667.06 m 568.92 667.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 793.03 m 31.2 665.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 667.06 m 569.35 667.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 644.23 m 569.35 644.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 644.23 m 570.42 644.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.62 592.24 m 570.42 592.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 569.41 m 570.1 569.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 592.24 m 570.1 592.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 569.41 m 571.17 569.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 89.85 m 571.17 89.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.7 645.31 m 32.7 591.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 570.49 m 33.45 88.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.85 793.03 m 567.85 665.98 l S 0.001 w [] 0 d [] 0 d 2.25 w 569.35 645.31 m 569.35 591.16 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 570.49 m 570.1 88.77 l S 0.001 w [] 0 d /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 798.59 Tm (What the )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 90.52 798.59 Tm (care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 154.2 798.59 Tm ( does well:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 567.85 801.25 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 775.76 Tm (These are some of the comments that we received from residents in the survey forms:)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 761.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 746.6 Tm ('Very good, wholesome meals and generous portions'. 'The decor is lovely'.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 732.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 717.44 Tm (The statement of purpose for the home states: 'We place the rights of residents at the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 702.86 Tm (forefront of our philosophy of care. We seek to advance these rights in all aspects of )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 688.28 Tm (the environment and the services we provide and to encourage our residents to )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 673.7 Tm (exercise their rights to the full'.)Tj ET /F2 10 Tf BT 1 0 0 1 568.97 727.95 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 653.53 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 32.7 650.87 Tm (What has improved since the last inspection?)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 569.35 654.09 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 616.68 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 36.67 628.04 Tm (Since the last inspection many parts of the home have been decorated and refurbished )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 613.46 Tm (including the snug, lounge, 5 bedrooms and hallways. Work is currently being carried )Tj ET /F2 12 Tf BT 1 0 0 1 36.67 598.88 Tm (out on the exterior of the building.)Tj ET /F2 10 Tf BT 1 0 0 1 570.47 616.68 Tm ()Tj ET /F2 10 Tf BT 1 0 0 1 31.2 579.27 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 33.45 576.05 Tm (What they could do better:)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 10 Tf BT 1 0 0 1 31.2 328.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 553.22 Tm (The registered provider has not taken appropriate action to comply with previous )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 538.64 Tm (regulatory requirements.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 524.06 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 509.48 Tm (Residents are moving into the home without a comprehensive assessment of their care )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 494.9 Tm (needs being carried out. This means that residents may be at risk of not receiving the )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 480.32 Tm (care they need and the home may not be able to provide the equipment or staffing to )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 465.74 Tm (support the resident. Residents are not consulted about their plan of care.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 451.16 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 436.58 Tm (Practice in the home for storing, dispensing and recording residents' medication is not )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 422 Tm (safe and residents may at risk of not receiving their medication, as prescribed, at all )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 407.42 Tm (times. This was a previous regulatory requirement and the home has not complied with )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 392.84 Tm (this legal requirement.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 378.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 363.68 Tm (The registered person has not complied with legal requirements for the safe storage of )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 349.1 Tm (controlled drugs.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 334.52 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 319.94 Tm (Individual care plans are not person centred and care plans do not record all individual )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 305.36 Tm (health care or social care needs. The health care needs of the residents are not safely )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 290.78 Tm (and consistently met at all times. Any risks to residents are not clearly identifed with )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 276.2 Tm (guidance for care staff on how risks or events must be managed.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 261.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 247.04 Tm (Residents are offered limited opportunities for social and leisure activities. Residents )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 232.46 Tm (are not regularly consulted about their choices or preferences for activities.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 217.88 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 203.3 Tm (The home does not have an open and positive approach to complaints or comments )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 188.72 Tm (about the home. The complaints information is out of date.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 174.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 159.56 Tm (The home does not have robust procedures to ensure that residents are protected from )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 144.98 Tm (the risk of harm or abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 37.42 130.4 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 37.42 115.82 Tm (Events in the home that affect the safety and well being of the residents must be )Tj ET /F2 12 Tf BT 1 0 0 1 37.42 101.24 Tm (reported to the commission without delay, this is a legal requirement.)Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 28 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (9)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 515.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 533.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 1 1 1 RG 294.6 w 34.57 665.23 m 568.97 665.23 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 32.37 813.65 m 571.17 813.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 32.37 516.8 m 571.17 516.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 33.45 814.73 m 33.45 515.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 570.1 814.73 m 570.1 515.73 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.17 802.72 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 788.14 Tm (The home does not have a staff training and development plan and not all of the staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 773.56 Tm (have received training in all areas of safe working practice. Some areas of training )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 758.98 Tm (have not been identified and met such as dementia care, mental health care and the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 744.4 Tm (Mental Capacity Act.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 729.82 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 715.24 Tm (The service has not made an application for the manager to be registered with the )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 700.66 Tm (commission, in a timely manner.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 686.08 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 671.5 Tm (The home does not have a thorough and consistent approach to promoting safe )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 656.92 Tm (practice and ensuring that the service meets all relevant health and safety legislation. )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 642.34 Tm (The home has only taken action to meet some health and safety requirements when an )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 627.76 Tm (inspection has made regulatory requirements. The fire safety risk assessment has not )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 613.18 Tm (been reviewed and updated and there is no procedure for carrying out regular fire )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 598.6 Tm (safety drills or practices.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 584.02 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 569.44 Tm (The systems for monitoring the quality of care provided are not fully developed or part )Tj ET /F2 12 Tf BT 1 0 0 1 35.17 554.86 Tm (of practice in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.17 540.28 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.17 525.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 502.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 482.25 Tm (If you want to know what action the person responsible for this )Tj ET /F2 12 Tf BT 1 0 0 1 416.37 482.25 Tm (care home)Tj ET /F2 12 Tf BT 1 0 0 1 480.04 482.25 Tm ( is taking )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 464.75 Tm (following this report, you can contact them using the details set out on page 4.)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 444.76 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 28.35 424.76 Tm (The report of this inspection is available from our website )Tj ET /F2 12 Tf BT 1 0 0 1 380.85 424.76 Tm (www.cqc.org.uk.)Tj ET /F2 12 Tf BT 1 0 0 1 490.78 424.76 Tm (You can get )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 407.26 Tm (printed copies from )Tj ET /F2 12 Tf BT 1 0 0 1 149.87 407.26 Tm (enquiries@cqc.org.uk or by telephoning our order line )Tj ET /F2 12 Tf BT 1 0 0 1 488.4 407.26 Tm (0870 240 )Tj ET /F2 12 Tf BT 1 0 0 1 28.35 389.77 Tm (7535.)Tj ET endstream endobj 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 30 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 52.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (10)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 53.04 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 28.35 801.59 Tm ()Tj ET /F2 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.58 Tm (Details of our findings)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 26 w 32.32 746.27 m 562.53 746.27 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 761.52 m 565.85 761.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 733.27 m 565.85 733.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 762.6 m 30.07 732.19 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 762.6 m 564.78 732.19 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 744.39 Tm (&RQWHQWV)Tj ET 1 1 1 RG 16 w 28.35 700.02 m 566.93 700.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 695.96 Tm (Choice of home \(standards 1 - 6\))Tj ET 16 w 28.35 678.02 m 566.93 678.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 673.96 Tm (Health and personal care \(standards 7 - 11\))Tj ET 16 w 28.35 656.02 m 566.93 656.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 651.96 Tm (Daily life and social activities \(standards 12 - 15\))Tj ET 16 w 28.35 634.02 m 566.93 634.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 629.96 Tm (Complaints and protection \(standards 16 - 18\))Tj ET 16 w 28.35 612.02 m 566.93 612.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 607.96 Tm (Environment \(standards 19 - 26\))Tj ET 16 w 28.35 590.02 m 566.93 590.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 585.96 Tm (Staffing \(standards 27 - 30\))Tj ET 16 w 28.35 568.02 m 566.93 568.02 l S 0.001 w /F2 12 Tf BT 1 0 0 1 28.35 563.96 Tm (Management and administration \(standards 31 - 38\))Tj ET /F2 12 Tf BT 1 0 0 1 28.35 543.96 Tm (Outstanding statutory requirements)Tj ET /F2 12 Tf BT 1 0 0 1 28.35 522.09 Tm (Requirements and recommendations from this inspection)Tj ET endstream endobj 31 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 33 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (11)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Choice of home)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 206.25 w 32.32 593.29 m 562.53 593.29 l S 0.001 w 1 1 1 RG 119 w 31.2 550.79 m 563.65 550.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 490.17 m 565.85 490.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 489.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 489.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People are confident that the care home can support them. This is because there is an )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (accurate assessment of their needs that they, or people close to them, have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (involved in. This tells the home all about them and the support they need. People who )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (stay at the home only for intermediate care, have a clear assessment that includes a )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (plan on what they hope for and want to achieve when they return home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People can decide whether the care home can meet their support and accommodation )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (needs. This is because they, or people close to them, have been able to visit the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and have got full, clear, accurate and up to date information about the home. If they )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (decide to stay in the home they know about their rights and responsibilities because )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (there is an easy to understand contract or statement of terms and conditions between )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (them and the care home that includes how much they will pay and what the home )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 496.23 Tm (provides for the money.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 471.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 449.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 449.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 449.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 449.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 432.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 351.25 m 563.65 351.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 419.73 m 565.9 419.73 l S 0.001 w 132.47 w 32.32 340 m 564.78 340 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 407.36 m 566.98 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 408.44 m 31.2 271.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 408.44 m 565.9 271.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 407.36 m 565.9 407.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 272.64 m 566.98 272.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 416.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 391.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 391.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 374.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 354.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 334.19 Tm (The home does not have an organised, consistent or person centred approach to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.69 Tm (assessing the care needs of prospective residents before they move into the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 299.2 Tm (Residents who move into the home may be at risk of not receiving the care they need.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 281.7 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 178.54 w 33.45 157.5 m 563.65 157.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 237.77 m 565.9 237.77 l S 0.001 w 157.17 w 32.32 145.69 m 564.78 145.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 225.4 m 566.98 225.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 226.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 226.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 225.4 m 565.9 225.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 234.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.71 Tm (When we last visited the home we found that there were no written records of the care )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 192.22 Tm (needs assessments of people who had moved into the home. On that occasion the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.72 Tm (registered provider told us that the registered manager had carried out the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 157.22 Tm (assessments and the records could not be found. We recommended at the last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.73 Tm (inspection that the registered person should develop an organised process for carrying )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 122.23 Tm (out the assessment of care needs before people move into the home. We also said that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.74 Tm (the assessment should be person centred and comprehensive, to identify prospective )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 87.24 Tm (residents' social, psychological, health care, and religious and spiritual needs. This )Tj ET endstream endobj 35 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 36 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (12)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 461.27 w 33.45 580.77 m 563.65 580.77 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 439.9 w 32.32 568.96 m 564.78 568.96 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 346.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 347.88 m 566.98 347.88 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (would ensure that care staff have all the information they need to provide personalised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (care to each resident that is consistent and thorough.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (In the Annual Quality Assurance Assessment, the registered provider told us that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (home 'makes a full assessment of need before people move into the home so that we )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (can meet their needs'. However, we did not find evidence to support this statement.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (For one resident who moved into the home this year, the assessment consisted of a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (half page of rough notes made by hand. The registered provider had obtained a copy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (of the Social Services care manager assessment and a care plan was drawn up from )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the care manager assessment and the brief notes made by the registered provider. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (The registered provider told us that she spoke to the residents' family to gather more )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (information but there was no written evidence that the home had consulted with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (resident or their family about individual needs, preferences, or choices, about how care )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (is to be provided. The notes that the registered provider had written did not contain )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (any information about how many staff would be needed to meet care needs or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (whether any specialist equipment would be needed by this resident. This means that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (residents who move into the home may be at risk of not receiving the care they need )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (and staff may not have all the information they need to meet a residents' care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (We were not able to speak to the resident but we looked at what people had told us in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (the surveys. One person told us that they had been helped to choose the home after )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (their family had visited to look around. All of the surveys told us that people always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (receive the care and support they need. However, six of the eight surveys were written )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (by one member of staff who helped residents fill them in.)Tj ET endstream endobj 37 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 38 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (13)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Health and personal care)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.25 w 32.32 610.29 m 562.53 610.29 l S 0.001 w 1 1 1 RG 68 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 594.42 m 565.85 594.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 524.17 m 565.85 524.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 523.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 523.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Peoples health, personal and social care needs are met. The home has a plan of care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (that the person, or someone close to them, has been involved in making. If they take )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (medicine, they manage it themselves if they can. If they cannot manage their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (medicine, the care home supports them with it, in a safe way. Peoples right to privacy )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (is respected and the support they get from staff is given in a way that maintains their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (dignity.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (If people are approaching the end of their life, the care home will respect their choices )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (and help them feel comfortable and secure. They, and people close to them, are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (reassured that their death will be handled with sensitivity, dignity and respect, and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (take account of their spiritual and cultural wishes. )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 505.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 483.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 483.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 483.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 483.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 466.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 207.46 w 33.45 359 m 563.65 359 l S 0.001 w 1 1 1 RG 22.5 w 31.2 453.73 m 565.9 453.73 l S 0.001 w 184.96 w 32.32 347.76 m 564.78 347.76 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 441.36 m 566.98 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 442.44 m 31.2 253.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 442.44 m 565.9 253.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 441.36 m 565.9 441.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 254.15 m 566.98 254.15 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 450.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 425.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 425.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 425.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 388.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 368.19 Tm (The delivery of health care does not reflect the home's statement of purpose. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 350.69 Tm (ongoing monitoring of health care needs is not organised or consistent. Residents are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.2 Tm (at risk of not receiving the care they need. Practice in the home for storing, dispensing )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 315.7 Tm (and recording residents' medication is not safe and residents may be at risk of not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.2 Tm (receiving their medication, as prescribed, at all times. This was a regulatory )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 280.71 Tm (requirement at the previous inspection and the home have not complied with legal )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 263.21 Tm (requirements about medication practice and the safe storage of controlled drugs.)Tj ET 0.99608 0.9451 0.76078 RG 160.05 w 33.45 148.25 m 563.65 148.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 219.28 m 565.9 219.28 l S 0.001 w 138.68 w 32.32 136.44 m 564.78 136.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 206.91 m 566.98 206.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 207.99 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 207.99 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 206.91 m 565.9 206.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 215.97 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.22 Tm (The health and personal care provided is not person centred. The individual plans of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 173.73 Tm (care that we looked at contained information about physical and health care needs. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.23 Tm (The care plans did not have a date so we did not know when the plan had been )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 138.74 Tm (written. The care plans had not been signed by the resident or their representative. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.24 Tm (This means that residents or their representives may not have been consulted about )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 103.74 Tm (their care plan or their preferences or choices as to how they would like care to be )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.25 Tm (provided.)Tj ET endstream endobj 39 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 40 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (14)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (Concerns about the health of two residents in the home were recently referred to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (Social Services as a safeguarding concern. The investigation found that the home had )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (not satisfactorily or promptly responded to the health care needs of two residents and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (there was a lack of awareness in the home of poor practice and the potential effect on )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (the health of the residents. The home told us that since the safeguarding investigation )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (they have reviewed their care plans and introduced new records to monitor the health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (care needs of residents. We were also told that records of residents' contact with GP's )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (or Community Nurses are now separately recorded in the care plans.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (We looked at three care plans. One care plan was for a resident who needs continence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (care but there was no continence assessment or care plan. The registered provider )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (told us that continence assessments are carried out by the community nurses and the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (home does not have a copy. However, there was no plan of care for how continence )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (needs would be met or information on what size pad should be used and when, or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (whether the resident needed to be assisted to go to the toilet. This could lead to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (people receiving care differently from different staff because there is no written )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (guidance or information.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (One care plan stated the person may not eat if they are low in mood. The care plan did )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (not contain guidance for care staff on the indicators for low mood and what action they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (should take if this happens. This resident did not have a nutritional assessment around )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (their potential eating problems and the risk of weight loss. The care plan says that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (resident should be weighed monthly but the daily records only record one weight )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (check on 16 April 2009. The daily care records state that weight for this resident has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (fluctuated and food intake should be monitored, however, we did not find a record of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (food intake being monitored. The registered provider told us that the residents' GP was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (consulted about the weight loss but we could not find a record of this. The care plan )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (for this resident was reviewed on the same date \(16 April\) but the review did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (contain any information about changes in care needs or the need to monitor food )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (intake. This means that the resident may not have their health care needs met and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (staff may not be aware that there are changes in their care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (One care plan records that a resident manages their own inhaler. The home supports )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (the resident to do this. They did not however do a risk assessment to cover the risks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (that this activity might pose to the resident, or other residents, nor how any risks )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (could be minimised.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (The daily records of care recorded on 27 April 2009 state that one resident should )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (have their fluid and food intake monitored. We asked the registered provider why this )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (had been recorded and we were told that the resident had not been eating very much. )Tj ET endstream endobj 41 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 42 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (15)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (However, the fluid and food intake had not been monitored and we were told that staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (would know if the resident was not eating or drinking. However, as there was no )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (written record there was no evidence that this was being monitored for any risks to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (the health of the resident. The registered provider told us that the home had only )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (recently started to weigh residents and residents had not been weighed when they first )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (moved into the home. A separate record is kept of bathing and weight checks but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (when we looked at these the records had not been completed since 24 April 2009. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (gaps in recording puts the resident at risk of not having their nutritional and health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (care needs identified and met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The Annual Quality Assurance Assessment completed by the registered provider states )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that a nutritional assessment has been completed for every resident but we did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (find evidence of this in the care plans. This means that residents who are at risk of not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (eating or drinking do not have a nutiritional care plan to guide staff on meeting their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (health care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (One care plan had identified that a resident has a high risk of falling. However, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (care plan did not contain any information on how this would be managed or minimised )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (to protect the resident from harm. This means that the resident may receive care and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (support differently from different staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The care plans are now reviewed monthly but records show that the review is recorded )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (with a signature of a member of staff and the review does not contain any details of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (events or changes in care needs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (When we visited the home in May 2008 we had concerns about gaps in the information )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (and records of care and we made a regulatory requirement for the home to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (that any risks to residents must be identified in the care plans and for a risk )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (management plan to include clear written guidance for care staff on the action they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (must take to manage or eliminate any risk to residents. The home has not taken )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (action to comply with this requirement. Failure to comply means that residents may be )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (at risk of their care needs not being met, and staff may not have the information they )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (need to manage events or minimise risks to residents health and well being.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (We also made regulatory requirements in 2008 about medication practice in the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (and the storage of controlled drugs. The home has not taken action to comply with )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (these requirements within the timescales given.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (The home does not have a clear audit trail for medication received, dispensed or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (returned. Some of the records of medication on the medication administration sheets )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (did not match up with medicines in the medication cupboard for example; one resident )Tj ET endstream endobj 43 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 44 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (16)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (is prescribed furosemide but the amounts recorded on the medication administration )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (records did not match up with the amounts in the cupboard.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (The manager and registered provider were not clear about areas of responsibility for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (safely managing residents' medication. Some of the medication is in monitored dosage )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (packs and some in original containers, however, the registered provider has not asked )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (for specialist pharmacy advice on how the home can safely resolve some of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (problems they are experiencing with receiving, storing and dispensing residents' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (medication. The manager and registered provider did not know why some of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (medication prescribed for residents is not printed on the medication administration )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (record that is supplied by the pharmacy but they had not sought clarification on this. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Some medication has been hand written by staff onto the administration record. These )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (hand written records have not been checked and counter signed. This means that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (medicine and the amounts to be taken may not be correct and match the prescribing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (instructions on the original container.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (Some of the residents are prescribed medicine that is to be taken as and when )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (required \(PRN\). The individual plans of care contain a PRN medication record. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (However, the records do not contain specific information for each resident and each )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (medicine. There was no information informing staff as to when and why these )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (medicines should be given. This could lead to people receiving their medicines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (differently from different staff.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (Medication is supplied to the home in a monitored dosage system, and in individual )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (containers. We observed staff transferring medicines from the original pharmacy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (supplied and labelled container and place them into another container for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (administration. This is called secondary dispensing and is an outdated and unsafe )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (practice and is not in line with best practice as described in 'The Handling of Medicines )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (in Social Care', produced by the Royal Pharmaceutical Society of Great Britain. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (practice was also described as frequently associated with medication errors in a report )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (by the Department of Health, 'Building a Safer NHS for Patients'. We also observed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (staff handling medication without gloves and dusting the medication 'pots' with their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (overalls. When we spoke to the registered provider we were told that staff have always )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (dispensed medication this way and the registered provider was not aware that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (practice is unsafe.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (Some of the staff in the home have received training in the safe administration of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (medication, however, some staff are dispensing medication without being trained or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (assessed as competent to do this. When we looked at the training records, one person )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (had not done any medication training since 2003, and two other members of staff who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (dispense medication had not done any training or been assessed by the registered )Tj ET endstream endobj 45 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 46 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (17)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 268.82 w 33.45 677 m 563.65 677 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 247.44 w 32.32 665.19 m 564.78 665.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 539.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 540.34 m 566.98 540.34 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (provider as competent to safely dispense medication. This means that residents may )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (be at risk from poor practice in the administration of residents' medication.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (We made a regulatory requirement in 2008 for the home to meet current legal )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (requirements for the storage of controlled drugs. The timescale for the home to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (comply with this requirement was 30/09/08 and the registered provider has failed to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (comply with this legal requirement. We found that controlled drugs are stored in a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (cash box in the medication cupboard and this does not meet legal requirements. We )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (were told that a cupboard had been purchased to store controlled drugs and was )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (awaiting installation. However, the cupboard is a first aid cupboard and does not meet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (the legal requirements for the safe storage of controlled drugs.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (We spoke to the registered provider and made immediate regulatory requirements )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (about medication practice and the storage of controlled drugs.)Tj ET endstream endobj 47 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 48 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (18)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Daily life and social activities)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 138.25 w 32.32 627.29 m 562.53 627.29 l S 0.001 w 1 1 1 RG 17 w 31.2 567.79 m 563.65 567.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.42 m 565.85 577.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 558.17 m 565.85 558.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 557.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 557.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (Each person is treated as an individual and the care home is responsive to his or her )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (race, culture, religion, age, disability, gender and sexual orientation. They are part of )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (their local community. The care home supports people to follow personal interests and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (activities. People are able to keep in touch with family, friends and representatives. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (They are as independent as they can be, lead their chosen lifestyle and have the )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 600.48 Tm (opportunity to make the most of their abilities. People have nutritious and attractive )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 583.48 Tm (meals and snacks, at a time and place to suit them.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 539.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 517.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 517.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 517.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 517.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 500.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 410.5 m 563.65 410.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 487.73 m 565.9 487.73 l S 0.001 w 149.97 w 32.32 399.25 m 564.78 399.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 475.36 m 566.98 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 476.44 m 31.2 322.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 476.44 m 565.9 322.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 475.36 m 565.9 475.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 323.14 m 566.98 323.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 484.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 459.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 459.68 Tm (adequate)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 318.25 459.68 Tm (quality outcomes in this area. We have )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 442.18 Tm (made this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 422.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 402.19 Tm (Residents are offered limited opportunities for social and leisure activities, collectively )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 384.69 Tm (rather than individually.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 367.2 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 349.7 Tm (Wholesome meals are offered in pleasant surroundings. Visitors are welcome at any )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 332.2 Tm (time.)Tj ET 0.99608 0.9451 0.76078 RG 229.05 w 33.45 182.75 m 563.65 182.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 288.27 m 565.9 288.27 l S 0.001 w 207.68 w 32.32 170.94 m 564.78 170.94 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 275.9 m 566.98 275.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 276.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 276.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 275.9 m 565.9 275.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 284.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 260.22 Tm (We were told in the Annual Quality Assurance Assessment that there is an extra )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 242.72 Tm (member of staff on duty on Thursday and Friday mornings to co-ordinate games, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 225.22 Tm (quizzes and activities with the residents. A local community arts group visit each )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 207.73 Tm (month to do music and reminiscence sessions with the residents. The record of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 190.23 Tm (activities was not up to date and nothing had been recorded since 10 April and the last )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 172.74 Tm (recorded visit for the arts group was 10 February. At the last inspection we wrote that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 155.24 Tm (the home should consider, as good practice, how activities can be arranged that are )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 137.74 Tm (suitable for the different needs and abilities of residents who have dementia, but there )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 120.25 Tm (is no evidence that this has been addressed. The care plans do not contain details of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 102.75 Tm (residents' choices or preferences about activities they like to do, or details of their )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 85.26 Tm (spiritual or cultural interests or choices. There is no evidence that residents are )Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 50 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (19)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 408.78 w 33.45 607.01 m 563.65 607.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 387.41 w 32.32 595.2 m 564.78 595.2 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 399.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 400.37 m 566.98 400.37 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (consulted about their choice of social activity.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (In the AQAA the registered provider stated that the service could do better by 'having )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (a list of all service users' choices to place in the activities book'. The AQAA did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (provide evidence of when this would be completed. Comments from staff in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (surveys told us that they would like to have more time to take residents out for trips, )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (shopping etc. The AQAA stated that outings will be arranged during the summer.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (Residents who completed surveys told us that they enjoyed the games and community )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (arts group. However, surveys were completed with assistance from staff in the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (and all comments were identical.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Wholesome meals are provided in pleasant and attractive surroundings. The home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (employs a cook for 5 days each week who prepares and cooks the lunchtime meal. The )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (registered provider cooks at weekends. Feedback from residents in the surveys )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (confirms that the meals provided are good. The dining room is furnished with matching )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (round tables and chairs, with tablecloths, flowers etc, to make mealtimes an attractive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (and pleasant experience.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (Visitors to the home are welcome and there is information for visitors and a visitors' )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (book in the entrance to the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm ()Tj ET endstream endobj 51 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 52 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (20)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Complaints and protection)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 87.25 w 32.32 652.79 m 562.53 652.79 l S 0.001 w 1 1 1 RG 17 w 31.2 618.79 m 563.65 618.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 628.42 m 565.85 628.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.17 m 565.85 609.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 608.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 608.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (If people have concerns with their care, they or people close to them know how to )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (complain. Any concern is looked into and action taken to put things right. The care )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (home safeguards people from abuse and neglect and takes action to follow up any )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (allegations.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (Peoples legal rights are protected, including being able to vote in elections.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 590.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 568.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 568.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 568.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 568.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 551.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 172.46 w 33.45 461.5 m 563.65 461.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 538.73 m 565.9 538.73 l S 0.001 w 149.97 w 32.32 450.25 m 564.78 450.25 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 526.36 m 566.98 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 527.44 m 31.2 373.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 527.44 m 565.9 373.07 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 526.36 m 565.9 526.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.14 m 566.98 374.14 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 535.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 510.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 510.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 510.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 473.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 453.19 Tm (Residents are not protected because of poor and inconsistent practice in the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 435.69 Tm (The registered person has not ensured that the home has robust procedures for )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.2 Tm (recognising or responding to concerns about the safety of residents in the home. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 400.7 Tm (Residents and their representatives are not provided with clear and accessible )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.2 Tm (information about the home's complaints procedure.)Tj ET 0.99608 0.9451 0.76078 RG 280.05 w 33.45 208.25 m 563.65 208.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.27 m 565.9 339.27 l S 0.001 w 258.68 w 32.32 196.44 m 564.78 196.44 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 326.9 m 566.98 326.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.98 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 327.98 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 326.9 m 565.9 326.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 335.96 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.22 Tm (The registered provider told us in the AQAA that all staff in the home have received )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 293.72 Tm (training in safeguarding or protecting vulnerable adults. However, the training records )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.22 Tm (were not up to date and did not provide evidence to support this statement. We were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 258.73 Tm (told that 5 of the care staff did some training the week prior to our visit in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.23 Tm (safeguarding awareness and were awaiting training certificates, but the manager was )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 223.74 Tm (not able to demonstrate that all staff in the home were up to date in their safeguarding )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.24 Tm (training because of the absence of up to date training records.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 188.74 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.25 Tm (There have been recent concerns about practice in the home and vulnerable residents )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 153.75 Tm (have been identified as being at risk of neglect because the registered person has not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.26 Tm (taken prompt and appropriate action to meet their health care needs. The concerns )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 118.76 Tm (were reported by health and social care professionals who visit the home.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 83.77 Tm (The registered person has not taken action to meet previous regulatory requirements )Tj ET endstream endobj 53 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 54 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (21)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 601.24 w 33.45 510.79 m 563.65 510.79 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 579.87 w 32.32 498.97 m 564.78 498.97 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 206.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 207.91 m 566.98 207.91 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (to ensure that any risks to residents are clearly identified and recorded and staff do )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (not have clear guidance on how events are to be managed or how any risks to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (residents must be minimised or eliminated. This means that residents in the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (may be at risk of their health care needs being overlooked or not met.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (The registered person has not notified us of events in the home that affect the safety )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (or well being of the residents. This is a legal requirement. The incident records in the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (home show that there have been events affecting residents that have not been )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (reported to us. The registered provider told us that she did not realise that this was a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (regulatory requirement. This means that residents may be at risk because the home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (do not have a clear policy and procedures for reporting events to the commission. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (Events affecting the safety and protection of residents have not been reported to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Social Services as safeguarding concerns. This means that staff are unaware of their )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (responsibilities to protect residents in the home and are not clear about the agreed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (policies and procedures they must follow.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The complaints procedure for the home is not easily accessible and the procedure has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (not been updated with information about how people can contact the commission if )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (they need to. The statement of purpose for the home says that 'despite eveything that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (we do to provide a secure environment, we know that residents may become )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (dissatisfied from time to time and we will provide when necessary a simple, clear and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (accessible complaints procedure'. However, the service user guide says that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (complaints procedure has to be requested. In addition, the information about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (contacting the commission refers to both the National Care Standards Commission )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (\(not in action since 2004\) and the Commission for Social Care Inspection, and also )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (gives the wrong address for the commission\). The AQAA states that no complaints )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (have been received. We did not find evidence that the service openly welcomes or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (values complaints or comments and the complaints information is unclear and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (incomplete for residents and visitors.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (At the last inspection we were told that the home plans to produce a complaints leaflet )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (that is accessible and easy to read, however, the registered person has not done this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm ()Tj ET endstream endobj 56 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 57 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (22)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Environment)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 68 w 31.2 627.29 m 563.65 627.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 662.42 m 565.85 662.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People stay in a safe and well-maintained home that is homely, clean, pleasant and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (hygienic. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 649.23 Tm (People stay in a home that has enough space and facilities for them to lead the life )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 632.23 Tm (they choose and to meet their needs. The home makes sure they have the right )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 615.23 Tm (specialist equipment that encourages and promotes their independence. Their room )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (feels like their own, it is comfortable and they feel safe when they use it.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 453.25 m 563.65 453.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 132.47 w 32.32 442 m 564.78 442 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 373.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 374.64 m 566.98 374.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (Current staffing issues have meant that some areas of the home are not being )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (maintained in a clean and hygienic state, at all times. Staff are not clear about the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (policy and procedures for infection control and reducing the risk of cross infection and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (this may put vulnerable residents at risk of infection.)Tj ET 0.99608 0.9451 0.76078 RG 280.54 w 33.45 208.5 m 563.65 208.5 l S 0.001 w 1 1 1 RG 22.5 w 31.2 339.77 m 565.9 339.77 l S 0.001 w 259.17 w 32.32 196.69 m 564.78 196.69 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 327.4 m 566.98 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 328.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 328.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 327.4 m 565.9 327.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 336.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 311.71 Tm (Comments from residents confirmed that the home is usually clean, tidy and pleasant. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 294.22 Tm (However, the cleaner employed by the home has left and will not be replaced until 18 )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (May 2009. We were told that in the interim period, care staff would be doing the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (cleaning. However, care staff have not been given specific tasks or cleaning duties to )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (ensure that all areas of the home are regularly cleaned. The shared toilets were in a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (very soiled and dirty state and there was no record of when they were last cleaned. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (Washbasins and commodes in some bedrooms were in urgent need of cleaning. )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (Commode frames were very dirty. The frame, legs and lids of the commodes in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (residents' bedrooms were stained and dusty. When we asked what the cleaning rota is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (for equipment in the home, the manager did not know. We also found that one )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (commode contained urine that had not been emptied.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (Mobility equipment such as zimmer frames and wheeled rollators were very dirty and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (in urgent need of cleaning. The seat and frame of one wheeled rollator did not appear )Tj ET endstream endobj 58 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 59 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (23)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 478.77 w 33.45 572.02 m 563.65 572.02 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 457.4 w 32.32 560.21 m 564.78 560.21 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 329.31 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 330.39 m 566.98 330.39 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (to have been cleaned for some time. This means that residents may be at risk of the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (spread of infection if essential equipment is not regularly cleaned and disinfected.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (We made an immediate requirement for action to be taken to ensure the home is clean )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (and hygienic to protect residents from the risk of infection.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (The home does not have a sluice and we were told that commode pans are cleaned in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (the sink in the laundry. To access the laundry room, staff have to carry commode pans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (and soiled laundry through the dining room and kitchen. We asked two members of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (staff about the infection control procedures for the home. We also asked if staff have a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (written policy and procedure to follow. Two people did not know if there was a policy )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (and procedure for safe practice. We were told by a member of staff that staff do not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (wear plastic aprons when cleaning commodes. We were told that the home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (temporarily run out of gloves. One person told us that commode pans are cleaned )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (every week in the laundry sink with disinfectant and another person told us that pans )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (are bleached every week. This means that different staff may be working in different )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (ways without clear guidance on what they should be doing to ensure that procedures )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (are safe and hygienic. The manager told us that they have not sought advice on best )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (practice guidance from an infection control specialist.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (Some areas of the home have been decorated and refurbished and some residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (commented on how nice the decoration is. Work is currently ongoing on the exterior of )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (the building. Since the registered provider purchased the home in 2007, the building )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (has been extensively repaired and refurbished. The registered provider told us that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (building had not been maintained well by the previous owners and the repairs needed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (to the building were still ongoing.)Tj ET endstream endobj 60 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 61 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (24)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Staffing)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 104.25 w 32.32 644.29 m 562.53 644.29 l S 0.001 w 1 1 1 RG 17 w 31.2 601.79 m 563.65 601.79 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 592.17 m 565.85 592.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 591.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 591.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have safe and appropriate support as there are enough competent staff on duty )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (at all times. They have confidence in the staff at the home because checks have been )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (done to make sure that they are suitable to care for them. Their needs are met and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (they are cared for by staff who get the relevant training and support from their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (managers.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (There are no additional outcomes.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 573.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 551.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 551.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 551.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 551.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 534.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.96 w 33.45 435.75 m 563.65 435.75 l S 0.001 w 1 1 1 RG 22.5 w 31.2 521.73 m 565.9 521.73 l S 0.001 w 167.46 w 32.32 424.5 m 564.78 424.5 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 509.36 m 566.98 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 510.44 m 31.2 338.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 510.44 m 565.9 338.57 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 509.36 m 565.9 509.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 339.65 m 566.98 339.65 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 518.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 493.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 493.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 493.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 476.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 456.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 436.19 Tm (The home does not have a comprehensive staff training plan and some of the staff )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 418.69 Tm (training is out of date and some areas of staff training are not being identified and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 401.2 Tm (met. The home does not provide person centred care and staffing levels mean that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 383.7 Tm (activities for the residents are limited. Staff recruitment procedures are not robust and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 366.2 Tm (staff supervision is infrequent and residents may not be protected from poor or )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 348.71 Tm (inconsistent practice in the home.)Tj ET 0.99608 0.9451 0.76078 RG 245.55 w 33.45 191 m 563.65 191 l S 0.001 w 1 1 1 RG 22.5 w 31.2 304.78 m 565.9 304.78 l S 0.001 w 224.18 w 32.32 179.19 m 564.78 179.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 292.4 m 566.98 292.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 293.48 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 293.48 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 292.4 m 565.9 292.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 301.47 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 276.72 Tm (The staff rota for the home shows that there are 2 care staff on duty between 7.30 am )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 259.22 Tm (and 10 pm. Usually there is an extra member of staff on duty on Wednesdays and )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 241.73 Tm (Thursdays between 8am and 1pm to provide social activities. However, for the week )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 224.23 Tm (beginning 27th April there was a gap in the rota on Wednesday 29th April that had not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 206.74 Tm (been filled. The cook works from 9am - 1.30pm on Mondays to Fridays and we were )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 189.24 Tm (told that the registered provider cooks at weekends. \(The provider did not confirm that )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 171.74 Tm (she has the required food safety and food handling qualification\) When a cleaner is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 154.25 Tm (employed, this person works 20 hours per week. The manager and provider were not )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 136.75 Tm (on the rota and we were told that the manager is employed for 30 hours per week, )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 119.26 Tm (working 9am - 2pm on Monday to Friday, with occasional shifts to cover gaps in the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 101.76 Tm (rota. The home employs one person to work from 10pm to 7.30am and we were told )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 84.26 Tm (that the provider is available to be on call at night if a second carer is needed. The )Tj ET endstream endobj 62 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 63 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (25)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (home does not employ agency staff and gaps in the staff rota are covered by existing )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (staff. There are currently 12 residents in the home and the numbers of staff employed )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (mean that there may not be enough staff to provide social or leisure activities every )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (day, or provide person centred care. Two of the residents require the assistance of two )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (carers with all activities and personal care. This may mean that residents may have to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (wait for help when they need it if staff are preparing the evening meal or are assisting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (another resident at times when there are only two staff on duty in the evenings. If )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (there is only one person on duty at night, there is a risk that residents may not receive )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (the help they need, when they need it.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (The home does not have a thorough and comprehensive training plan to ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (staff have the skills, knowledge and competencies to meet the needs of the residents. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (Some improvements to staff training have been made recently in response to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (recommendations from Social Services following the investigation into concerns about )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (poor practice in the home. However, the training records are not complete and up to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (date and there is evidence that not all of the care staff have received up to date )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (training in all areas of safe working practice. For example, some of the staff who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (dispense medication have not received appropriate training in the safe administration )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (of medication and not all of the care staff have received appropriate training in food )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (safety, infection control or first aid. The training provided is limited and staff have not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (received up to date training in dementia care, mental health care or the Mental )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (Capacity Act and the code of practice for this.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (The registered provider told us that the home has purchased a staff training )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (programme that will cover all of the areas of skills and knowledge that staff need to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm (meet the needs of the residents. At the time of the visit, the manager did not have a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (date for when staff are likely to complete this training. However, the manager has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (identified that some of the training programmes that have been purchased do not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (provide practical experience for staff in safe moving and handling or first aid and will )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm (address this issue.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (The AQAA states that all of the care staff have achieved a National Vocational )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (Qualification in Care \(NVQ\), however, the records do not confirm this. Four care staff )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (have an NVQ in care or equivalent at levels 2,3 or 4 and one person is currently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (enrolled to achieve an NVQ level 3 in care, this equates to about 50% of staff who )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (have a qualification in care.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm (We looked at the recruitment records for two new members of staff. The records show )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (that some checks were in place before staff started to work in the home, however, the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (recruitment procedures are not robust and thorough and one reference was requested )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (from the registered provider for one member of staff and the other member of staff )Tj ET endstream endobj 64 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 65 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (26)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 338.8 w 33.45 642.01 m 563.65 642.01 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 317.43 w 32.32 630.19 m 564.78 630.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 469.28 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 470.36 m 566.98 470.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (had references that were not dated or verified. The home had not carried out and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (recorded a risk assessment or other action to protect residents when a criminal record )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (check revealed a previous conviction. The staff application form is not thorough and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (does not ask for a full employment history with dates of starting and leaving previous )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (employment. One application form has not been dated or signed. This means that the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (recruitment procedures for the home are not robust enough to demonstrate there are )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (sufficient checks to ensure that all staff are suitable to work in the home with the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (residents.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (At the last inspection the registered provider told us that arrangements were being put )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (into place to ensure that staff receive regular support and supervision. Records show )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (that staff supervision has been infrequent with long intervals between supervision )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (sessions. Following recommendations made by Social Services, the home told us that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (staff supervision will be arranged every two months. There are no records to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (demonstrate that practice in the home is regularly monitored or that staff who work )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (nights or weekends receive support and supervision or that practice is monitored to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (ensure that the home's policies and procedures are being followed at all times. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (means that residents may be at risk from poor or inconsistent practice in the home.)Tj ET endstream endobj 66 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 67 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (27)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.13 Tm (Management and administration)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 12 Tf BT 1 0 0 1 28.35 747.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 730.81 Tm (These are the outcomes that people )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 250.51 730.81 Tm (staying in care homes)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 383.43 730.81 Tm ( should experience. They )Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 713.31 Tm (reflect the things that people have said are important to them:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F6 5 Tf BT 1 0 0 1 28.35 700.85 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 189.25 w 32.32 601.79 m 562.53 601.79 l S 0.001 w 1 1 1 RG 102 w 31.2 559.29 m 563.65 559.29 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 698.67 m 565.85 698.67 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 611.42 m 565.85 611.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 507.17 m 565.85 507.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 699.74 m 30.07 506.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 564.78 699.74 m 564.78 506.09 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 35.5 685.48 Tm (People have confidence in the care home because it is led and managed appropriately. )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 668.48 Tm (People control their own money and choose how they spend it. If they or someone )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 651.48 Tm (close to them cannot manage their money, it is managed by the care home in their )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 634.48 Tm (best interests. The environment is safe for people and staff because appropriate health )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 617.48 Tm (and safety practices are carried out.)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 598.23 Tm (People get the right support from the care home because the manager runs it )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 581.23 Tm (appropriately with an open approach that makes them feel valued and respected. The )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 564.23 Tm (people staying at the home are safeguarded because it follows clear financial and )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 547.23 Tm (accounting procedures, keeps records appropriately and ensures their staff understand )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 530.23 Tm (the way things should be done. They get the right care because the staff are )Tj ET /F2 12 Tf BT 1 0 0 1 35.5 513.23 Tm (supervised and supported by their managers.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 488.91 Tm ()Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 466.86 Tm (This is what people )Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 148.49 466.86 Tm (staying in this care home)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 305.46 466.86 Tm (experience)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 370.91 466.86 Tm (:)Tj ET /F6 8 Tf BT 1 0 0 1 28.35 449.68 Tm ()Tj ET 0.99608 0.9451 0.76078 RG 154.97 w 33.45 368.25 m 563.65 368.25 l S 0.001 w 1 1 1 RG 22.5 w 31.2 436.73 m 565.9 436.73 l S 0.001 w 132.47 w 32.32 357 m 564.78 357 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 424.36 m 566.98 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 425.44 m 31.2 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 425.44 m 565.9 288.56 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 424.36 m 565.9 424.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 289.64 m 566.98 289.64 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 433.42 Tm (Judgement:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 408.68 Tm (People using this service experience )Tj ET /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 258.02 408.68 Tm (poor)Tj ET 0.99216 0.89804 0.5451 RG 0.001 w 0 Tr /F2 12 Tf BT 1 0 0 1 289.42 408.68 Tm (quality outcomes in this area. We have made )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 391.18 Tm (this judgement using a range of evidence, including a visit to this service.)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 371.18 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.47 351.19 Tm (The home has a new manager who is not yet registered with the commission. Practice )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 333.69 Tm (in the home does not consistently protect and safeguard the health and well being of )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 316.2 Tm (the residents. Practice in the home is not consistently monitored to ensure that policies )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 298.7 Tm (and procedures for safe working practice are always followed.)Tj ET 0.99608 0.9451 0.76078 RG 195.54 w 33.45 166 m 563.65 166 l S 0.001 w 1 1 1 RG 22.5 w 31.2 254.77 m 565.9 254.77 l S 0.001 w 174.17 w 32.32 154.19 m 564.78 154.19 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 242.4 m 566.98 242.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 243.47 m 31.2 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 243.47 m 565.9 64.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 242.4 m 565.9 242.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 65.97 m 566.98 65.97 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 251.46 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 35.47 226.71 Tm (A new manager started working in the home in September 2008. We wrote to the )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 209.22 Tm (manager and registered provider on 15 April 2009 because we had not received an )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 191.72 Tm (application to register the manager. The manager has now confirmed that a )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 174.22 Tm (registration application was sent to the commission on 23 April. The manager is )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 156.73 Tm (currently enrolled to achieve the National Vocational Qualification \(NVQ\) level 4, in )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 139.23 Tm (care, and plans to finish this by the end of 2009. We were told that the manager will )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 121.74 Tm (then enrol to achieve a management qualification. We were told that the manager )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 104.24 Tm (works in the home for 30 hours per week plus occasional cover for shifts when rota'd )Tj ET /F2 12 Tf BT 1 0 0 1 35.47 86.74 Tm (staff are unavailable. The hours that the manager works should be included on the )Tj ET endstream endobj 68 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 69 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (28)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 742.05 w 33.45 440.38 m 563.65 440.38 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 720.68 w 32.32 428.57 m 564.78 428.57 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 66.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 67.1 m 566.98 67.1 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (staff rota so that staff are clear when the manager will be in the home. The manager )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (does not have previous management experience.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (At the last inspection we made a regulatory requirement for the registered person to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (ensure that there are effective quality assurance and quality monitoring systems in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (place. The home must measure how well the home is providing good outcomes for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (residents and demonstrate compliance with requirements of the Care Homes )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (Regulations 2001. We did not find evidence of effective quality monitoring systems in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (place. Some practice in the home such as medication practice, review of the health )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (care needs of the residents, infection control and health and safety practice is not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm (being regularly monitored. This means that the home are not consistently promoting )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (safe practice and the health, safety and well being of residents is not consistently )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (protected. The registered provider has been writing a monthly report of her inspections )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (of the home but these reports have not identified those areas of concern such as )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (cleanliness and hygiene, poor care planning, poor medication handling and poor )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm (organisation and management of the service. The registered provider has started to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (address staff training issues because there are concerns about the safety of residents )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (There is not a clear health and safety policy in the home and action has been taken to )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 429.18 Tm (review policies and procedures only when problems or incidents have been highlighted. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 411.68 Tm (The home had a health and safety inpection in October 2008 and this highlighted that )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 394.19 Tm (the home did not have an up to date safety management system, full policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 376.69 Tm (procedures and risk assessments and did not have manual handling risk assessments. )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 359.19 Tm (The registered provider confirmed that these were now in place.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 341.7 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 324.2 Tm (A food safety inspection of November 2008 highlighted that the home had not done )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 306.71 Tm (the required food safety hazard analysis. The provider confirmed that this was now in )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 289.21 Tm (place and the home has a 4 star \(out of 5\) food safety rating.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 271.71 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 254.22 Tm (The records for fire safety checks were up to date for the fire alarm, emergency )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 236.72 Tm (lighting and fire exits. However, the fire safety risk assessment was not dated and did )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 219.23 Tm (not contain a risk assessment for a resident who smokes in the home. The record for )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 201.73 Tm (fire drills recorded that two drills were held in January 2009, but none since then. This )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 184.23 Tm (means that residents may be at risk because practice in the home is not regularly )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 166.74 Tm (monitored to ensure that residents are protected and staff are following policies and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 149.24 Tm (procedures for safe working practice.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 131.75 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 114.25 Tm (The Annual Quality Assurance Assessment was returned by the registered provider but )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 96.75 Tm (provided very little information about the service, with minimal evidence to support )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 79.26 Tm (any of the statements made within it. The questions relating to the views of the )Tj ET endstream endobj 70 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 71 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 56.81 m 566.93 56.81 l S 0.001 w /F2 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 53.04 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 53.04 Tm (Page )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 53.04 Tm (29)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 526.07 53.04 Tm (of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 53.04 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 373.79 w 33.45 624.51 m 563.65 624.51 l S 0.001 w 1 1 1 RG 22.5 w 31.2 802.41 m 565.9 802.41 l S 0.001 w 352.42 w 32.32 612.7 m 564.78 612.7 l S 0.001 w [] 0 d 2.25 w 0.99216 0.89804 0.5451 RG 30.12 790.03 m 566.98 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 791.11 m 31.2 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 565.9 791.11 m 565.9 434.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 31.2 790.03 m 565.9 790.03 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.12 435.36 m 566.98 435.36 l S 0.001 w [] 0 d /F2 12 Tf BT 1 0 0 1 31.2 799.09 Tm (Evidence:)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 779.1 Tm (residents and to equality and diversity were poorly completed. In answer to the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 761.6 Tm (question about what the home does to incorporate equality and diversity into what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 744.11 Tm (they do, we were told 'freedom of choice, and communication', but the AQAA did not )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 726.61 Tm (contain any evidence of how the home promotes freedom of choice and )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 709.11 Tm (communication. The AQAA does not give us a reliable picture of the service. The home )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 691.62 Tm (does not promote person centred care planning and there is no evidence that care is )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 674.12 Tm (provided in a person centred way. There is no evidence that staff in the home have )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 656.63 Tm (received information or training in the Mental Capacity Act or that the home has )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 639.13 Tm (acquired a copy of the Mental Capacity Act Code of Practice. This means that staff may )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 621.63 Tm (not be aware of their responsibilities with regard to the rights of residents in the home.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 604.14 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 586.64 Tm (The AQAA did not provide any information about how the service is planning to make )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 569.15 Tm (further improvements as a result of listening to people who use the service, the only )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 551.65 Tm (evidence in this section was 'update further training'. This did not tell us how the )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 534.15 Tm (service ensures that the views of people are noted and incorporated into what they do.)Tj ET /F2 12 Tf BT 1 0 0 1 33.22 516.66 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 33.22 499.16 Tm (The policy of the home is that staff do not take responsibility for residents' financial or )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 481.67 Tm (legal affairs. However, the home does not have a policy or procedure in place on what )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 464.17 Tm (action would need to be taken to protect a resident who does not have a )Tj ET /F2 12 Tf BT 1 0 0 1 33.22 446.67 Tm (representative and who does not have the capacity to manage their own affairs.)Tj ET endstream endobj 72 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 74 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (30)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99216 0.9451 0.76078 RG 36.25 w 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12 Tf BT 1 0 0 1 34.05 685.15 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 670.57 Tm (been met.)Tj ET /F2 12 Tf BT 1 0 0 1 95.57 670.57 Tm ( )Tj ET /F2 12 Tf BT 1 0 0 1 104.02 670.57 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F2 12 Tf BT 1 0 0 1 34.05 655.99 Tm (Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 638.17 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 635.17 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 635.17 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 635.17 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 635.17 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 623.02 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 603.61 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 600.61 Tm (7)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 600.61 Tm (13\(4\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 600.61 Tm (The registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 586.03 Tm (must ensure that any risks to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 571.45 Tm (residents are identified in the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 556.87 Tm (care plan. The risk )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 542.29 Tm (management plan must )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 527.71 Tm (include clear written )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 513.13 Tm (guidance for care staff on the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 498.55 Tm (action they must take to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 483.97 Tm (manage or eliminate any risk )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 469.39 Tm (and what they must do to )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 454.81 Tm (manage any event that may )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 440.23 Tm (put a resident at risk of )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 425.65 Tm (harm.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 411.07 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 294.55 393.49 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 600.61 Tm (30/07/2008)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 373.66 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 370.66 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 370.66 Tm (13\(2\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 370.66 Tm (The registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 356.08 Tm (must make suitable )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 341.5 Tm (arrangements to make sure )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 326.92 Tm (that residents medication is )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 312.34 Tm (safely stored and dispensed. )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 297.76 Tm (This will ensure that )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 283.18 Tm (residents receive their )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 268.6 Tm (medication, as prescribed, at )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 254.02 Tm (all times.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 236.44 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 370.66 Tm (30/07/2008)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 216.61 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 213.61 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 213.61 Tm (13\(2\))Tj ET /F2 12 Tf BT 1 0 0 1 294.55 213.61 Tm (The registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 199.03 Tm (must ensure that the storage )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 184.45 Tm (of controlled drugs meets the )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 169.87 Tm (requirements of the Misuse )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 155.29 Tm (of Drugs \(Safe Custody\) )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 140.71 Tm (Regulations 1973 as )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 126.13 Tm (amended.)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 108.55 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 478.9 213.61 Tm (30/09/2008)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 88.72 Tm (4)Tj ET /F2 12 Tf BT 1 0 0 1 96.15 85.72 Tm (33)Tj ET /F2 12 Tf BT 1 0 0 1 202.5 85.72 Tm (24)Tj ET /F2 12 Tf BT 1 0 0 1 294.55 85.72 Tm (The registered manager )Tj ET /F2 12 Tf BT 1 0 0 1 294.55 71.14 Tm (must ensure that there are )Tj ET /F2 12 Tf BT 1 0 0 1 478.9 85.72 Tm (30/09/2008)Tj ET endstream endobj 75 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 76 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for 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/ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 79 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (32)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 522.2 31.8 Tm ( of )Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 540.49 31.8 Tm (35)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 797.57 Tm (Requirements and recommendations from this inspection:)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 782.15 Tm ()Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr 0.99608 0.9451 0.76078 RG 52.74 w 31.2 748.59 m 566.2 748.59 l S 0.001 w 30.3 w 31.2 704.82 m 91 704.82 l S 0.001 w 30.3 w 93.25 704.82 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The registered person\(s\) must do this within the timescales we have set.)Tj ET /F2 10 Tf BT 1 0 0 1 31.2 572.13 Tm (No.)Tj ET /F2 10 Tf BT 1 0 0 1 96.1 569.13 Tm (Standard)Tj ET /F2 10 Tf BT 1 0 0 1 202.5 569.13 Tm (Regulation)Tj ET /F2 10 Tf BT 1 0 0 1 294.6 569.13 Tm (Requirement)Tj ET /F2 10 Tf BT 1 0 0 1 479 569.13 Tm (Timescale for )Tj ET /F2 10 Tf BT 1 0 0 1 479 556.98 Tm (action)Tj ET /F2 12 Tf BT 1 0 0 1 35.5 537.57 Tm (1)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 537.57 Tm (3)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 537.57 Tm (14)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 537.57 Tm (The needs of the residents )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 520.57 Tm (must be assessed by a )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 503.57 Tm (suitably qualified or trained )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 486.57 Tm (person in consultation with )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 469.57 Tm (the resident or their )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 452.57 Tm (representative.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 435.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 418.57 Tm (Residents should only move )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 401.57 Tm (into the home if the service )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 384.57 Tm (is confident that they can )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 367.57 Tm (meet all health and welfare )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 350.57 Tm (needs and that staff in the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 333.57 Tm (home have the skills and )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 316.57 Tm (expertise needed to meet )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 299.57 Tm (the needs of residents.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 537.57 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 537.57 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 280.32 Tm (2)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 280.32 Tm (9)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 280.32 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 280.32 Tm (Controlled drugs must be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 263.32 Tm (stored in a controlled drugs )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 246.32 Tm (cupboard that complies with )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 229.32 Tm (the Misuse of Drugs \(safe )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 212.32 Tm (custody\) Regulations 1973 )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 195.32 Tm (\(as amended\))Tj ET /F2 12 Tf BT 1 0 0 1 298.05 178.32 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 161.32 Tm (In order to comply with the )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 144.32 Tm (law.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 280.32 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 280.32 Tm ()Tj ET endstream endobj 80 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 595 842]>> endobj 81 0 obj <>stream 0 J 0.98431 0.78824 0.08627 RG 20.58 w 28.35 35.56 m 566.93 35.56 l S 0.001 w /F2 12 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 30.79 Tm (Care Homes for Older People)Tj ET 0.98431 0.78824 0.08627 RG 0.001 w 0 Tr /F2 11 Tf BT 1 0 0 1 477.68 31.8 Tm (Page)Tj ET /F2 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 508.21 31.8 Tm (33)Tj ET 0.98431 0.78824 0.08627 RG 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560.22 Tm (medication must be )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 543.22 Tm (administered directly from )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 526.22 Tm (the original labelled )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 509.22 Tm (container to the service user )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 492.22 Tm (and not be placed into any )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 475.22 Tm (secondary container for later )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 458.22 Tm (administration.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 441.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 424.22 Tm (Residents must receive their )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 407.22 Tm (medication, as prescribed, at )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 390.22 Tm (all times.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 594.22 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 594.22 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 35.5 370.97 Tm (5)Tj ET /F2 12 Tf BT 1 0 0 1 99.3 370.97 Tm (18)Tj ET /F2 12 Tf BT 1 0 0 1 201.55 370.97 Tm (13)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 370.97 Tm (Suitable arrangements must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 353.97 Tm (be made to prevent )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 336.97 Tm (residents being harmed or )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 319.97 Tm (suffering abuse, or being )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 302.97 Tm (placed at risk of harm or )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 285.97 Tm (abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 298.05 268.97 Tm ()Tj ET /F2 12 Tf BT 1 0 0 1 298.05 251.97 Tm (The registered person must )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 234.97 Tm (ensure that all staff receive )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 217.97 Tm (suitable training to ensure )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 200.97 Tm (they are aware of their )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 183.97 Tm (responsibilities to protect )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 166.97 Tm (residents from the risk of )Tj ET /F2 12 Tf BT 1 0 0 1 298.05 149.97 Tm (harm or abuse.)Tj ET /F2 12 Tf BT 1 0 0 1 482.1 370.97 Tm (30/06/2009)Tj ET /F2 12 Tf BT 1 0 0 1 554.05 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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 dup 223 /arrowdbldown put dup 224 /lozenge put dup 225 /angleleft put dup 226 /registersans put dup 227 /copyrightsans put dup 228 /trademarksans put dup 229 /summation put dup 230 /parenlefttp put dup 231 /parenleftex put dup 232 /parenleftbt put dup 233 /bracketlefttp put dup 234 /bracketleftex put dup 235 /bracketleftbt put dup 236 /bracelefttp put dup 237 /braceleftmid put dup 238 /braceleftbt put dup 239 /braceex put dup 240 /.notdef put dup 241 /angleright put dup 242 /integral put dup 243 /integraltp put dup 244 /integralex put dup 245 /integralbt put dup 246 /parenrighttp put dup 247 /parenrightex put dup 248 /parenrightbt put dup 249 /bracketrighttp put dup 250 /bracketrightex put dup 251 /bracketrightbt put dup 252 /bracerighttp put dup 253 /bracerightmid put dup 254 /bracerightbt put dup 255 /.notdef put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B T=:[RXz:F.V0zjQ 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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[ 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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 101 0 obj<> endobj 102 0 obj<>/Subtype/CIDFontType2/Type/Font/W [3[292]29[363]38[667]44[483]46[696]50[770]53[726 633]68[598 631 527 629 593 382 629 640 301 362]79[301 953 640 617 629]85[433 514 415 640 578]92[575]]/CIDToGIDMap/Identity/DW 1000>> endobj 103 0 obj <>stream /CIDInit /ProcSet findresource begin 12 dict begin begincmap /CIDSystemInfo << /Registry (Adobe) /Ordering (UCS) /Supplement 0 >> def /CMapName /Adobe-Identity-UCS def /CMapType 2 def 1 begincodespacerange <0003><005c> endcodespacerange 29 beginbfrange <0003><0003><0020> <001d><001d><003a> <0026><0026><0043> <002c><002c><0049> <002e><002e><004b> <0032><0032><004f> <0035><0035><0052> <0036><0036><0053> <0044><0044><0061> <0045><0045><0062> <0046><0046><0063> <0047><0047><0064> <0048><0048><0065> <0049><0049><0066> <004a><004a><0067> <004b><004b><0068> <004c><004c><0069> <004d><004d><006a> <004f><004f><006c> <0050><0050><006d> <0051><0051><006e> <0052><0052><006f> <0053><0053><0070> <0055><0055><0072> <0056><0056><0073> <0057><0057><0074> <0058><0058><0075> <0059><0059><0076> <005c><005c><0079> endbfrange endcmap CMapName currentdict /CMap defineresource pop end end endstream endobj 3 0 obj<> endobj 104 0 obj <>stream %!PS-AdobeFont-1.0: TimesNewRomanPSMT Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved %%CreationDate: Fri Oct 10 11:48:26 2008 % Converted from TrueType font 'TIMES.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.76) readonly def /Notice (Typeface The Monotype Corporation plc. Data The Monotype Corporation plc/Type Solutions Inc. 1990-1992. All Rights Reserved) readonly def /FullName (Times New Roman) readonly def /FamilyName (Times New Roman) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -109 def /UnderlineThickness 49 def end readonly def /FontName /TimesNewRomanPSMT def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-77 -216 1009 877} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /periodcentered put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B TcJ6*]h[zeKq)ƷW0jlBIf14%B[tnqNOדe{fC;1I^7^r5=[ySwF 5ZUͧ@;J7{Phx ғ*⿅΅V1lCd3Dk9+ ~Iic*x 2YC.eKgt_"t!Ztb$~iS[xdw +P7)%g9/-awT=JK/{ Q'y!kA,7 Α$?H}Om"s*5aks*HRUufn6i?kɝ=-0X%lϧQ4ݡ`rџ~D&#&:t]=.ok &DZђԺŠRq [j@3a*42K]sjϖjG_n 4Ϛ5. *Ly^w`ܮ64r/:!?u:};ߜ`dӤJY2R'wbTCI2CRNY2uD-.Y9y:2Cʸ`ͻq5dBpQŰ: TimM;f ]+ozY0,(Fh^ GirY E W| -R̵vVP ce޾'zH+1= PU~}fIa TY˞߹NC!RhUeySNqEobm"QQL!H0agylrҳxc: HWmֻDc,A';{ 8rnGMGduDcb ʮ_`gJuDQO>c٨~b_s/%~`/ 8Ayq. -v -%=6 ̟sjՊ6a FZ#Ԉeֆ1TRwY Կ'$s|I9ƲRM&89>N ]<3z h_/-|UN%b=̱ IuȌ>pq-t<.4Pk2\1Ko7fXH%<#+nUU[D-Jeʤvɴ;\G?W<}eH}p?_F5$wG.~< J s]tY 6Xk6UNJRg_pZ=܌JR(lh9ҥӏjwb"MF&纺ÄjhjX,Ƒwjnd-4:$fN4IyFNgXٺmS`d'G8^Ir1[cÎ$-0[d]v2O8͸\GQk_Y\2\Gp2i2^cT:ʲ 9,]YnZh?35Ƴ2Y_F]ùD"=RI:3?Gv9p= K.~hZo!Y&Bn7kECVsEvpԛt3Qk{% 񚡽ACIG#-"Uo| qB:` h͑p>gϒe$P*[!{}#1p%,H'ɷz[0 }3"" u'~Tɗϛ}:>1PQApt & / XJ4%dha ?$] |67A U)>4q Q3Kn|n  uL1tNpZB?)sWxbpi⩢խd_ŏ<\Y@D\_߰17Q"ݚ}Ž^FGW5߀klZ5srĿLZ"R"[STl(#9˳;/:7Hz4MM S^f FH|ݽ0NQy@`\|fȊP)^uĖs4$ m1*.١.fU Q>\( d{hk}%$fm aS5&i%)LdTz7&Nl$ vM?O]پ,/KTbx`~/3Ks8kÜ' CsBCY;qrRș^.[`gҪ]┛o}8H#H/g\?}7Y#*ZV PvO߃ ~bXaAI`CD ҷDO[(1YBo*uKYlLђDi6Y0@̗Ōy 0W s$}FD=-Y'r3EUð7mN/I$K̳ܨ=h!ۧ {H™Naqm*}h8だ3N++kyhB^gRţ-LjQ9h% s6?FnAnٽ6t6LMlt&n'#i^)֤0)G7a;]U@d#1Mn$]mU}iigTQ5=80"Ӯ2sl`ݗַc%7Ɉʝ;.7Rҿ¸>~ot"IģqWu)b,mXT=s5c؊m{6|HlsI%ر95Oq2&宠9hbLTu˷| iHKC6 Dί!isaX4r]Clq )_Ħr98y&XZ%.ЏB'$9.Htxl8s~*lq}rM⹟8_j_V~%)_EW_K/3ND^3BpGݩ|G9jS6@`'XȽ$` Y&ypCeֳHΪFzjt) d4?56_Sf:[߮vmЉIs2i6cV87փw|A4Ӭ:9gGBTc^ws:kӼ.!yDR=KY'rLg#@ {q_ki@&Y66(ӡ%M;d&yB46r8ѹχP@ʚ `"sxXr;c7w@Bad"ߡ1\:g݈-[oDS|fPve>JDz9qGC|<3'5$*Y6\4G)L!,#G/&R> Wb?r<)xV%֫$z85Y4_Lt+a$l zGjql0EdQ[{wo`=ycn%(&9y-WgՋ%~h\O!@q㙑  X0/[.C:)]xCpx##GBY"1/n>*JIxEӼ1Q*р'Th& vzf_Fh".MVX2V p0#)w*|DUd[wb*ZY~`eBD W+@'pշF`2JE%jsdSvΟdk*_|{bWЩwlEm#U\t֨ Y}rKO|fKR"a8F@5VlvhmxqGHoGiT0e^^gx8Ys_]l{$^'{2hތ4m佳Od2sWt3AEzXj F\QɃC)pd=ԗSl*EXq dƚS*G][M7Y.ŗ1(gM.C̮Ӏ E`inB.fPM"/' ..oHti@Bd2MCAy>m;<`grxf?$Pz8㤨E|xw,վUf-J/:SC 4bɌ~eY{Wz6)q{o4Epr%! kPY@:pSC$ sg <=XAx"1U{' ަk#]5ZMxƸ&\5" 3$nw(1)#`Pb2nlx]\z'߰[kQB `*eָ5[C)<Ѩ3f9cuE9CxcV+L Y g\ /EIHxK^=u)f=,( :0wu9?CP4(&wxX= u?Q3*!4e?O XCJ.~dMT.ɂbؒ"c,dƔ'pv#eY.,cЦpi@HP2ñ#}xL5ݡPkч]x{nȕdrdG1 ~Ed8"abo&g 吤,x(:J刖;8'-[ dO-|Q[.A`S+A+qrLO8ZĊKLПDōHr?"4lRr+) 2)Ql΄!M}xRi2Hm;p ߳SZgle1b0)LZm O48' ȏ*MOX Vi,δ^ d~u6/bqhS [\A(Z沣׈n}T@<^fLvɩaq4-KRȔŋl,n:6 kұ?@OC'~ӸMh.&0Ki }dW;1|jZPѰxTzDSz(GR2ʱW;ezT3P0S< yk$&mPI2D!:x>I璱{_Y%v 4f-rDFg[T!^lB#\wM* do(-µ׼Tb uALQtsS( BKJzv͈*qnQ#*CSu m#wY gATA,SsS1{?c;pxZc_GqNYPnn<HL(|M\')I%l!'43>x 3(_~! f%~r*IfnQ52}/b̳ 7v$JFy #e<:6~4܋%ZDacAC-c)=džN/&k- ;8C3A>0!Mkh?iv\XboثOVD-Sũ5je $nP<]54:.)`iؽyiҀcgQҬF_hnA,=;էn Iy>sK2AY R$y@pQ̬޵Ҡ#wlħ&oDs;8pZvai~=Ûa)Kו'1?2M?e:렝1P3q3#Uʭ211 sj Y酫vzR : BmKUpV+RxVtb= 0hFS-?`?L?*p‡'}EɅ$,Vv=i t3{>N Y 7Lylzn􋙡4F/&mw !:%/OxQny̼r"1@,Nئ /#o}Cz[u؁şkwFvvitd '1DzNqiNW}&Y>-~Ǖ..6"7I E^oWM j ĥ/hv]C{O~tt izIš1tycY dlÂe!$̽3v7@ Qx83Ig/S</4.FcDnH cT9(gM5=fg"[ҹbe5X#V_@4'pǖoEqR)e5 +}i E%o͠Ƚly(;-%C) }5* adQ-Zf`>2_ZSD׌a&dҀÒ,&6Q\zmv,peʤFQO?`ϦsVH,|.~LT"9FBnjq,\ٳ?_*]hIIe;HnԑG"C3|z0^$*'ZH%usդ/D8AOm&Y Y#eIگ8:}x,Oo:S>GT8b<@P&COܑX.j᝛ ?:C8hYq_350=0!Vw@UW+8Knn!gޑ]%Pv͸ߒ}.`wԀ+Vhֻx!B,J|g0[d@6#~H8˪Et9:J1KTд>b|04²jRju O!(ɬh/0}!n_p 2^:+œOި`|eT*N hd*bR%~Gy;K $ V^ ܰZ?p[7TU!\ĩZ KT4~Ajx.s&\ 3pJ1UT*'PE]i.uHH8_xi3 }QO߈HPC0Ȏd}\pDh (te!;Y&^ 7c)æ^"e›{OKQ4y(%V<Nވـ/K#Q-~ n!!<.٧{>IZo{(Cn6wժyvVV+4 ( :Lrb%l| s=Y|,A̓!(XF1D7T8Wۈø^,>@ϡI eFIRBVǿ(LH߃kF P+vr]h͂˖ 0yDέ8- [GlGS)$1r:k{+e $#b1ɢɗRqz@zϷ$݄/-CHco'’_u>a;Pr,'{aG" }~ph e- lـz0([=4(S,'l 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u\m&EO'-ȵ}KhdyϗNcLFf8FhLv)-OrﳡNr9iUyJ7 &À,s6#]Q`E\> Ma z)"lOkw)}g"#^| 9[5b";NcsY.db,_YƋw]Di}9KWQ>O1k[:"?Km ¾|jVbr˂@?g}#׭LRQp1i?Yn_&CE7G%.)zľTI0柨o:5\Fh>hak?6`J̬SkdcBR4B{hz qV#$jg䰴$gIP#ŦGkzC.cTcy|,wm"w8|/ +h.B..OUtc5'UcIcH܏>mCob$:ɧ.Qo j=QѳӵiZڒiXΕf)cd";&k)=(y߽bᗿ0a᩽@ʍ%]y|c#܈;EN`xTӬKzek(hc8J"p5,ڨjeʹ2L;IKl*#=Sȁt1jDȋbyZư2"^`}Lk8 d£B)󕷐S~n wh )3w"]{CR"51i ;g.{PRP2%N5"I%v }8pd^2S?ߟy_hqcN :A\fCk1g*>qp\UC9ހ$_"ρY~+i1yUH1?@I5[9M2a!@5 =ep*sr*Ď[8<XRk%^eR.qtpDH{]ޟWub+UU+3f,HxKp58d|';I>ÿ/qb@IبڢEfihQ R©ˬ$\5g īҏnS"ӌWQʤwُHLxF]" B`<y իt.X '=ݸ] K˒1 4,p\ žA#R>{ɼ<5];A1d‚ \[CB4a= [f `a'Ig[_g? 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All Rights Reserved %%CreationDate: Thu Oct 09 15:25:10 2008 % Converted from TrueType font 'VERDANA.TTF' by ttf2pt1 program % %%EndComments 12 dict begin /FontInfo 9 dict dup begin /version (Version 2.35) readonly def /Notice (Typeface and data 1996 Microsoft Corporation. All Rights Reserved) readonly def /FullName (Verdana) readonly def /FamilyName (Verdana) readonly def /Weight (Regular) readonly def /ItalicAngle 0.000000 def /isFixedPitch false def /UnderlinePosition -88 def /UnderlineThickness 59 def end readonly def /FontName /Verdana def /PaintType 0 def /StrokeWidth 0 def /FontType 1 def /FontMatrix [0.001 0 0 0.001 0 0] def /FontBBox {-30 -207 1447 1000} readonly def /Encoding 256 array dup 0 /.notdef put dup 1 /.notdef put dup 2 /.notdef put dup 3 /.notdef put dup 4 /.notdef put dup 5 /.notdef put dup 6 /.notdef put dup 7 /.notdef put dup 8 /.notdef put dup 9 /.notdef put dup 10 /.notdef put dup 11 /.notdef put dup 12 /.notdef put dup 13 /.notdef put dup 14 /.notdef put dup 15 /.notdef put dup 16 /.notdef put dup 17 /.notdef put dup 18 /.notdef put dup 19 /.notdef put dup 20 /.notdef put dup 21 /.notdef put dup 22 /.notdef put dup 23 /.notdef put dup 24 /.notdef put dup 25 /.notdef put dup 26 /.notdef put dup 27 /.notdef put dup 28 /.notdef put dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute 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